BORROWER: _______________________________________________________________________
Social Security Number: __________ - _______ - __________
CO-BORROWER: ____________________________________________________________________
Social Security Number: __________ - _______ - __________
MAILING ADDRESS: _________________________________________________________________
______________________________________________
PHONE # : ______________________
PROPERTY ADDRESS: ______________________________________________________________
PROPERTY OWNER: ___________________________
PHONE # : ______________________
BROKER: _____________________________________
PHONE # : ______________________
ATTORNEY: ___________________________________
PHONE # : ______________________
 
EMPLOYMENT (past two years, list most recent first...)
Name of Employer
Address
Dates Employed
Current/Ending Salary
       
       
       
BANK ACCOUNTS (savings, checking, etc.)
Name of Bank
Address
Account #
Type of Account
Estimated Balance
         
         
         
LANDLORDS (past two years)
Name of Landlord
Address
Dates Rented
     
     
     
CREDIT CARDS (department stores, bank, etc.)
Name of Creditor
Address
Account #
Monthly Payment
Balance Due
         
         
         
 
LOAN INFORMATION (car, student, etc.)
Name of Lender
Address
Account #
Monthly Payment
Balance Due
         
         
         
PREVIOUS CREDIT REFERENCES (paid-off loans and other credit)
Name of Lender
Address
Account #
Type of Loan
Date Paid
         
         
         
 
REMEMBER TO BRING THE FOLLOWING WITH YOU...
 
Personal check for credit report and appraisal fee
 
Purchase and sale agreement
 
Copy of real estate listing of home
 
Earnest money check (photocopy)
 
Payroll stub(s) from employer, W-2 forms for past two years, or profit/loss statement and tax returns for the past two years, if self-employed
 
Stock/bond photocopies
 
Property tax estimate
 
Hazard insurance estimate
 
Homeowner association fee estimate (if applicable)
 
Information on real estate you own
 
Canceled checks or money order receipts as evidence of rental, utility, or other payments (if establishing nontraditional credit history)