Contact Information |
| First Name: |
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Spouse First Name: |
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| Last Name: |
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Spouse Last Name: |
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| Social: |
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Spouse Social: |
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| DOB: |
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Spouse DOB: |
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| Email: |
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Spouse Email: |
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| Home Phone: |
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Spouse Home Phone: |
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| Work Phone: |
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Spouse Work Phone: |
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| Cel Phone: |
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Spouse Cel Phone: |
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Income and Debts |
| Employer: |
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Spouse Employer: |
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| Years Employed: |
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Spouse Yrs Employed: |
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| Self Employed: |
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Spouse Self Employed: |
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| Income: |
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Spouse Income: |
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| Debt Balances: |
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Debt Payments: |
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| Homeowner? |
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Bankruptcy? |
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| Best time to call: |
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Credit Rating: |
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Address and Property |
| Mail Street: |
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Prop Street: |
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| Mail City: |
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Prop City: |
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| Mail State: |
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Prop State: |
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| Mail Zip: |
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Prop Zip: |
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| Prop Type: |
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Prop Acquired: |
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| Prop Purchase: |
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Prop Value: |
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Existing Mortgages |
| 1st Lender: |
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2nd Lender: |
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| 1st Balance: |
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2nd Balance: |
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| 1st Payment: |
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2nd Payment: |
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| 1st Type: |
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2nd Type: |
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| 1st Rate: |
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2nd Rate: |
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| 1st Term: |
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2nd Term: |
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Desired Loan Terms |
| Loan Request: |
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Financing Type: |
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| Desired Amount: |
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Desired Rate: |
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| Desired Cash: |
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Desired Term: |
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| Cash on Hand: |
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Other: |
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| Comments: |
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Upon completion of the application prospective borrower will be contacted by one of Flagstar Banks Loan Officers.
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