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Personal Information
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Name:
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Email:
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Home Phone:
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Business Phone:
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Best Time to Call:
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am
pm
Time Zone
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Prefer to be
contacted by:
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Home Address
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Street:
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How would you
rate your credit?
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City:
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State:
Zip:
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Property Information
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Property Address
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Street:
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City:
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State:
Zip:
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Property Type:
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Occupancy Type:
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If Other Please Specify:
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If Other, Please Specify:
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Loan, Income and Expenses Information
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Loan Amount:
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Purpose of Loan:
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Down Payment:
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If Other, Please Specify:
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Income:
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Mo.
Yr.
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* Monthly Housing
Expense:
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** Other Monthly Expenses:
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* Include Mortgage or Rent, Insurance, Association Fees, ...
**Include Credit Card payments, Auto, other Real Estate loans, other Non-Housing obligations.
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Comments
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Note : If you prefer, you can also print out this application and FAX it to (818) 223-1111.
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