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Personal Information
Borrower Co-Borrower
(If different)
Name:
Mailing Address:
City, State & Zip:
Currently own or rent:
How long at address:
Home phone:
Work phone:
email:
Best time to contact you:
Social Security Number:
Estimated Credit Rating:
Age:
Education:
Marital status:
Dependents, ages:
 
Property and Loan Information
Street Address:
City, State & Zip:
Original Purchase price:
Year Purchased:
Property Value:
Loan Amount requested
Rate Requested:
Loan Term
Loan Comments:
 
Employment Information
Borrower Co-Borrower
Employer:
Address:
City, State & Zip:
Self employed:
Title:
Business phone:
Years at this job:
Years in profession:
 
Monthly Income Information

     Borrower

     Co-Borrower

Salary/base income:
Overtime:
Bonuses:
Commissions:
Dividends/Interest:
Net rental income:
Other income:

Note:  Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-borrower does not choose to have it considered for repaying this loan.

 
Please describe other income:

 

We ask for a summary of your financial information to assist us in qualifying you for the loan and selecting the appropriate program for your needs.  A more detailed analysis may be required with the final application.
 

Do you own rental real estate?
     

Bank/Company

Account Balance
Checking or savings:
Checking or savings:
Checking or savings:
Investment account:
Investment account:
Retirement account:
Retirement account:
Unpaid Balance

Rate

Monthly 
Payment

1st Mortgage:
2nd Mortgage:
Auto loans:
Total credit cards:
Other loans:
 
Declarations

Borrower

Co-Borrower
Are there any outstanding judgments against you?
Have you been declared bankrupt within the past 7 years?
Have you had a property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
Are you a party to a lawsuit?
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer or title in lieu or foreclosure, or judgment?
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee?
Are you obligated to pay alimony, child support, or separate maintenance?
Is any part of the down payment borrowed?
Are you a Co-maker or endorser on a note?
Are you a U.S. citizen?
Are you a permanent resident alien?
Do you intend to occupy the property as your primary residence?
Have you had an ownership interest in a property in the last three years?
What type of property did you own-principal residence (PR), second home (SH), or investment Property (IP)?
How do you hold title to the home-solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?

Please review and print this form prior to sending.  By submitting this on-line application, I/We authorize We-Refi.com to verify my/our credit, business and employment status and histories.

Comments
Include any additional information that may be helpful, including if you have previously spoken to a We-Refi.com loan specialist.

                    

   
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