Information about yourself (HomeBuyer)
Name
Address
City State Zip
How long at that address?
If at current address less then 6 months
what was your previous address?
Address
City State Zip
How long there? Your age:
Home Phone number Work Number E-mail
Best Place to contact home work
Your employment
Current Employer
Position
How are you paid?
Hourly Weekly SalaryComissionSelf Employed
Current Gross Monthly Income:
How long there?
If current employeer less then 6 months
Previous Employer
Position
How are you paid?
Hourly Weekly SalaryComissionSelf Employed
Current Gross Monthly Income:
How long there?
Martial Status
Married, Unmarried (Divorced, Widowed), Separated
About the Co-HomeBuyer
Name
Address
City State Zip
How long at that address?
If at current address less then 6 months
what was their previous address?
Address
City State Zip
How long there? Your age:
Home Phone number Work Number E-mail
Best Place to contact home work
Their employment
Current Employer
Position
How are they paid?
Hourly Weekly SalaryComissionSelf Employed
Current Gross Monthly Income:
How long there?
If current employeer less then 6 months
Previous Employer
Position
How were they paid?
Hourly Weekly SalaryComissionSelf Employed
Current Gross Monthly Income:
How long there?
Martial Status
Married, Unmarried (Divorced, Widowed), Separated
Credit Information
Are you a co-maker, endorser, or guaranteer on any loan or contract?yes no
If yes, amount?
Are there any unsatisfied judgements against you?yes no
If yes, amount?
Have you declared bankruptcy in the last seven years?yes no
Discharged when?
Have you ever been late on your rent payment?yes no
When?
Have you been late paying any of your other credit accounts in the last 2 years?
30 days late?60 days late?90 days late?
May we have your permission to pull in a FREE in-house credit report?yes no
Home Ownership
Have you ever been a homeowner?yes no
When? All other loan debt
Where What Monthly Payment Balance APR
