Mortgage Approval

Personal Data

How did you hear about us?
Were you referred by a real estate agent?	Yes No If yes, who?

What type of financing are you interested in?

Applicant's Name:
E-mail Address:
Social Security Number:
Spouse's Name:
Spouse's Social Security:
Ages of Children:
Current Address:
Home Phone:
Employer:
How Long With Company:
How Long In Industry:
Gross Monthly Income:
Spouse's Employer:
How Long With Company:
How Long In Industry:
Gross Monthly Income:

Name	Account Number	Balance	Monthly Payment
Debts (List all debts including credit cards, auto loans, personal loans, student loans, mortgages, child support, alimony, advance pay, payroll deductions, etc...)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Real Estate Owned

Property 1

Address:

Monthly Payment:

Monthly Rent:

To be sold: Yes No

Property 2

Address:

Monthly Payment:

Monthly Rent:

To be sold: Yes No

Property 3

Address:

Monthly Payment:

Monthly Rent:

To be sold: Yes No

Comments:

Name of Borrower: Date:

Name of Co-Borrower: Date:

Real Estate Owned
Property 1
Address:
Monthly Payment:
Monthly Rent:
To be sold:	Yes No
Property 2
Address:
Monthly Payment:
Monthly Rent:
To be sold:	Yes No
Property 3
Address:
Monthly Payment:
Monthly Rent:
To be sold:	Yes No

Comments:

Mortgage Approval

Personal Data

Debts

Real Estate Owned