Loan Officer
Loan Officer Name: Best Time To Call: am pm
Borrower & Co-Borrower
Borrower: DOB: SS#:
Co-Borrower: DOB: SS#:
Address: Home Phone #:
City: State: Zip: Cell Phone #:
Email
Borrower Employment
Current Employer: Years on Job:
Position: Gross Yearly Salary: $
Work Phone #: Past Bankruptcy?: no yes
Co-Borrower Employment
Current Employer: Years on Job:
Position: Gross Yearly Salary: $
Work Phone #: Past Bankruptcy?: no yes
Property Informaton
Purchase Price: $ Downpayment: $
Type of Property:
Are you a first time home buyer? no yes
Have you found a home to purchase? no yes
Are you working with a realestate agent? no yes
Comments and Overall Objective
Secure Lock "Your information is secure and confidential."