Cov411

HRE - Purchase

Purchase

Your Loan Officer: Theresa Easland

Your Requested Loan Program

Loan Program

Loan Purpose

Interest only*

Loan Amount ($) *

Property Value ($) *

Estimated Timeframe

Impound Tax*

Impound Insurance*

Yes No

Property Information

Property Type

Ownership Type*

Address *

City * State Zip *

Borrower Information

First Name *

Last Name *

Social Security Number

DOB*

Email*

Home Phone *

Work Phone *

Cell

Employment Information

Employer

Address

Phone

Self Employed

Years Employed

Monthly Gross Income($)

no yes

Position

Co-Borrower Information

First Name

Last Name

Social Security Number

DOB

Home Phone

Work Phone

Cell

Co-Borrower Employment Information

Employer

Address

Phone

Self Employed

Years Employed

Monthly Gross Income($)

no yes

Position

Income and Expense Information

Monthly Expenses($)

Credit History

FICO

Previous Bankruptcy Yes No

Previous Foreclosure Yes No

How did you hear about us?*

Authorization to Pull Credit Report Yes No*

Comments

Theresa Easland

Tel: 949-276-8516
Ext: 8516
Fax: 866-443-7804
Cel: 949-306-4391

Email Me
31531 Rancho Viejo
#101
San Juan Capistrano, California 92675