Borrower 1 Borrower 2
(optional)  First name  M.I. (optional)  First name  M.I.
 Last name (optional)  Last name (optional)
-- -- -- --
 Home phone  Business phone  Home phone  Business phone
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 Birthdate (Month/DD/YYYY)  Birthdate (Month/DD/YYYY)
 Marital status  Marital status
 E-mail address  E-mail address
-- --
 Social security number  Social security number
 Citizenship  Citizenship
Current Home Information Current Home Information
Rent Own None of these Rent Own None of these
When did your customer move to this address? (Month/YYYY) When did your customer move to this address? (Month/YYYY)
/ /
Address Does Borrower #2 live at the same address? If so check here and skip to purpose of loan.
 Number  Street Name  Number  Street Name
 Unit #  City city listing  Unit #  City city listing
 State  Zip code  State  Zip code
What is the purpose of the loan?
Purchase—Borrower has selected a property and signed a sales agreement
Purchase—Borrower has not decided on a property yet
Refinance
continue