application

Personal Information
Name		Email
Co-Borrower
Business Phone		Home Phone
Preferred to be contacted by
Home Address		How would you rate your credit?
City
State		Zip

Property Information
Property Address		City
State		Zip

Property Type		Occupancy Type
If Other Please Specify		If Other Please Specify
Approximate Value

Loan, Income and Expense Information

Loan Amount		Purpose of Loan
Purchase Down Payment		If Other, Please Specify

Gross Income(Before Deductions)		MonthYear

Can you provide proof of this income with pay stubs and tax returns? YesI choose not to document my income.

Total available cash including: checking, savings, stocks, 401K's

Total Monthly Debts
Auto Payments
Student Loan Payments		Other Loan Payments


Approximate balance you carry on credit cards from month to month


Comments

Note: If you prefer, you can also print out this application and
FAX it to (800) 810-8346