Morelle Miller Realty
www.dentonhomeguide.com

BORROWER:
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SS# ______---_____--________
Home Address: ____OWN ____RENT
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___________________________________
Years: _________
Previous Address:
___________________________________
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Employment: ____W2 ____SELF
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Years: __________
Gross Monthly Income: ________________
Supplemental Income: ________________
Previous Job: Years: ________
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Home Phone: ________________________
Work Phone: _________________________
Cell Phone: _________________________
Fax: _______________________________
E-Mail: _____________________________
+++++++++++++++++++++++++++++++++++
REFINANCE: ____
Appraised Value: _____________________
Balance Owed: ______________________
Interest Rate: _____________
FHA/Conv?
TERMS: _________ Yrs. Left: ________
+++++++++++++++++++++++++++++++++++
PURCHASE: ____
Price Range: ________________________
Down Payment: ______________________
Where is down payment now?
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Idea of Monthly Payment: _______________
Assets: _____________________________
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Co-BORROWER:
___________________________________
SS# ______---_____--________
Home Address: ____OWN ____RENT
____________________________________
__________________________________
Years: _________
Previous Address:
____________________________________
__________________________________
Employment: ____W2 ____SELF
____________________________________
__________________________________
Years: __________
Gross Monthly Income: ________________
Supplemental Income: ________________
Previous Job: Years: ________
___________________________________
Home Phone: ________________________
Work Phone: _________________________
Cell Phone: _________________________
Fax: _______________________________
E-Mail: _____________________________
++++++++++++++++++++++++++++++++++++
Current Payment: _____________________
P & I: ______________________________
TAXES: _____________________________
INSURANCE AMOUNT: ________________
INS. Company and Phone Number:
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NEW HOME ADDRESS:
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Josh White - Realtor/Property Manager
Josh White - Realtor/Property Manager