1. Applicant/CoApplicant Information
Borrower
Co-Borrower
First Name:
First Name:
Last Name:
Last Name:
Street Address:
Street Address:
City:
City:
State:
State:
Zip:
Zip:
Home Phone:
Home Phone:
Work Phone:
Work Phone:
Email Address:
Email Address:
Realtor Name:
Realtor Phone:
2. Applicant/CoApplicant Employment & Credit Infromation
Employed?
Yes
No
Employed?
Yes
No
Self Employed?
Yes
No
Self Employed?
Yes
No
Applicant Gross Monthly Income: (before deductions)
CoApplicant Gross Monthly Income: (before deductions)
Total Automobile Monthly Payments:
Automobile Monthly Payments:
Total Credit Card Monthly Payments:
Total Credit Card Monthly Payments:
Total Monthly Student Loan Payment:
Total Monthly Student Loan Payment:
Other Monthly Loan Payment:
Other Monthly Loan Payment:
Cash Available in All Accounts:
Cash Available in All Accounts:
Has either applicant ever filed bankruptcy or lost a home in foreclosure?
Yes
No
If "yes" selected , when were you discharged?
Has either applicant ever filed bankruptcy or lost a home in foreclosure?
Yes
No
If "yes" selected , when were you discharged?
