Applicant Name Who referred you to us? Date of Birth Current Address City State—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashington Zip Do you currently rent or own?RentOwn How much are you paying right now per month on your mortgage/rent? Home Phone Work Phone Email Employer Position Years Employed Annual Income On average, how much money do you keep in your checking account? On average, how much money do you keep in your savings account? How much do you have in a retirement or 401K plan? Co-Borrower-Info Applicant Name Date of Birth City State—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashington Zip Do you currently rent or own?RentOwn How much are you paying right now per month on your mortgage/rent? Home Phone Work Phone Email Employer Position Years Employed Annual Income On average, how much money do you keep in your checking account? On average, how much money do you keep in your savings account? How much do you have in a retirement or 401K plan? Relationship to applicantSpouseSignificant OtherParentSiblingChildFriendOther Applicant Info Rate your overall creditExcellentGoodFairPoor Why? What is the approximate loan amount requested? Do you presently own a home?YesNo How long are you planning on staying in the home? What monthly payments will you be comfortable with? What type of property are you looking for? How much money will you be putting down? Please list any additional income that you may be receiving Δ
