RESIDENTIAL LOAN APPLICATION (Short Form)

(BORROWER)
Member Number
Phone Number
Date
E-mail address
First Name
Mi
Last Name
SSN
Present Street Address
(Do not use P.O. Box)

City

St

Zip

Years
(CO-BORROWER)
First Name
Mi
Last Name
SSN
Present Street Address
(Do not use P.O. Box)

City

St

Zip

Years

Employment Information
(BORROWER)

Present Employer

Position

Years
Monthly
Salary
Source of other monthly income:
Property, Investments, Social Security, CD's, etc.
Other
Income
(CO-BORROWER)

Present Employer

Position

Years
Monthly
Salary
Source of other monthly income:
Property, Investments, Social Security, CD's, etc.
Other
Income

Credit and Asset Information
Monthly Obligations Assets
Installment
Liquid Assets
Revolving
Fixed Liquid Assets
Real Estate Negative Rent
Fixed Assets
Other Obligations

Miscellaneous Property Information
Property Address
City
St
Zip
Annual
Property Taxes
Annual
Hazard Insurance
Annual
Condo, PUD, Fees




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