| Applicant Information |
| State where property is being purchased*: |
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| First Name*: |
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| Last Name*: |
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| Address Street 1: |
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| Address Street 2: |
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| City*: |
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| Zip Code*: |
(5 digits) |
| State*: |
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| How long at current address: |
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| Rent/Own/Other: |
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| Have you had a bankruptcy during the past 10 years?: |
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| How would you rate your credit history?*: |
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| Co-Applicant Information |
| First Name: |
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| Last Name: |
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| Contact Information |
| Daytime Phone*: |
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| Evening Phone*: |
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| Email*: |
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| Financial Information |
| Est. Property Value/Price*: |
(USD) |
| Down Payment*: |
(USD) |
| Loan Amount*: |
(USD) |
| *Source of Down Payment/Closing Costs: |
|
| Property Information |
| Property Type: |
|
| Are you relocating: |
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| Have you identified the property to purchase?: |
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| Are you currently working with a realtor?: |
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| Other Information |
| Additional Information: |
|
I ACCEPT*
I DO NOT ACCEPT |
This is not a formal application for mortgage financing. My credit report will NOT be pulled at this time. A further evaluation will be completed at a later date by the mortgage lender chosen for me. I also acknowledge that DoctorLoans.com cannot be held liable for the future discussion and actions of the lender chosen on my behalf. The lenders affiliated with DoctorLoans.com respect your privacy, and will only use the information provided to better understand your needs. We will not sell, rent, trade, or give away any of the information disclosed under any circumstances. All lenders affiliated with DoctorLoans.com are Equal Housing Lenders. |
