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Primary Applicant
Primary Applicant's Phone
Primary Applicant's Fax
Primary Applicant's Email
Co-Applicant's Name
Co-Applicant's Phone
Co-Applicant's Email
Street Address of Subject Property
Zip
Date of Purchase
Purchase Price
Current Value
Current Value Determined by
Name of Lender (1st Mortgage)
Original Loan Amount
Current Loan Amount
Rate
Mortgage Type
Fixed
Variable
Mortgage Program
Conventional
FHA
VA
Sub-prime
Original Term (Years)
Term Remaining (Years)
Total Monthly Payments (Including Escrow)
Amount to Escrow (If no escrow, enter 0)
 
Name of Lender (2nd Mortgage, if applicable)
Original Balance / Limit
Current Balance
Original Term (Years)
Remaining Term (Years)
Monthly Payment (Including Escrows)
Amount to Escrow (If no escrow, enter 0)
Rate
Type
Fixed
HELOC
Primary Applicant's Employer
Primary Applicant's Gross Income (per pay period)
Primary Applicant's Net Income (per pay period)
Primary Applicant's Pay Period
Weekly
Every-other week
Semi-monthly
Monthly
Primary Applicant's Income Type
W-2
Commission
Overtime
Bonus
Other
Primary Applicant's Discretionary Income (Income left over after paying ALL monthly expenses)
Primary Applicant's Credit Rating
A (620+)
B (580-620)
C (550-580)
D (520-550)
   
Co-Applicant's Employer
Co-Applicant's Gross Income (per pay period)
Co-Applicant's Net Income (per pay period)
Co-Applicant's Pay Period
Weekly
Every-other week
Semi-monthly
Monthly
Co-Applicant's Income Type
W-2
Commission
Overtime
Bonus
Other
Co-Applicant's Discretionary Income
Co-Applicant's Credit Rating
A (620 )
B (580-620)
C (550-580)
D (520-550)

 
Additional Debts / Creditor (optional)
Credit Type
Current Balance
Remaining Term
Current Rate
Total Payment
Pay Off with Equity Line?
Yes
No

 

 
 

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