Finance Manager: Jeff Borsz Phone/Fax (216) 373-7360
Complete the form below and send for a complimentary pre-approval consultation.

APPLICATION INFORMATION

Full Name: DOB: / Co-Applicant’s Full Name: DOB:
Social Security Number: / Phone Number: / Social Security Number: / Phone Number:
Married
Unmarried / Dependents Number:
Age(s): / Married
Unmarried / Dependents not included by applicant:
Age(s):
Present Address: Own Rent ______Yrs.
Street:
City: State: Zip: / Present Address: Own Rent _____ Yrs.
Street:
City: State: Zip:
Previous Address: Own Rent Yrs.
Street:
City: State: Zip: / Previous Address: Own Rent Yrs.
Street:
City: State: Zip:

EMPLOYMENT INFORMATION

Applicant’s Employer:
Address:
City: State:
Zip: / Years on job: / Co-Applicant’s Employer:
Address:
City: State:
Zip: / Years on job:
Years in Profession: / Years in Profession:
Type of Business:
Position: / Business Phone: / Type of Business:
Position: / Business Phone:

IF EITHER APPLICANT HAS BEEN WITH CURRENT EMPLOYER LESS THAN TWO YEARS, PLEASE COMPLETE THE FOLLOWING

Applicant’s Previous Employer:
Address:
City: State:
Zip: / Years on Job: / Co-Applicant’s Previous Employer:
Address:
City: State:
Zip: / Years on Job:
Years in Profession: / Years in Profession:
Type of Business:
Position: / Business Phone: / Type of Business:
Position: / Business Phone:

MONTHLY INCOME INFORMATION(base income is your ‘before taxes’ income. For OT, Bonus and Commission income use a 24mos average)

APPLICANT  PLEASE CHECK BOX IF SELF-EMPLOYED – HOW LONG? ______ / CO – APPLICANT  PLEASE CHECK BOX IF SELF-EMPLOYED – HOW LONG? ______
Base Monthly Income: / $ / Base Monthly Income: / $
* Overtime / $ / * Overtime / $
* Bonus / Commissions: / $ / * Bonus / Commissions: / $
Rental Income: / $ / Rental Income: / $
Other Income: / $ / Source: / Other Income: / $ / Source:

ASSETS for applicant & co-applicant

/

LIABILITIES

BANK ACCOUNTS, SAVINGS, CD’s, ETC. /

CURRENT MONTHLY HOUSING EXPENSES

BANK NAME / AMOUNT / Rent or Mortgage: $ / Insurance: $
$ / Property Taxes: $ / HOA Dues: $
$ / What is the interest rate on your 1st lien?
$ / On is the interest rate on your 2nd lien?
401K’s / IRA’s / STOCKS / BONDS etc. / $ / MONTHLY DEBTS (applicant & co-applicant) / AMOUNT OWED / MONTHLY AMOUNT
Cell Phone number / $ / Total Balance on Credit Cards: / $ / $
Email address: / $ / Auto Loan: / $ / $
$ / Auto Loan: / $ / $
REAL ESTATE OWNED / Other: / $ / $
Value of Present Home (if owned) / $ / Other: / $ / $
Amount of Mortgages & Liens / $ / Other: / $ / $
Value of all Other Real Estate Holdings / $ / Alimony / Child Support: / $ / $
New Property Address:
Street:
City: State: Zip: / Estimated Purchase Price: / Realtor / Contact:

For purposes of obtaining a mortgage, I authorize the lender to check my/our credit.

Applicant: ______Co-applicant: ______

MORTGAGE LOAN CHECKLIST – the following documents are needed to verify your pre-approval and underwrite your mortgage application

Current pay stub to show YTD income Landlord name and phone number to verify 12-mos rental history

Prior 2-yrs W-2’s and if Self-employed: 1099, K-1’s,  Documentation for any derogatory account(s) paid but not reporting as such

YTD profit & loss statement and corporate tax returns Copy of full bankruptcy papers including discharge notice

Past two months statements for savings, checking,  Documentation of any gift funds being used to assist you in this purchase

Investment and retirement accounts. Please provide ALL pages.