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exclusiverealtyservice.com
>Loan Applications
Loan Application
Step 1/2:
Applicant & Co-Applicant Information
(* indicates required fields)
:
Applicant First Name*
Applicant Last Name*
Home Phone
Work Phone
E-Mail*
Date of Birth
Years In School
--
8th Grade
9th Grade
10th Grade
11th Grade
HS - High School Graduate
1C - 1 Yr College
AS - Associates Degree
3C - 3 Yr College
BS - Bachelors Degree
MA - Masters Degree
JD
PhD
Address
City
State
---
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip
Co-Applicant First Name
Co-Applicant Last Name
Home Phone
Work Phone
E-Mail
Date of Birth
Years In School
--
8th Grade
9th Grade
10th Grade
11th Grade
HS - High School Graduate
1C - 1 Yr College
AS - Associates Degree
3C - 3 Yr College
BS - Bachelors Degree
MA - Masters Degree
JD
PhD
Co-Applicant Address
(if different from Applicant)
City
State
---
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip
next
Gross Income:
1.
Applicant Employer
Position
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Years on Job
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Years in same field
Monthly Income Amt.
$
2.
Co-Applicant Employer
Position
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Years on Job
--
0
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75
Years in same field
Monthly Income Amt.
$
3.
Other Income Applicant
Monthly Income Amt
$
4.
Other Income Co-Applicant
$
Assets
1.
Cash Deposit (Type of Account)
Amount
$
2.
$
1.
Checking and Savings Accounts
Financial Institution
Amount
$
Account Number
2.
Financial Institution
Amount
$
Account Number
1.
Stocks and Bonds (Please Describe)
Amount
$
2.
$
3.
$
1.
Life Insurance
Face Amount
$
1.
Automobile Type
Est. Value
$
2.
$
3.
$
1.
Other Assets (Please Describe)
Amount
$
2.
$
3.
$
4.
$
Housing Expenses:
Monthly Pymt
1.
1st Mortgage
$
2.
Property Taxes
$
3.
Home Owners Insurance
$
Total Monthly Housing Expenses:
$
Monthly Debts:
Type of Liability
Account Number
Cur. Bal.
Monthly Pymt.
1.
$
$
2.
$
$
3.
$
$
4.
$
$
5.
$
$
Type of Loan Requested:
Loan Type:
Purchase
Refinance
Cash Out Refinance
Construction Loan
Construction to Permanent Loan
Other
Residence Type:
Primary Residence
Second Home
Non-Owner/Investment
Property Type:
Single Family Residence
Condominium
Town Home
2 - 4 Units
Multi-family (Five + Units)
CO OP
Commercial-Residential
Commercial-Non Residential
Farm
Land
Mixed Use Property
Mobile
Loan Term:
30 Year Fixed
20 Year Fixed
15 Year Fixed
Adjustable Rate Mortgage
Estimated Loan Amount:
$
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by:
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Home Phone
Work Phone
Fax
Comments:
*
"I authorize the real estate agent's preferred mortgage broker to obtain my/our credit report for the purpose of determining credit worthiness. The information that is obtained is strictly confidential. By submitting this electronically, this is to be deemed to be equivalent of the original."
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