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Please complete the following loan application to your best ability. If you would prefer to apply over the telephone, please call TOLL FREE (866) 835-6333. We will contact you for your social security number so we can review your credit with you and determine what type of loans are suited for your situation. We keep this information completely confidential.
 

	Borrower	Co-Borrower
First Name:
Last Name:
Email
Phone number to reach you:
Best time to contact you:	Days Evenings Anytime
Current Mailing Address: City: State, Zip:
Property Purchase Price:
Amount you wish to borrow:
Gross monthly income:
Length of time in same line of work:	Years Months	Years Month
Type of home:	Condominium Single Family Home Townhouse Mobile Home Land Other
How did you locate us?	---Please Select--- Search Engine Newspaper Yellow Pages Referral Home Magazine Broker asked me to fill out
Please describe your credit history:	---Please Select--- Excellent Good OK Challenged
Amount available for down payment:
When do you plan to purchase a home:
Current rental or mortgage payment:
Do you currently own a home?	Yes No
Have you been working with one of our brokers? Please give their name.
Additional information you would like to add:

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