Loan Application

Please fill out as many fields as possible. The more information provided will improve the accuracy of the loan approval.

Borrower's Information
Name: (First,MI,Last)
Home Phone:	--
Cell Phone:	--
Work Phone:	-- Ext.
Email:
Are you a U.S. Citizen?
Marital Status:
Date of Birth:	(mm/dd/yyyy)
Number of Dependents:
Dependent Age(s):	Separate ages by commas.
Borrower's Current Address
Street Address:
City:
State:
Zip Code:
Years at this Address:
Rent or Own
Subject Property
Purpose of Loan:
Property Type:
Loan Amount:	$
Present Value / Purchase Price:	$
Number of Units:
Subject Property Address:
City:
State:
Zip Code:
Borrower's Employment Information
Employer:
Address:
City:
State:
Zip Code:
Years on Job:	Y M
Years in Line of Work:
Borrower's Monthly Income
Base Income:	$
Bonuses:	$
Commission:	$
Other Income:	$
Borrower's Assets
Checking:	$
Savings:	$
Retirement Funds:	$
Other:	$
Co-Borrower's Information
Name: (First,MI,Last)
Home Phone:	--
Cell Phone:	--
Work Phone:	-- Ext.
Email:
Are you a U.S. Citizen?
Marital Status:
Date of Birth:	(mm/dd/yyyy)
Number of Dependents:
Dependent Age(s):	Separate ages by commas.
Co-Borrower's Current Address
Street Address:
City:
State:
Zip Code:
Years at this Address:
Rent or Own
Co-Borrower's Employment Information
Employer:
Address:
City:
State:
Zip Code:
Years on Job:	Y M
Years in Line of Work:
Co-Borrower's Monthly Income
Base Income:	$
Bonuses:	$
Commission:	$
Other Income:	$
Co-Borrower's Assets
Checking:	$
Savings:	$
Retirement Funds:	$
Other:	$
Other Information
Comments: Best Time to Call:

	I authorize Fairway Ind. Mortgage to verify my credit and employment history.



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