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-- Start Form Here --
(*) Required
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| Loan type: * |
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Loan amount: *
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(format 50000 minimum) |
| No. of Units: * |
(1 to 4)
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| << If
this is a refinance >> |
| Date acquired:
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(format MM/DD/YYYY)
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| Amount of the existing
liens: |
(format 100000)
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| << If
this is a purchase >> |
| Down payment you will
make: |
(format 20000)
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| Purchase
price: |
(format 100000)
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| Subject Property Street
Address: * |
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| Subject Property City: *
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| Subject Property State: *
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Subject Property Zip
Code: *
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(format 55555)
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| Borrower Name: *
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Borrower present
address: *
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(include City,
State and Zip) |
| Home phone: * |
(format
555-555-5555) |
| Work phone:
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(format
555-555-5555) |
| Borrower credit: *
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| Co-Borrower
Name: |
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| Co-Borrower
credit: |
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| This property is/will: *
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Residence value
(approximately): *
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(format
100000) |
| Best time to call:
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