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   Borrower's Name, Present Address and Contact Information
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 Day phone  e.g. 415-123-4556
 Evening phone e.g. 415-123-4556
 Cell phone e.g. 415-123-4556
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   Property & Loan Information - For Purchasing
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 Purchase Price $
 Loan Amount Desired $
 Estimated Down Payment Available

   Property & Loan Information - For Refinancing or Home Equity
 Property Location
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 Loan Amount Desired $
 Estimated Existing Loan Balance  
1st mortgage 2nd mortgage 3rd mortgage
$ $ $
 Current Monthly payments  
$ $ $
 Current payment includes taxes and insurance ?
 Current interest rate %

   Credit Information
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