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Property Will Be Used For




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Year Of Purchase

Estimated Property Value ($)

First Mortgage Balance ($)



Purchage Price ($)

Estimated Down Payment ($)

Type of Rate Desried



Gross Annual Household Income ?









First Mortgage Interest Rate (%)

Property Will Be Used For




Existing Type of Rate



Second Mortgage?






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Working With A Real Estate Agent?



Filled Bankruptcy Last 3 Years?



Additional Cash You Wish To Borrow ($)

Can You Show Proof of Income?



Bankruptcy, Short Sale, or Foreclosure Last 3 Years?





Average Monthly Income ($)

Average Monthly Expenses ($)

Do You Currently Have an FHA Loan?



Late Mortgage Payments in Last 12 Months












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