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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