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Candace Shelton
BROKER ASSOCIATE,
Real Estate Forum
(916) 649-2073 Direct
(916) 649-9351 Fax
(916) 233-6559 Cell
Mortgage Information
Please complete the following information so we can help determine exactly what you qualify for.
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Borrower Information
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Mr.
Ms.
Mrs.
First Name
*
Last Name
*
Home Phone
*
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Daytime Phone
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Cell Phone
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Email
*
Address
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Co-Borrower Information
Suffix
Mr.
Ms.
Mrs.
First Name
Last Name
Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip
Do You
Own
Rent
I can afford monthy payments of:
Down Payment
, Zero Down
Employment Information
Borrower's Employer
Position
How Long Employeed
Select One
Less than 6 months
6 months to 1 year
1 year to 2 years
More than 2 years
Gross Mo. Income:
Social Security No.
-
-
CoBorrower's Employer
Position
How Long Employeed
Select One
Less than 6 months
6 months to 1 year
1 year to 2 years
More than 2 years
Gross Mo. Income:
Social Security No.
-
-
Any Other Mo. Income
Select One
S.S.I.
Disability
Child Support
Other
Amount
Credit History
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