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Name:
Age:
Social Sec#:
Hm Phone:
Wk Phone
D.O.B:
Marital Status:
Do you currently:
Rent
Own
Present Address:
Employment
Self-Employed?
Yes
No
Employer:
Years on the job
Years in line of work:
Monthly Income:
Other:
Prior Employment
Years on job
Years in line of work:
This is a credit pre-application only:
Borrower Information
Co-borrower Information
Years in line of work:
Years on job
Prior Employment
Other:
Monthly Income:
Years in line of work:
Years on the job
Employer:
No
Yes
Self-Employed?
Employment
Present Address:
Own
Rent
Do you currently:
Marital Status:
D.O.B:
Wk Phone
Hm Phone:
Social Sec#:
Age:
Name:
(first,middle,last)
(first,middle,last)
AMOUNT/SOURCE OF FUNDS FOR CLOSING (BANK ACCT? MONEY SAVEDAT HOME? GIFT?)
Amount:
Source::
Source:
Amount:
LIST OF ALL LIABILITY ACCOUNTS
MONTHLY PAYMENT
BALANCE
AUTO
AUTO
BANK LOAN
CREDIT CARD
CREDIT CARD
OTHER
OTHER
TOTAL
BANKRUPTCY-FORECLOSURE-REPO-JUDGEMENT-EVICTIONS
EXPLAIN:
Borrowers Initials and Date:
Co-Borrower's Initials and Date:
Please bring the following at time of Full Loan Application:
1. Last 30 days pay stubs, 2.Last 3 Months Bank Statements on any assets accounts,
3.Last 2 years W-2's and Tax Returns, 4. Names/Addresses of Employers in last 2 yrs
Names/Phone numbers of last 2 years Landlords, 6.Company Name, address and
account numbers of all liability accounts. 7. Credit Report Fee
   
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