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Type of Loan
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Home Equity Loan
Income Property
Loan Amount
0-25K
25K-50K
50K-100K
100K-200K
200K-300K
300K-400K
500K+
Credit
Excellent
Good
Slow Pay
30 Day Late
Some Collections
Total Monthly Expenses
0-2K
2K-2.5K
2.5K-3K
3K-3.5K
3.5K-4K
4K-5K
5K-6K
6K+
Total Monthly Income
0-2K
2K-2.5K
2.5K-3K
3K-3.5K
3.5K-4K
4K-5K
5K-6K
6K+
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Borrower Name:
Age:
Street Address:
City:
State:
Zip:
Home Phone:
Work Phone:
E-mail Address:
Co-Borrower Name:
Age:
Street Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Annual Income
Employer
How Long
Annual Salary
Avg. Annual Comm.
Total Annual Income
Borrower's:
Co-Borrower's:
Other Income (describe):
Monthly Debt
Monthly Payments
Balance
Months Remaining
Current Mortgages
#1
#2
Auto Loans
#1
#2
#3
Student Loans
#1
#2
Child Support and/or Maintenance
Other Loans
#1
#2
Credit Cards
#1
#2
Down Payment
Money available for downpayment and closing costs and reserves.
1.
from sale of house
2.
gift
3.
savings
4.
other (describe)
Total
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