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Name:* |
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Address:* |
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City, State, Zip:* |
,
,
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Home Phone: |
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Work Phone:* |
ext:
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E-mail Address:* |
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Please contact me by: |
email,
home phone,
work phone |
| Best
time to reach me: |
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Occupation: |
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Annual Income: |
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Credit Status: |
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Property/Structure
Information |
| Approx. Property
Value:* |
$
|
| Property
Purchase Price:* |
$
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| Property
Purchase Date:* |
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| Any
foreclosures, bankruptcies, leins, or judgements?* |
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Property Type:* |
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| Do you live on the property?:* |
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Property Address:* |
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Property City & State:* |
,
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Year Built: |
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No. of Bedrooms/Baths: |
Bedrooms:
, Baths:
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Garage Size: |
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Square Footage of Structure, and Lot Size: |
Square Feet:
, Lot Size:
|
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Is the property a monthly rental? If so, what's the rental income? |
Rental?
, Rental Income:
|
| Do
you live on property?* |
|
| Do
You Own Any Other Real Estate?* |
|
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Existing
First Trust Deed |
|
Present Balance:* |
$
(if none type "0") |
|
Original Balance: |
$
|
|
Monthly Payment: |
$
,
current or past due:
|
|
Interest Rate: |
, Term:
|
|
Existing
Second Trust Deed |
|
Present Balance: |
$
|
|
Original Balance: |
$
|
|
Monthly Payment: |
$
,
current or past due:
|
|
Interest Rate: |
, Term:
|
|
Loan
Quote Request |
| Requested
Loan Type:* |
|
| Amount
of Loan Requested:* |
$
|
| Purpose
of Loan: |
|
| Amount
of Cash Down Payment (if purchase): |
$
|
| Amount
of Seller Carryback (if applicable): |
$
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Term
Desired:* |
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Comments/other
issues: |
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