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Form
1 PURPOSE OF LOAN REQUEST: (Circle One) Purchase, Home Equity-Cash Out, Refinance, Construction If refinance, this form must be accompanied by the "REFINANCE QUESTIONNAIRE" - Form 4. LOAN INFORMATION Type of Loan _______ Purpose of Loan ______ New or ______Refinance ____ Sub-Prime ______ Target Loan Amount $_________ Target Interest Rate %_________ Target Yield %________ Quote Sheet: Date _______ & Term _______ Property will be: Primary Residence ______ Secondary Residence _____ Investment ______ Sales Price $______________________ Source of Down Payment _______________________ Anticipated Closing Date: _____________________________ Desired Down Payment: _____________ (Does Not Include Closing Costs ) PERSONAL INFORMATION Borrower Name ____________________________________________ Ph# ___________________________________ Co-borrower Name__________________________________________ Ph# ___________________________________ Address _________________________________ City _______________ State ____ Zip _______ Work# _______________ Cell # __________________Home# ____________________Whose# ______________ Borrower SS# __________________________________ Co-borrower SS# ____________________________ Rent _____ Own _____ How Long? ___________ EMPLOYMENT INFORMATION Borrower Employer
__________________________ How Long? _____ Position _____________ PH:
_______________________ CoBorrower Employer
__________________________ How Long? _____ Position _____________ ASSETS TO CLOSE Checking/Savings $________________ Stocks $_________________401K $_______________ Gift $_________________ Net Proceeds from sale of home $_________________ LIABILITIES Current Mortgage $______________ Payment $______________ Auto Loans $____________________ @ $________________/mo. $_______________@ $______________/mo. Other Loans $_______________ $_____________ $_____________ List Credit Cards w/balances and minimum payment required: _______________________________ $_________________ $__________(mo.) _______________________________ $_________________ $__________(mo.) _______________________________ $_________________ $__________(mo.) _______________________________ $_________________ $__________(mo.) I hereby authorize Stockstill & Associates to obtain a personal credit report on me. Borrower _________________________________ SS# ____________________________________ Co-Borrower _______________________________ SS# ____________________________________ Signature ____________________________________________________________________ Co-borrower signature __________________________________________________________ Date ____________________________ NOTE: GOOD FAITH ESTIMATES OF CLOSING COSTS ARE ESTIMATES OF LOAN AMOUNT, INTEREST RATE, FEES, TAXES, AND INSURANCE AS PROVIDED BY YOU ON THIS FORM AND ARE NOT ACTUAL FIGURES. ACTUAL FIGURES ARE DETERMINED AT THE TIME OF LOAN SUBMISSION TO THE INVESTOR FOR FINAL APPROVAL. CONTACT YOUR LOAN OFFICER FOR QUESTIONS LOAN OFFICER:
__________________________________________Ph#
________________________ When Completed FAX
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