Borrowers Information:
BORROWERS Full Name:
Date of Birth: (MM/DD/YYYY)
Social Security #:
Home Address: (City, State & Zip [Unit # if any])
Home #:
Personal Email:
EMPLOYERS Name:
Address: (City, State & Zip [Unit # if any])
Work Number #:
Monthly Gross Income: (Before Taxes)
Position or Title:
Years on This Job:	Select Years 1-Year 2-Years 3-Years 4-Years 5-Years 6-Years 7-Years 8-Years 9-Years 10-Years 11-Years 12-Years 13-Years 14-Years 15-Years 16-Years 17-Years 18-Years 19-Years 20-Years 21-Years 22-Years 23-Years 24-Years 25-Years+
Months on This Job:	Select Months 1-Month 2-Months 3-Months 4-Months 5-Months 6-Months 7-Months 8-Months 9-Months 10-Months 11-Months
Credit:	Credit History Excellent - 720 to 800 + Good - 680 to 720 Fair - 620 to 680 Bad - 400 to 620 Unknown
Married / Single:	Marital Status Married Single Widowed Co-Habitating
Co-Borrowers Information: (Complete if their is a Coborrower)
CO-BORROWERS Full Name:
Date of Birth: (MM/DD/YYYY)
Social Security #:
Personal Email:
EMPLOYERS Name:
Street Address: (City, State & Zip [Unit # if any])
Work Number #:
Monthly Gross Income: (Before Taxes)
Position or Title:
Years on This Job:	Select Years 1-Year 2-Years 3-Years 4-Years 5-Years 6-Years 7-Years 8-Years 9-Years 10-Years 11-Years 12-Years 13-Years 14-Years 15-Years 16-Years 17-Years 18-Years 19-Years 20-Years 21-Years 22-Years 23-Years 24-Years 25-Years+
Months on This Job:	Select Months 1-Months 2-Months 3-Months 4-Months 5-Months 6-Months 7-Months 8-Months 9-Months 10-Months 11-Months
Credit:	Credit History Excellent - 720 to 800 + Good - 680 to 720 Fair - 620 to 680 Bad - 400 to 620 Unknown
Asset Information:
401K Accounts: (Total Amount of all Accounts)
IRA Accounts: (Total Amount of all Accounts)
Stocks and Bonds Accounts: (Total Amount of all Accounts)
Checking Accounts: (Total Amount of all Accounts)
Savings Accounts: (Total Amount of all Accounts)
Debt Information:
Monthly Rent or Mortgage Amount:
Monthly Car Payment: (Combine for all Borrowers)
Monthly Credit Card Debt: (Combine for all Borrowers)
Monthly Support: (Alimony & Child Support) Receiving (+) Paying (-)
Property Information:
Loan Amount:	-100,000 125,000 150,000 175,000 200,000 225,000 250,000 275,000 300,000 325,000 350,000 375,000 400,000 425,000 450,000 475,000 500,000 525,000 550,000 575,000 600,000 625,000 650,000 675,000 700,000 725,000 750,000 775,000 800,000 825,000 850,000 875,000 900,000 925,000 950,000 975,000 Over 1 Million Loan Amount
Purchase or Refinance:	Purchase Refinance Cash-Out Refinance No Cash-Out Refinance Home Equity Line of Credit Purchase or Refinance
Property Status: (if known)	Owner Occupied Non Owner Occupied
Closing Date:	Immediately Within 1 Month Within 3 Months Within 6 Months Within 1 Year Estimated Closing Date
Refinance Cash Back:	Amount of Cash Back (if any) 25,000 50,000 75,000 100,000 125,000 150,000 175,000 200,000 More than 200,000
Requested Loan Type?	Conventional Loan Program Government Loan Program Please Select
For Purchasers Only: (Skip if you are Refinancing)
PURCHASE ADDRESS: (if known)
Fixed or Adjustable Rate:  (Please Specify)	Please Specify Adjustable Rate Fixed Rate - 30 Yr Term Fixed Rate - 15 Yr Term
Down Pmt Amt:  (if any)	Down Payment Funds 0% - Down Payment 3% - Down Payment 5% - Down Payment 7% - Down Payment 10% - Down Payment 15% - Down Payment 20% - Down Payment
Specify Type of Loan:  (Include all Special Loan Products - if any)	100% Purchase with Bad Credit Cal-Vet Loan Program Cal-Pers Loan Program Cal-HFA Loan Program Construction to Perm Dr. or M.D. Loan Program Emergency Technician Loan Program FHA - Purchase FHA - Refinance (Streamline) Fire-Fighter Loan Program Hart Loan Program Hard Money Loan Programs Multi-Family Loan Program Neighborhood Advantage Loan Program Police Officer Loan Program Seniro Reverse Mortgages Teacher Loan Programs VA Home Loans
Decrease My Closing Cost	Yes - Save Me Thousands No - Thanks
Final Questions and Suggestion Box:
What are your Time Limits:	Please Describe Immediately Within a Month Within 3 Month Within 6 Months Within a Year
State:	Select the State Alaska Alabama Arkansas California Colorado Connecticut Dist. of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisina Maine Maryland Massachusetts Michigan Minnesota Missippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Rhode Island Pennsylvania South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington D.C. Washington State West Virginia Wisconsin Wyoming
Additional Information: (Please give us any additional information that you think is important to include in your Loan Application)