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Quick Application

Agent Ref. # :  






1°  Borrower Information    (Fill Out Completely - Please Print)
First Name :   * Middle Name :   Last Name :    *
SSN :    * DOB(mm/dd/yyy) :   *
Home Phone :    *
Current Home Address :   * Zip :   *
Type   Own    Rent No of Years :   Monthly Rent $ :  
Employer Name :   * Self Employed :   Yes Work Phone :   *
Employer Address :   * Zip :   *
Position :   Income $ :   / Month *
Yrs. On this job :   (yy.mm) Yrs. in this line of Work :   (yy.mm)
Marital Status :   Unmarried(includes single, divorced, widowed)        Married              Seperated *



 2°  CO BORROWER INFORMATION
First Name :   Middle Name :   Last Name :  
SSN :   DOB(mm/dd/yyy) :  
Current Home Address :   Zip :  
Employer Name :   Self Employed :   Yes Work Phone :  
Employer Address :   Zip :  
Position :   Income $ :   / Month
Yrs. On this job :   (yy.mm) Yrs. in this line of Work :   (yy.mm)
Marital Status :   Unmarried(includes single, divorced, widowed)        Married              Seperated
Relationship With Borrower :  



Purpose of Loan :   Purchase Refinance (Cash Out) Refinance (Rate/Term) *



Loan Program :   Full Doc. Stated Income No Ratio No Doc.



 3°  Property Address
Property Address :   * Country :  
City - State :   * Zip :   *



 4°  PURCHASE
Occupancy Status :   Primary   Secondary Investment No. of Units :  
Loan Amount :   * Purchase price :  
DownPayment $ :    
Annual Real Estate Taxes :   / Month Hazard Insurance :   / Month
PM Insurance $ :   / Month  



 5°  Refinance
Occupancy Status:   Primary   Secondary Investment No. of Units :  
Market Value $ $:   Present Rate/Term $ $:   %
Mortgage Bal. $ :   / Month Mortgage Payment $ :  
Annual Real Estate Taxes :   / Month Hazard Insurance :   / Month
PM Insurance $ :   / Month Maintenance Fee (Co op/Condo) $ :   / Month



 6°   Desired Loan Terms
Loan Term :  



 7°   SOURCE OF FUNDS
Bank Name :   * A/C. No :   * Balance $ :   *
Bank Name :   A/C. No :   Balance $ :  
Life insurance / 401K / Stocks & Bond / Retirement Fund / Child Support... $ : Balance $ :  



I  / We have reviewed the above information and acknowledge its validity based upon information we currently have. I / We understand that this is a pre-qualified and not a formal application for a loan. If pre-qualification is obtained, a full application will be necessary and subject to full processing, underwriting and receipt and mortgage loan, I / We will receive an official Good Faith Estimate estimating the closing cost within (3) business days of the application, as required by the Real Estate Settlement Procedure Act (RESPA). The Undersigned applicant(s) hereby authorize NLC International to obtain a credit report from credit reporting agencies.

 





 
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