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Borrower Details
Name*
First Last
Current Address:*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
Date of Birth*
SSN

Social Security # is required to obtain a credit report and provide the loan pre-approval. If you do not want to provide your Social Security # online, a loan officer will contact you to obtain and over your loan mortgage options.
Estimated Credit Score*
Are you a Veteran?*
Are you a Native American?*
What Tribe Are You a Member of?*

Borrower Income/ Assets
Income Type*
- W-2 Employee
- Self Employed
- Retired
Employer / Company*
Monthly Income
(W2 Employee: Include Gross Salary, Overtime, Commissions, Etc.) - (Self Employed: Net After Expenses) - (Retired: Pension, SSI, Disability Awards)
Total Assets
(Checking, Savings, & Liquidable Retirement Accounts)

Spouse or CoBorrower
Are You Married?*
“Primary Residence” requires spouse information on all FHA, VA, USDA, HUD 184 Loans in Community Property States – AZ, CA, ID, LA, NV, NM, TX, WA, WI? - Please select Yes for co-borrower if applicable.
Is Your Spouse Going to be or Do You Have a Coborrower?*

Spouse/Co-Borrower Information
Name*
First Last
Different Home Address?*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
Date of Birth*
SSN

Social Security # is required to obtain a credit report and provide the loan pre-approval. If you do not want to provide your Social Security # online, a loan officer will contact you to obtain and over your loan mortgage options.
Estimated Credit Score*
Are You a Veteran?*
Are You a Native American?*
What Tribe Are you a Member of?*

Spouse/Co-Borrower Income / Assets
Income Type*
- W-2 Employee
- Self Employed
- Retired
Employer / Company*
Monthly Income
(W2 Employee: Include Gross Salary, Overtime, Commissions, Etc.) - (Self Employed: Net After Expenses) - (Retired: Pension, SSI, Disability Awards)
Total Assets
(Checking, Savings, & Liquidable Retirement Accounts)

Home Details