BORROWER #1
Name:
SS#:
Current Address (C/S/Z):
Date of Birth:
Home Phone:
Email Address: Occupation: Date Hired: Work Phone:
Occupation:
Date Hired:
Work Phone:
Previous Address (less than 2 yr on current with C/S/Z):
Prev. Occupation: Date Hired: Date Ended:
Prev. Occupation:
Date Ended:
.
BORROWER #2
Occupation: Date Hired: Work Phone:
BORROWER #1 GROSS MONTHLY INCOME BORROWER #2 GROSS MONTHLY INCOME Base Salary: /MO Base Salary: /MO Comm./O.T./Bonus: /MO Comm./O.T./Bonus: /MO Child Support (cont. 3 yr): /MO Child Support (cont. 3 yr): /MO Social Security (cont. 3 yr): /MO Social Security (cont. 3 yr): /MO P/T (2 yrs employ): /MO P/T (2 yrs employ): /MO
BORROWER #1 GROSS MONTHLY INCOME
BORROWER #2 GROSS MONTHLY INCOME
Base Salary: /MO
Comm./O.T./Bonus: /MO
Child Support (cont. 3 yr): /MO
Social Security (cont. 3 yr): /MO
P/T (2 yrs employ): /MO
Monthly Debts (Include Child Support, Credit Cards, Car, Student, Loan Personal, and/or Mortgage Loans, Furniture, Daycare)
Creditors Name
Min. Monthly Payment
Approx. Balance
1.
2.
3.
4.
5.
6.
Assets (Include Checkings, Savings, Credit Union, Car, Student Loan, Personal Loans, Mortgage Loans, Furniture, Daycare)
Checking/Credit Union Account Balance Available Today
Savings/401 K Account Available Today
Cash at Home
gift Available
Borrower's Credit Authorization
We Hereby give consent to have New Home Mortgage, or any credit bureau which it may designate to obtain a credit report that is required in connection with our loan application. this form may be reproduced or photocopied and a copy shall be as effective as the original which we have signed.
I do not give consent to have New Home Mortgage, or any credit bureau which it may designate to obtain a credit report that is required in connection with our loan application.
