Applicant(s) Contact Information: Applicant First Name E-Mail Applicant Last Name Work Phone Home Phone Co-Applicant First Name E-Mail Co-Applicant Last Name Work Phone Home Phone Address State City Zip Gross Income: Applicant Employer Monthly Income Amt. $ Position Years on Job Years in same field Co-Applicant Employer Monthly Income Amt. $ Position Years on Job Years in same field Other Income Applicant Monthly Income Amt Other Income Co-Applicant Total Gross Monthly Income: Assets Checking and Savings Accounts Amount $ Financial Institution Financial Institution Amount $ Stocks and Bonds (Please Describe) Amount$ $ $ Life Insurance Face Amount$ Automobile Type Est. Value $ Yr. 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1987 1986 1985 1984 1983 1982 1981 1980 1978 1977 1976 1974 1973 1972 1971 1970 1969 1967 1966 1965 1963 1962 1961 1960 $ Yr. 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1987 1986 1985 1984 1983 1982 1981 1980 1978 1977 1976 1974 1973 1972 1971 1970 1969 1967 1966 1965 1963 1962 1961 1960 Other Assets (Please Describe) Amount $ Housing Expenses: Monthly Payment 1st Mortgage $ Property Taxes $ Home Owners Insurance $ Monthly Credit Card Debts: Account Name Cur. Bal. Monthly Payment $ $ $ $ $ $ Type of Loan Requested: Loan Type: Construct Home, Construction Refinance Construct New Home and Convert to Permanent, Construction-Permanent Other Loan Purpose, Other Purchase - Purpose Unidentified, Purchase Residence Type: Primary Residence Second Home Non-Owner/Investment Property Type: Single Family Residence Condominium Town Home 2 - 4 Units Multi-family (Five + Units) CO OP Commercial-Residential Commercial-Non Residential Farm Land Mixed Use Property Mobile Loan Terms: 30 Year Fixed 20 Year Fixed 15 Year Fixed Adjustable Rate Mortgage Estimated Loan Amount: $ The best time to contact me would be: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 around: 1 2 3 4 5 6 7 8 9 10 11 12 : 00 15 30 45 AM PM by: Home Phone Work Phone Fax Email Comments:
Applicant(s) Contact Information:
Applicant First Name
E-Mail
Applicant Last Name
Work Phone
Home Phone
Co-Applicant First Name
Co-Applicant Last Name
Address
State
City
Zip
Gross Income:
Applicant Employer
Monthly Income Amt. $
Position
Years on Job
Years in same field
Co-Applicant Employer
Other Income Applicant
Monthly Income Amt
Other Income Co-Applicant
Total Gross Monthly Income:
Assets
Checking and Savings Accounts
Amount $
Financial Institution
Stocks and Bonds (Please Describe)
Amount$
$
Life Insurance
Face Amount$
Automobile Type
Est. Value $ Yr. 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1987 1986 1985 1984 1983 1982 1981 1980 1978 1977 1976 1974 1973 1972 1971 1970 1969 1967 1966 1965 1963 1962 1961 1960
$ Yr. 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1987 1986 1985 1984 1983 1982 1981 1980 1978 1977 1976 1974 1973 1972 1971 1970 1969 1967 1966 1965 1963 1962 1961 1960
Other Assets (Please Describe)
Housing Expenses:
Monthly Payment
1st Mortgage
Property Taxes
Home Owners Insurance
Monthly Credit Card Debts:
Account Name
Cur. Bal.
Type of Loan Requested:
Loan Type:
Construct Home, Construction Refinance Construct New Home and Convert to Permanent, Construction-Permanent Other Loan Purpose, Other Purchase - Purpose Unidentified, Purchase
Residence Type:
Primary Residence Second Home Non-Owner/Investment
Property Type:
Single Family Residence Condominium Town Home 2 - 4 Units Multi-family (Five + Units) CO OP Commercial-Residential Commercial-Non Residential Farm Land Mixed Use Property Mobile
Loan Terms:
30 Year Fixed 20 Year Fixed 15 Year Fixed Adjustable Rate Mortgage
Estimated Loan Amount:
The best time to contact me
would be:
January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
around:
1 2 3 4 5 6 7 8 9 10 11 12 : 00 15 30 45 AM PM
by:
Home Phone Work Phone Fax Email
Comments:
* = Required fields