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Bad Credit Mortgage Info. | Additional Bad Credit Info. | Establishing Credit History | Quick Online Application | Getting Credit

Please fill in all appropriate blanks below. The more information we have the better we can place you.

YOUR FULL NAME
LastFirstMiddle

Street AddressApt.,Condo,Suite#

CityStateZip Code

Home Telephone Telephone
EmailBirth Date

TYPE OF LOANSELECT ONE BELOW
PurchaseRefinance2nd MortgageEquity Loan

SELECT LEVEL OF YOUR CREDIT HISTORY-Last 2 Yrs.
Perfect (no late payments)ExcellentGoodBad
X 30 Days LateX 60 Days LateX 90 Days Late



Value of PropertyExisting Mortgage

AddressAddress

CityState

STYLE OF PROPERTYSELECT ONE BELOW




USE OF PROPERTYSELECT ONE BELOW

Answer Appropriate Questions:
Construction TypeIf Mobile What Style

Type of Land if Mobile Home on:
Land OwnedLand RentedLand Leased


Amount of Loan NeededMonthly Income
Other Incomes
Co-Borrower?
Co-Borrower's Full Name
Co-Borrower's Income

YOUR MONTH EXPENSES:
Cost of Present Mortgage Payments
Automobile Payments
Total Credit Card Monthly Payments
Monthly Furniture Payments
Monthly Student Loan Payments
Child Support Payments
Alimony Payments
Other Monthly Payments
Down Payment Available
Type of Bankruptcy, If any:71113
Date Started
DismissedDischarged
Date Ended