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Real Estate
First Name *
Last Name *
Spouse Name
Street Address *
City *
State *
Postal Code *
Phone *
Email *
Date of Birth *
Name of PPM Taking App. *
Fee's the PPM is charging on this file
Describe household member (how many and ages) *
Future Street Address
Future City Location
Future State
Zip Code
Property Type
Single Family residence
Condo/Co-operative Unit
Multi- family Residential Property (2-4 units)
Commercial Property (includes multi-family over 4 units
Property Description
Purchase Price (estimated or actual)
Loan Amount
Down Payment amount
Estimate a comfortable Monthly payment
Purchase
Refinance
Borrower *
Company/Employer *
Employer Street address *
Employer City Location *
Supervisor Name
Main desk work Phone number
Applicants Position/Title *
Years/Months Employed *
Current Salary *
Co-Borrower
Employer Name
Salary
Combined Net Monthly Income *
Current Monthly Housing expense *
Homeowner
Renter
Monthly Credit Card expense
Current Auto payment
Your current total monthly expenses
Average Checking account balance Monthly *
Savings account Balance (if none enter Zero *
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