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Borrower Information |
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Full, Legal Name
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Spouse Full Legal Name
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Box Number
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Street Address
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City
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State
* Zip Code
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Phone Number
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Fax Number
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E-Mail Address
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Current Address
I Own
I Rent
Time At Current Address Years
Months
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Purchasers
- Do you have down payment?
yes
no
If so, how much? |
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Personal
Primary Borrower
Co-Borrower
Birthday
Birthday
SS#
SS#
How Would You Rate Your Credit?
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Bankruptcy/Foreclosure
Ever Filed For Bankruptcy And When
Discharged?
Bankruptcy - Chapter 7
Discharge Month
Discharge Year
Bankruptcy - Chapter 13
Discharge Month
Discharge Year
Foreclosure/Deed in Lieu of Foreclosure
Month
Year |
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Mortgage Information
What Is You
Current Interest Rate?
Current Mortgage
Term
(Number of years)
Are Your Property Taxes and Home Owners
Insurance included in your current payment?
Property Taxes Per Year
Homeowners Insurance Per Year
Please List Three Goals You Would Like To
Accomplish By Refinancing:
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Comments
Who referred you? How did you hear about us?
*
Were you referred to a particular loan
officer? yes
no
if so, who?
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Contact
When is a good time for a loan officer to
give you a call?
*
*
Contact me using Phone Number:
Primary
Number
Use this
Alternate number:
Submit
Application to
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HUD/FHA Loan
Correspondent Mortgagee #2392100003, Licensed by the Department of Real
Estate under the California Residential Mortgage Lending Act - License
Number 603 F207, DRE Info Number 916 227 0931, Florida Correspondent
Lender CL0703397, Maryland Lender #9560; Massachusetts Licensed Broker
#MB4282 Multi-Fund arranges, but does not make loans; Michigan Broker
FL0012952 and SR0012971, Minnesota Residential Mortgage Originator
#MO20384336, Registered under the New Mexico Mortgage Loan Company and
Loan Broker Act Certificate 03371, Ohio Registrant MB 802267.000;
Licensed by the Pennsylvania Department of Banking, Tennessee
Registration #3391, Licensed by the Virginia State Corporation
Commission MB-1755 all loans funded by third parties; HUD/FHA exempt in
Alabama, Alaska, Hawaii, Indiana, Missouri, Kentucky and South Carolina.
All loan officers are licensed as required by the respective states.
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