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* Required Information |
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*Borrower First Name / Last Name
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*Social Sec:
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*Co-Borrower First Name / Last Name
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*Social Sec:
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*1st MTG Amount
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*2nd MTG Amount
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*Lender
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*Type:Arm,Fixed, I/O
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*Type:Arm,Fixed, I/O
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Property Address
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Please check all that apply.
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Property City, State, Zip
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I live in this home
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Occupants in home
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Work Phone
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This is a 2nd Home
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Home Phone
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This house is vacant
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Cell Phone
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This is rental property
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Email
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Monthly Rent Amount
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Mailing Address
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Active Bankruptcy
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Mailing City, State, Zip
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Employment Information |
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Borrower Employer
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Co-Borrower Employer
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Borrower Position
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Co-Borrower Position
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Household Income
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Primary Houseowner
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Additional Occupants
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Gross
Net
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Gross
Net
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Disability
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Rental Income
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Unemployment
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Child Sup/ Alimony
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Other
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Total Monthly Income
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Other Income Frequency
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Weekly, Mo, Etc
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Weekly, Mo, Etc
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Employment Status Fulltime, Part-Time, etc.
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DEBT |
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Balance Due
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Monthly Payment
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Interest Rate
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Auto Loan #1
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Auto Loan #2
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Credit Card #1
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Credit Card #2
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Credit Card #3
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Credit Card #4
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Installment Loan
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Mortgage Payment
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2nd Mortgage Payment
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Personal Loans
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Unsecured Debt
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Other Debts
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Totals
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Rental Income
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MONTHLY HOUSEHOLD LIABILITIES AND EXPENSES
Monthly Payment
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Alimony / Child Support
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Hospital
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Auto Expense, Gas, tc.
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Prescriptions
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Child Care / Elder Card
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Cable
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Education
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Water
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Food - Family
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Electricity
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Pets
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Gas
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Spending Money
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Telephone / Cell / Internet
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Other Expenses
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Clothing
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Auto Insurance
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Dry Cleaning
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Health Insurance
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Monthly Parking
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Personal Life Insurance
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Club or Union Dues
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Other Expenses #2
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School or Work Lunches
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Other Mortgages
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HOA Dues
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Totals
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Totals
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Net Income
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Minus Expenses
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Surplus / Negitiv
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Upfront Funds Available
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