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Transaction Details
Requested Loan Type:*    
Requested Loan Amount:*  
Sale Price / Value:*  
Cash out $:*  
Down payment $:*  
BorrowerCo-Borrower
Name:*   Name:
Address:*   Address:
City:*   City:
State:*   State:
ZipCode:*   ZipCode:
Home Phone:*   Home Phone:
Cell Phone:*   Cell Phone:
Business Phone: Business Phone:
Email:*   Email:
New Home (purchase transactions only)
Address: State:
City: ZipCode:
Realtor: Realtor Phone:
Monthly Income
(borrower)(co-borrower)
Employer: Employer:
Job Title: Job Title:
Years at Job: Years at Job:
Years in Line of Work: Years in Line of Work:
Gross Monthly Income:*   Gross Monthly Income:
Other Monthly Income: Other Monthly Income:
Credit
(borrower)(co-borrower)
Rate your Credit:
Rate your Credit:
Excellent (720+), Good (680-720), Fair (640-680), Poor (below 640)
Year filed: Year filed:
Debts
(borrower)(co-borrower)
Current Rent/Mtg Payment:*   Current Rent/Mtg Payment:
Mortgage Balance: Mortgage Balance:
Mortgage Company: Mortgage Company:
Other debt Payments:*   Other debt Payments:
Other debt balances: Other debt balances:
Present Home (refinance transactions only)
Year Purchased:
Purchase Price:
Present Value:
Home Type:
Monthly Rental Income:
Comments
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