To help us evaluate your application please provide the following information.

Propety Type: If Other, please describe:

Units: Square Footage:

Address:

Enter any additional property description below:

:

Purchase: Refinance: (Check one)

Estimated Value:

If Purchase, Desired Down Payment Amount:

Will property be owner occupied? Yes No

Does transaction include a business?

If Yes, Type of Business:

BORROWER INFORMATION

Name:

Address:

Phone: E-mail:

Credit Rating: (Check One)





CO-BORROWER INFORMATION

Name:

Address:

Phone: E-mail:

Credit Rating:





DESIRED DOCUMENTATION TYPE:




PROPERTY INCOME & EXPENSE DATA

Gross Rent: (Annual)

Real Estate Taxes:

Insurance:

Heat:

Water & Sewer:

Electric:

Repairs and Maintenance:

Other:

Comments: