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APPLICANTS' INFORMATION
Name
Email
Home Phone
Work Phone
Cell Phone
Fax Number
CO-APPLICANTS'
INFORMATION
Co-Applicant Name
Co-Applicant Email
Co-Applicant Home Phone
Co-Applicant Work Phone
Co-Applicant Cell Phone
Co-Applicant Fax Number
SUBJECT PROPERTY INFORMATION
Street Address
City
State
Zip
Purchase Price
Current Value
Property Type
MORTGAGE INFORMATION
First Mortgage
Name of Lender
1st Original Loan Amount
1st Current Loan Amount
1st Rate
1st Original Term
1st Term Remaining
1st Total Monthly Payments (Including Escrow)
1st Amount to Escrow (Monthly)
1st Rate Type
Fixed
Variable
Loan Type
VA
Sub-Prime
Second Mortgage
Name of Lender (2nd Mortgage)
2nd Original Balance/Limit
2nd Original Term
2nd Current Balance
2nd Term Remaining
2nd Payment
2nd Rate
Fixed/HELOC
APPLICANTS' INCOME INFORMATION
Applicants Employer
Applicants' Gross Income (Per Pay Period)
Applicants' Net Income (Per Pay Period)
APPLICANTS' PAY PERIOD
Weekly
Bi-Weekly
Semi Monthly
Monthly
APPLICANTS' INCOME TYPE
W-2
Commission
Overtime
Bonus
Other
Applicants' Job Position
Number of years at Job
Discretionary Income: Income left over each month after expenses. i.e. mortgage,
utilities, credit cards, entertainment, etc.
APPLICANTS' CREDIT
RATING
A
B
C
D
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