Loan Qualification
Date ____________________________ Referring Agent _______________________________ Loan Officer ___________________________________________________________________ Customer Name ________________________________________________________________ Current Address ________________________________________________________________ ______________________________________________________________________________ Telephone: Home #_________________________ Work/Cell# __________________________ Currently Own Home: Y/N Mo Pymt______ Currently Rent: Y/N $/Mo________________ If own home: Estimate Home Value ________________________________________________ Balance of Current Mortgage __________________________________________ Purchase Price (of home you intend to buy): __________________________________________ Amount of Down Payment (if any): ________________________________________________ Current Employer: __________________________________________ Phone:______________ Yearly Gross Income:___________________ Time on current job:________________________ Co-borrower’s Employer: ____________________________________ Phone: ______________ Co-borrower’s Gross Income: _____________________Time on current job:________________
Birthdate:__________________________ SSN#______________________________________ Co-borrower’s Birthdate_______________ SSN# _____________________________________
Permission to obtain credit report? Y/N
Additional Comments: (Address of house to purchase; financing interested in; best time to be reached, any other concerns, etc.)_________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________
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