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Property Use?
primary

Primary Residence

vacation

Vacation Home

investment

Investment

Property Type?
single

Single Family

townhome

Townhome

condo

Condo

Estimated Home Value?
$250,000.00
New Loan Amount?
$250,000.00
Your Current Zip?
Where Do you Currently live?
Your Basic Information

Retired?

yes

Yes

no

No

Self-Employed?

yes

Yes

no

No

Employed By Others?

yes

Yes

no

No

Not Working?

yes

Yes

no

No

Social Security #:

Will there be a Co-Borrower?
yes

Yes

no

No

Co-Borrower Basic Information
Co-Borrower Employment Status
Retired?
yes

Yes

no

No

Self-Employed?
yes

Yes

no

No

Employed By Others?
yes

Yes

no

No

Not Working?
yes

Yes

no

No

Referred To:

Evan

Originator

NMLS# 239065

Skip

Manager

NMLS# 239078

Teresa

Originator

NMLS# 239086

Anne

Originator

NMLS# 239092

Sean

Originator

NMLS# 239065

Referred By:

Have you filed your 2019 Tax Return?
yes

Yes

no

No

Have you ever experienced a shortsale or Foreclosure?
yes

Yes

no

No

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