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Loan Application Loan Application Please Submit 1 form per applicant. Required fields are indicated with an asterisk (*) *First Name: *Last Name: Email: Home Phone: Cell Phone: Work Phone: *Social Security Number: *Date of Birth: Marital Status: *Present Address: City: State: Zip: Years at Residence: Own Rent Live with Relatives   *Employer: Position: *Years on Job: *Monthly Gross Income (Before Tax Deductions): *Combined Assets (Amt of money between all Checking, Savings, 401Ks, Retirement, Stocks & bonds): Alternate Income (SSI, Disablity, etc.): Monthly Amount: Child Support or Alimony?: Child Support Alimony Neither / NA Pay Recieve Monthly Amount: Bankruptcy: Yes No When: Forclosures: Yes No When: Reposessions: Yes No When: Judgements: Yes No When: Paid Off: Yes No Defaulted on any government loans (Student Loans): Yes No   Additional Notes PLEASE ALLOW 24-72 HOURS FOR RESPONSE.    Articles & Links Search Homes How Much Can You Afford? Free CMA Request Neighborhood Information Saving for the Down Payment Leveraging Your Money How Mortgage Loans Work Getting Your Finances in Order Your Credit History Mortgage Glossary  Other Resources Home Advice Get the answers on home selling & buying. Real Estate News Find out what’s happening in Real Estate. Preferred Partners Check out the best in local home-related services