Verbal Application

BORROWER INFORMATION

Lead ID:

Referred by:

Borrower:

Phone:

Email:

Address:

Years at Current Residence:

Do you rent or own?

Monthly Rent or Mortgage Payment:

Borrower Employment Information:

CO-BORROWER INFORMATION

Co-Borrower:

Phone:

Email:

Address:

Years at Current Residence:

Monthly Rent or Mortgage Payment:

Co-Borrower Information Continued

Last Page and Totally Optional! These questions refer to both you and your co-borrower.

What is your ideal mortgage payment amount?

Have you...: (Check for Yes, leave blank for No.)
filed for bankruptcy? YesNo
had a foreclosure? YesNo
ever had anyone go over your credit report in detail with you? YesNo

Assets: These questions help us match you with the best loan product, we can discuss these over the phone if you feel more comfortable.
Checking balance:
Savings balance:
401k balance:
IRA balance:

Do you have...: Check for Yes, leave blank for No
Dependents?: YesNo

Child Support? : YesNo
Either an obligation or recipient? ObligationRecipient

Alimony?: YesNo
Either an obligation or recipient? ObligationRecipient

Any questions or concerns for us?