Borrower:		Co-Borrower:
Name:		Name:
Email:		Email:
SS#:		SS#:
Address:		Address:
City:		City:
State:		State
Zip:		Zip:
FICO:		FICO:
Bankrupties past 2 years:	NO YES	Bankrupties past 2 years:	NO YES
Home#:		Home#:
Work#:		Work#:
Borrower Annual Income:		Co-Borrower Annual Income:
2005 W2 Amount#:		2005 W2 Amount#:
2004 W2 Amount#:		2004 W2 Amount#:
Monthly Income:		Monthly Income:
Ratios:		Ratios:
Front:		Front:
Back:		Back:
Reserves:		Reserves:
Borrower Employment Information:		Co-Borrower Employment Information:
Employer:		Employer:
Address:		Address:
Length of time employed there?		Length of time employed there?
Contact:		Contact:
Self-Employed:	YES NO	Self-Employed	YES NO

Property Type:	Single Family multifamily Condo Co-Op
If Condo or Co-Op:
Mgmt. Co contact:
Phone Number:
Purchase:	R/T Refinance C/O Refinance Purchase Construction Loan
Contract of Sale	YES NO

Estimated Value:
LTV:
Current Interest Rate:
Term:
Fixed:
ARM Type:

Balance of 1st Mtg:
Balance of 2nd Mtg/Credit Line
2nd Mtg/Credit Line:	Subordinate Close Out Pay and Close Out

Homeowners Ins./Yr:
Association Fees:
Taxes Yr:

Desired Loan Type:	Fixed Adjustable
Term:	10 15 20 30
Desired Payoffs:	1st Mtg. 2nd Mtg.
Credit Line:	Car(s) Credit Cards
Loan Type: FHA	YES NO
	FULL STATED/STATED STATED/FULL ASSET NO DOC
Sale Price:
Loan Amount:

Calc. Payment
P&I:
Taxes:
Ins.
Maints
MI
Total

 

Can we show 12/24 Months Bank Statements with $5,000 plus a month in deposits?

YES NO

 

In lieu of a signature and As verification that you filled out this form and agree to the terms above, we require that you enter the following:

Borrower:		Co-Borrower:
I agree to the above terms:		I agree to the above terms:
Full Name:		Full Name:
Day of the month you were born:		Day of the month you were born: