Your Full Name
Street Address
City State Zip
Phone Number
Email Address
Purchase Price (if you are buying this home)
$
Estimated Value of Your Home If You Are Refinancing
$
Loan Amount (the amount you wish to borrow)
$
Will this loan be placed on your:
Primary Residence
Vacation Home
Rental Property
Your current monthly salary from all sources
$
Your monthly commissions or bonuses averaged for the last two years, if any.
$
Your total liquid assets i.e. checking, savings, stocks, bonds, IRA's, CD's, money
market accounts, 401K plans, etc. that have been under your control for at least the last
90 days.
$
