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BORROWER INFORMATION
Loan Type:
Borrower's Name:
Property Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Best Means to Contact?
E-mail Address:
The Purpose of this
loan is:
CO-BORROWER INFORMATION
Applying with a spouse or a co-borrower? -- If yes please provide the following information.
Name:
Mortgage Information:
Primary Residence?  Yes   No
Current Rate?
Current Payoff?
1st Mortgage 
2nd Mortgage 
Amount for new Loan:
Desired Interest Rate:  
Approximate Value:
Actual Comp Value:
Year Acquired:
Original Cost:
Employment Information:
Borrower Employer:
Phone:
How Long Employed?
Gross Monthly Income?
Previous Employer:
How Long Employed?
Gross Monthly Income?
Assets?
How Much? 
Type: 
Co-Borrowers Employment Information:
Co-Borrowers Employer:
Co-Borrowers Phone:
How Long Employed?
Gross Monthly Income?
Previous Employer:
How Long Employed?
Gross Monthly Income?
Assets?
How Much? 
Type: 
Debt Information:
Alimony or Child Support?  Yes   No
If yes to the above, please enter your monthly payment  Per Month
Judgments or liens?  Yes   No
No Bankruptcy in last 7 years?

 Yes   No


Disclaimer- Community One Financial is a private mortgage company specializing in FHA Home Loans and is not owned or operated by the federal government or HUD/FHA.

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