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Step 3
We only use this information about our personal finances for the purpose of having you buy a home
Date   Purchase Investment Property
Borrower Information
Borrower   SS #  
Date of Birth   Home Phone  
Email      
Home Address
Street Address   City  
State   Zip  
Years at Home Address      
Desired Home (if not current Address)
Street Address     City    
State     Zip    
Estimated Value $   Purchase Price $  
Dwelling Type     Beds    
Baths        
Do you have a 2nd mortgage?*  
Mortgage Information
1st Mortgage Original Amount* $   Rate    
Fixed     Variable    
Term     Amount/month * $  
Balance of Mortgagege* $   Taxes/month $  
Hazard Ins./month     Escrow?    
Do you have a 2nd mortgage?*  
Mortgage Information
1st Mortgage Original Amount* $   Rate    
Fixed     Variable    
Term     Amount/month * $  
Balance of Mortgagege* $   Taxes/month $  
Hazard Ins./month     Escrow?    
Employment Information
Borrower Employer*     Position*    
Gross Income* $   Phone*    
Other Income -
Amount $   Source    
Amount $   Source    
 
Did you work with your current employer for less than (3) Years?*
Previous Employer*     Position*    
Gross Income* $       Phone*    
 
Did you work with your current employer for less than (3) Years?*
Previous Employer*     Position*    
Gross Income* $       Phone*    
 
Assets
Savings Account Bank Name   Amount $  
Checking Account Bank Name   Amount $  
Mutual Fund/Stocks Source   Amount $  
401K/Retirement Source   Amount $  
Life Ins/Cash Value Source   Amount $  
Personal Property Source   Amount $  
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