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Loan Type     Conventional FHA VA Other        If Other Describe
Property Type Home 2nd Home Investment Land Commercial       Property Type     Detached Condo Attached PUD CO-OP High-Rise Manufactured Single wide
Payment Term 30yrs 5yrs 10yrs 15yrs        Amortization       Fixed Rate Adjustable Rate Ballon Other
Down Payment sale existing home Savings Equity Gift       

Property Address       City       
State                          Zip code
Loan Purpose      Purchase Refinance construction Construction -perm other


Borrower Info
First Name                  Last Name  
Current Address          City            
State                           Zip Code    
Work Phone               Home Phone
Email address             Social #       
Rent/own           Own Rent          Yrs at address
Birth Date                  Years of School
Dependants                ages             

Co-Applicant
First Name                  Last Name  
Current Address          City            
State                           Zip Code    
Work Phone               Home Phone
Email address             Social #       
Rent/own           Own Rent          Yrs at address
Birth Date                  Years of School
Dependants                ages             

Total monthly income before taxes
How long at current job? (applicant) Co-applicant
Which do you prefer? Lowest Rate Lowest Fixed Rate Lowest closing Cost Just get me one