|
First Name
|
_______________________________________ |
|
Last Name
|
_______________________________________ |
|
Address
|
____________________________________________________________ |
|
City
|
________________________ |
|
State |
________________________ |
|
Zip |
________________________ |
|
E-mail |
________________________________________ |
|
Home Telephone
|
________________________________________ |
|
Work Telephone
|
________________________________________ |
|
Best Time to Call
|
________________________________________ |
|
Employer Information |
|
Employer Name
|
_________________________________ |
|
Occupation
|
_________________________________ |
|
Time on Job
|
Years_______ Months_______ |
|
Monthly Gross Income
|
$______________________ |
|
Social Security
|
_______ -
______ -_________ |
|
Credit Rating
|
Excellent___ Good___
Fair___ Poor___ |
|
Co Borrower
Information |
|
First Name |
____________________ |
|
Last Name |
____________________ |
|
Employer Name
|
_________________________________ |
|
Occupation
|
_________________________________ |
|
Time on Job
|
Years_______ Months_______ |
|
Monthly Gross Income
|
$______________________ |
|
Social Security
|
_______ -
______ -_________ |
|
Credit Rating
|
Excellent___ Good___
Fair___ Poor___ |
|
Property Information |
|
Property Type
|
Renting___ Single Home___ Condominium___ Other____________________________ |
|
Time in Home
|
Years_______ Months_______ |
|
Loan Type
|
_____________________________________ |
|
Mortgage Company
|
_____________________________________ |
|
Current Rate
|
%___________________________ |
|
Mortgage Payment
|
$____________________________ |
|
Mortgage Balance
|
$____________________________ |
|
Purchase Price
|
$____________________________ |
|
Current Value
|
$____________________________ |
|
Applicant Signature
_________________ Date _______
Co-Applicant Signature _________________ Date _______
|
|
Terms & Agreements: All
statements are true and correct and are made for the purpose of
obtaining a loan.
Authorization is given to AAA Mortgage to
obtain my credit report. Verification or re-verification of any
information contained in this form
may be made at any time by AAA
Mortgage, it agents or affiliates either directly or through a
credit reporting agency or other third party. |