Financing

Financing Available for Our Construction Services

BORROWER INFORMATION

BORROWER INFORMATION

First Name

Last Name

Home Phone

Date of Birth

Driver's License #

Issued Date

Expiration Date

State

Address

Years at Address

Mortgage Holder

Monthly Payment

Current Balance

Purchase Price

Current Value

Age of Property

Years at Adress

Type of Residence

Previous Address

EMPLOYMENT

EMPLOYMENT

Employer Name

Position

Other Income

Source

Other Income

Source

CO-BORROWER INFORMATION

CO-BORROWER INFORMATION

Full Name

Phone

Date of Birth

Drivers's License

Expiration Date

State

Employer Name

Position

Gross Salary

Other Income

Source

Free Text

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender’s compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate either on the basis of this information nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation or surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable law for the particular type of loan applied for.)

BORROWER

BORROWER

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Ethnicity

Race

Sex

CO-BORROWER

CO-BORROWER

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Ethnicity