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Loan Information
Loan Purpose
Purchase
Loan Type
30 Year Fixed
15 Year Fixed
Jumbo 30 Year Fixed
Jumbo 15 Year Fixed
FHA 30 Year Fixed
FHA 1 Year ARM
1 Year ARM
3/1 ARM
5/1 ARM
Interest Only
VA 30 Year Fixed
VA 3/1 ARM
Estimated Closing Time
As Soon as Possible
Within 1 Month
Within 2 Months
More Than 3 Months
Loan Amount
Property Information
Still Shopping
I'm still shopping for a property.
Property Value
Down Payment
Property Address
Street
City
State
Zip
Employment Information
Gross Monthly Income
Employment
More than 2 YRS
Less than 2 YRS
Self Employed > 2 YRS
Self Employed < 2 YRS
Employer/Company Name
Employer Phone
My Credit History is:
Excellent
Good but some lates
some credit problems
major credit problems
don't know
Current Loan Information
Loan Type
Creditors
Amount Owed
Monthly Payment
Paying this off?
Mtg
Auto
Loan
Card
Other
yes
no
Mtg
Auto
Loan
Card
Other
yes
no
Mtg
Auto
Loan
Card
Other
yes
no
Mtg
Auto
Loan
Card
Other
yes
no
Mtg
Auto
Loan
Card
Other
yes
no
Mtg
Auto
Loan
Card
Other
yes
no
Mtg
Auto
Loan
Card
Other
yes
no
Mtg
Auto
Loan
Card
Other
yes
no
Borrower Information
Name
Social Security Number
Date of Birth
Address
Street
City
State
Zip
Email
Phone
Residence
Business
Direct
Mobile
Office
Pager
Toll Free
Voice Mail
(
)
-
Preferred Contact
Email
Phone
Other Information
Other comments and useful info.
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