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About
You |
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Referred
by: |
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Date: |
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Please
select the name of your loan originator: |
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Applicant's
Name: |
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Social
Security Number: |
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Phone
Number - Work: |
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Phone
Number - Home: |
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Phone
Number - Cell: |
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email
Address: |
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Date of Birth: |
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Years
in School: |
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Marital Status |
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Number of Dependants |
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Ages:
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Address: |
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City,
State, ZIP: |
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Length
of time at this address: |
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Previous
Address: |
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City,
State, ZIP |
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Length
of time at this address: |
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| About your co-applicant |
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Co-applicant's
Name: |
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Social
Security Number: |
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Phone
Number - Work: |
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Phone
Number - Home: |
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Phone
Number - Cell: |
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email
Address: |
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Date of Birth: |
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Years
in School: |
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Marital Status: |
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Number of Dependants |
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Ages:
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Address: |
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City,
State, ZIP: |
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Length
of time at this address: |
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Previous
Address: |
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City,
State, ZIP |
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Length
of time at this address: |
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Work
History |
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Applicant
Employed by: |
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Time
Period: |
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Employer's
Address: |
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City,
State, ZIP: |
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Co-applicant
Employed by: |
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Time
Period: |
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Employer's
Address: |
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City,
State, ZIP: |
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| Gross Monthly
Income |
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Borrower: |
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Overtime
Average: |
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Co-borrower: |
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Overtime
Average: |
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Total: |
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Assets |
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Savings
Balance: |
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Checking
Balance: |
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401K
and/or IRA Balance: |
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Other
(i.e. tax refund, etc.): |
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Gift: |
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Total: |
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Debts |
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Alimony/Child
Support: |
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Child
Care (VA only): |
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Debts: |
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Amount |
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Total: |
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Borrower: |
Co-borrower: |
Are you a Veteran? |
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Do you have VA eligibility? |
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Have you owned a house
in the past 3 years? |
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Have you been bankrupt? |
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If so, was it Chapter 7 or 13? |
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When was it filed: |
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When was it discharged? |
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Are you a party to a lawsuit? |
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Do you have collections, judgments, or write-offs? |
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What is your race? |
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Are You a Citizen of the United States? |
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Do you own Real Estate other than your home? |
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If so, please provide the address, type of property, value, amount of mortgage, and mortgage payment: |
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| Is part of the down payment borrowed? |
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| Are you co-maker on a note? |
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| Do you intend to occupy this property as your primary residence? |
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Items Needed |
Last 2 Bank Statements/Last 2 Years W-2s/A current check stub (covering the most recent 30 day period) |
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Additional Items Needed** for Refinances |
Copy of Title Insurance/Name and phone number for Homeowner's Insurance Agent
Closing Statement (FHA only)
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| **We can give you an opinion without these items, but an official approval requires documentation. |
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I authorize Mortgage Investors Group (Lender) to order a consumer
report and verify
other credit information, including past and present mortgage
and landlord references. |
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| ________________________________________________________ |
| Signed |
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Date: |
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