General Information

*Rep:     *Date:         *Source:

*Borrower:         *DOB:      *SSN:

*Co-Borrower:    *DOB:      *SSN:

ADDRESS:    *CITY:      *STATE:

*ZIP:   *PHONE#:   *FAX#:

Subject Property

*ADDRESS:     *CITY:   *STATE:

*YEAR BUILT:   *YEAR PURCHASED:     *PURCHASE-$$   *VALUE:

*1st LIEN:    *BALANCE:   *RATE:     *PMT:

*2nd LIEN:    *BALANCE:   *RATE:     *PMT:

Employment Information

*BORROWER:   *PHONE#: *TITLE:

*ADDRESS:    *CITY:      *STATE:

*GROSS MONTHLY INC:    *#YRS:      *YRS IN PROF:

              ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

*Co-ORROWER:   *PHONE#: *TITLE:

*ADDRESS:    *CITY:      *STATE:

*GROSS MONTHLY INC:    *#YRS:      *YRS IN PROF:

Type of Loan

*REFI:    *Cash-Out:    *Loan Amount:   *LTV:

COMMENTS