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Tell us about your loan:
How were you referred to this site?  
Borrower Information Co-Borrower Information (optional)
Name: Name:
SSN: SSN:
Address: Address:
City, State: City, State:  
Zip Code: Zip Code:
Home Phone: Home Phone:
Work Phone: Work Phone:
Email Address: Email Address:
Employment Status: Employment Status:
Yrs employed at current position: Yrs employed at current position:
Age: Age:
Additional Borrower Information Additional Co-Borrower Information
Have you had ownership interest in a property in the last 3 years? Have you had ownership interest in a property in the last 3 years?
Type of property owned: Type of property owned:
Title Held: Title Held:
Do you intend to occupy the property as your primary residence? Do you intend to occupy the property as your primary residence?
Income/Assets/Liabilities of Borrower Income/Assets/Liabilities of Co-Borrower
Salary and Self Employment Income (Monthly): Salary and Self Employment Income (Monthly):
All Other Income (Monthly): All Other Income (Monthly):
Vested Interest in Retirement Fund: Vested Interest in Retirement Fund:
Liquid Assets: Liquid Assets:
Gift Assets: Gift Assets:
Proceeds From Sale of Real Estate: Proceeds From Sale of Real Estate:
Total Non Housing Payments (Credit Card, Installment Loans): Total Non Housing Payments (Credit Card, Installment Loans):
Total Current Housing Expense (Mortgage Payment/Rent): Total Current Housing Expense (Mortgage Payment/Rent):
Total Outstanding Debt (Credit Card, Installement Loans) Gross Amount: Total Outstanding Debt (Credit Card, Installement Loans) Gross Amount:
If Refinance What is Payoff on Current Residence: If Refinance What is Payoff on Current Residence:
Property Details
Address: Sales Price:
City, State:   Estimated Value:
Zip Code: Will This Property be Owner Occupied?
Number of Units: The following information applies only to new Condo or PUD Projects:
Year Built: No. of units in Project:
Year Aquired: Is PUD or Condo Project 50% sold?
I have read and understand the terms and conditions and disclaimer documents.  I understand that that submittal of this information does not constitute an agreement between myself and Abode Mortgage Services, Inc.
© 2006 Abode Mortgage Services, Inc.