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Borrower No.1
Name
Address
City
State
Zip
Email Address
Home Phone No.
Cellular No.
Fax No.

Borrower No.2
Name
Address
City
State
Zip
Home Phone No.
Cellular No.
Fax No.
Is this a VA Loan?

Current Employment: Borrower No.1
Place of Employment
Length of Employment
Gross Income

Current Employment: Borrower No.2
Place of Employment
Length of Employment
Gross Income

Current Housing
Do You Own/Rent?
Payment per Month
Do you own any income property?

Family Status
Number in Family
Ages
Child Care expenses per month
Any Divorces?
Alimony Income
Alimony Income Paid Out
Child Support
Child Support Paid Out

ASSETS and Liabilities
Liquid assets
Debts
Any Bankruptcies in the last 7 years?
Any credit issues?
Any 30 day issues?
Other important information