Borrower Information Primary Borrower Name DOB Jan Feb March April May June July Aug Sept Oct Nov Dec 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 SS# E-mail Home Phone # Pager or Cell # Years in School Co-Borrower Name DOB Jan Feb March April May June July Aug Sept Oct Nov Dec 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 SS# E-mail Home Phone # Pager or Cell # Years in school Personal Information Children 0 1 2 3 4 5 6 7 8 9 10 Ages Address Primary Borrower Street City State Zip Years in Home 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 If in this home less than 2 years, provide prior address: Street City State Zip Years in Home 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 Do you own any other property? yes no If yes, approximate total value Description of property owned Co-Borrower Street City State Zip Years in Home 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 If in this home less than 2 years, provide prior address: Street City State Zip Years in Home 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 Do you own any other property? yes no If yes, approximate total value Description of property owned Current Housing Information Currently Renting Payment 1st Mortgage Company/Bank Name Current Balance Monthly Payment Term 10 15 20 30 Interest Rate Rate Type Fixed Variable ARM FHA Yes No VA Yes No Paying PMI? Yes No Paying Association Fees? Yes No Amount Taxes and insurance included in payment? Yes No Annual Tax Amount Annual Insurance Amount 2nd Mortgage Company/Bank Name Balance Payment Term 10 15 20 30 Rate Rate Type Fixed Variable ARM Purchase Information Property is Condo Yes No Purchase Yes No Amount of Closing Costs Paid By Seller Funds available from gift Employment Information Primary Borrower Employer Complete Address Work Phone Position Length of employment Years in line of work or profession Income Other Income If length of current employment is less than 2 years, provide previous employment information Previous Employer Complete Address Length of Employment Position Income Co-Borrower Employer Complete Address Work Phone Position Length of Employment Years in line of work or profession Income Other Income If length of current employment is less than 2 years, provide previous employment information Previous employer Complete Address Length of Employment Position Income Banking Information Bank Name Checking/Savings Balances 401(k) Life Insurance Automobiles Estimated Value Personal Property Value Other Assets Credit Information Are you present on all other accounts? yes no Credit Card Debt Amount Other Loans? yes no Judgments? yes no Approximate amount Delinquent taxes? yes no Garnishments? yes no Bankruptcy? yes no Do you have Documents? yes no Discharged? yes no Ever Divorced? yes no Do you have Documents? yes no Have you ever been in Credit Counseling? yes no Still in a Credit Counseling program? yes no Other Information How did you hear about us?
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