PROPERTY INFORMATION Street   # of Units City   Purchase State Alabama Alaska Arizona ArKansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York ni North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   ReFinance Zip   Projected Closing Date PERSONAL INFORMATION BORROWER   CO-BORROWER Borrower's Name   Co-Borrower's Name Social Security Number   Social Security Number Home Phone   Home Phone DOB   DOB Yrs School   Yrs School Marital Status Married   Marital Status Married   UnMarried/Single     UnMarried/Single   Seperated     Seperated   Divorced     Divorced No. of Dependents   No. of Dependents Ages of Dependents   Ages of Dependents PRESENT ADDRESS Own    Rent   PRESENT ADDRESS Own   Rent   No. of Years   No. of Years Street   Street City City State Alabama Alaska Arizona ArKansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York ni North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Alabama Alaska Arizona ArKansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York ni North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Zip Mailing address if different than property address   Mailing address if different than property address         EMPLOYMENT INFORMATION BORROWER   CO-BORROWER Nature of Employment Self Employed     Nature of Employment Self Employed   Street   Street City City State Alabama Alaska Arizona ArKansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York ni North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Alabama Alaska Arizona ArKansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York ni North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Zip Duration of Employment     Duration of Employment   From   From To   To Monthly Income $   Monthly Income $ Position / Title / TypeOfBusiness   Position / Title / TypeOfBusiness Business Phone   Business Phone If Employed in current position for less than two years or if currently employed in more than one position, complete the following Nature of Employment Self Employed     Nature of Employment Self Employed   Street   Street City City State Alabama Alaska Arizona ArKansas California Colorado Connecticut Delaware District of 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From   From To   To Monthly Income $   Monthly Income $ Nature of Employment Self Employed     Nature of Employment Self Employed   Street   Street City City State Alabama Alaska Arizona ArKansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York ni North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Alabama Alaska Arizona ArKansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York ni North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Zip Duration of Employment     Duration of Employment   From   From To   To Monthly Income $   Monthly Income $ MONTHLY INCOME INFORMATION - GROSS MONTHLY INCOME BORROWER   CO-BORROWER Base Employment Income $   Base Employment Income $ Overtime $   Overtime $ Bonuses $   Bonuses $ Commissions $   Commissions $ Dividends/Interest $   Dividends/Interest $ Net Rental income $   Net Rental income $ Other Income $   Other Income $ ASSETS INFORMATION BORROWER   CO-BORROWER Cash Deposit or Down Payment $   Cash Deposit or Down Payment $ Checking / Savings accounts $   Checking / Savings accounts $ Stocks & Bonds $   Stocks & Bonds $ Life Insurance Net Cash Value $   Life Insurance Net Cash Value $ Retirement Fund / 401k $   Retirement Fund / 401k $ Automobiles - Current Value $   Automobiles - Current 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