CURRENT EMPLOYER
Address
City State Zip
Work Phone
Month/Year Hired
Title/Position
Years in this line of business
Base Income Month Year
Other Income Month Year
Source of other income

(Note: If commissioned, self-employed, or have any income, including rental income, which is variable in nature you will be required to provide 2 years Federal Tax Returns, and year to date income and expense summary)
If employed in current job for less than 2 years, you will be asked to provide previous employers for a 2 year period.

Total Monthly Debt
(credit cards, car payment, etc.)

Judgments? Yes No

Liens? Yes No

Bankruptcies Yes No

Please explain :

Amount Available For:

Down Payment (if applicable)
Down Payment
Loan Amount Desired

Purpose of Loan:
Purchase
Refinance

How is your credit?
Excellent (720+ fico)
Good (620-720)
Fair (540-619)
Poor (<540)

CO-BORROWER INFORMATION
First Name
Last Name
Email
Soc. Security Number (This may be called in*)
Current Address
City State Zip
Own Rent Years There
Phone
Alt. Phone
Marital Status: Single Married Separated

CURRENT EMPLOYER
Address
City State Zip
Work Phone
Month/Year Hired
Title/Position
Years in this line of business
Base Income Year
Other Income Year
Source of other income

(Note: If commissioned, self-employed, or have any income, including rental income, which is variable in nature you will be required to provide 2 years Federal Tax Returns, and year to date income and expense summary)
If employed in current job for less than 2 years, you will be asked to provide previous employers for a 2 year period.

Total Monthly Debt
(credit cards, car payment, loans, etc.)

Judgments? Yes No

Liens? Yes No

Bankruptcies Yes No

Please explain:

How is your credit?
Excellent (720+ fico)
Good (620-720)
Fair (540-619)
Poor (<540)

Agreement: Everything that I have stated in this
general application is correct to the best of my knowledge. If necessary,
you are authorized to check
my credit and employment history.

I Agree (borrower)

I Agree (Co Borrower)

This application is subject to approval.
For your privacy, we do not redistribute your information.

OPTIONAL:To call in your Social Security Numbers.

Our Phone: (630) 229-5740

Loan Officer Loan Originator

Field Manager: Mr. Frank Kovich

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