| Your Name
|
| Phone Number
|
|
| Fields marked with an
asterisk(*) are required. Others are optional. |
| 1.* |
Household Employment
Income: |
| |
Gross Paycheck:
$
|
| |
Self Employment Income (if
applicable): |
| |
2004 Profit from
Schedule C (line 29): |
$ |
|
| |
2004 Depreciation
from Schedule C (line 13): |
$ |
|
| |
2003 Profit from
Schedule C (line 29): |
$ |
|
| |
2003 Depreciation
from Schedule C (line 13): |
$ |
|
| 2. |
Other regular
source of income (pensions, disability, alimony, child support), monthly:
Notice: Alimony, child support or separate maintenance income need not
be revealed if the Borrower (B) or Co-Borrower (C) does not choose to have
it considered for repaying of this
loan.
|
$ |
|
| 3. |
Can you document your income
through Pay stubs, W2s, etc.?
Yes
no |
| 4. |
Have you been
steadily employed in the same line of work for over two years?
Yes
No |
| 5. |
Please list monthly payments
on the following: |
| |
5a. |
Car: |
$ |
|
| |
5b. |
Student Loan: |
$ |
|
| |
5c. |
Credit Cards (exclude amount that you
pay off): |
$ |
|
| |
5d. |
Other: |
$ |
|
| 6. |
How would you rate your
credit? |
|
|
| 7. |
How much will you have in
the following types of accounts:
Please note that the following accounts
are used to calculate your purchase power. |
| |
7a.* |
Checking and Savings
Accounts: |
$ |
|
| |
7b. |
IRA's, Keogh's, and
401K's:
Retirement accounts are calculated at 50%
of face value |
$ |
|
| |
7c. |
Stocks and Bonds NOT INCLUDED
ABOVE: |
$ |
|
| |
7d. |
Other: |
$ |
|
| 8. |
Property
Location:
|
| 9.* |
Your Property
Type:
|
