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The following questionnaire mimics the loan application you would find if going through a conventional lender or mortgage broker but excludes questions not necessary in pinpointing your exact purchasing power. Once you have completed the following questionnaire, click on calculate to view your results.

Please do not use dash's or coma's on this form.

Personal Contact Information (Borrower)

First Name :
Last Name :
Phone :
Email :

Mailing Address (Borrower)

Address :
City :
State :
Zip Code :

Income (Borrower)

Where are you currently employed? :
What is your position? :
How long have you been with your current employer? :
If less than 2 years, the name of your previous employer? :
What was your position? :
What is your gross annual base income before taxes? :
Do you receive a bonus or a commission? : Yes No
If yes, what was your bonus or commission for ... : 2002
    2003
    2004
Will a Co-borrower be involved with the loan? : Yes No
 
If yes, please complete the Co-borrower information below. Otherwise, skip to the next section .

Personal Contact Information (Co-Borrower)

First Name :
Last Name :
Phone :
Email :

Income (Co-Borrower)

Where are you currently employed? :
What is your position? :
How long have you been with your current employer? :
If less than 2 years, the name of your previous employer? :
What was your position? :
What is your gross annual base income before taxes? :
Do you receive a bonus or a commission? : Yes No
If yes, what was your bonus or commission for ... : 2002
    2003
  2004

Debt (Borrower & Co-borrower)

What are your total credit card balances? :
What are your total monthly car payments? :
and what is the current balance? :
What are your total monthly student loan payments? :
and what is the current balances? :
Do you have any other monthly payments? : Yes No
If so, what is the total monthly payment? :
and how many payments are left? :
Describe your credit: :
Do you make all your payments on time? : Yes No
Have you ever had a bankruptcy? : Yes No
Have you ever had a foreclosure? : Yes No

Assets (Borrower & Co-borrower)

What is the balance in your checking account(s)? :
What is the balance in your savings account(s)? :
What is the balance in your stock account(s)? :
What is the balance in your Mutual Fund(s)? :
What is the balance in your IRA/SEP account(s)? :
What is the balance in your 401k account(s)? :
What is the balance in your pension account(s)? :

Miscellaneous

Do you currently rent? : Yes No
If YES, how much do you pay per month. :
What type of property are you most interested in? :
What price range are you interested in? :
What down payment are you planning on putting down? :
Will you be selling a property to buy your future one? : Yes No
What will the net proceeds be? :
Will a family member gift money? : Yes No
If so, how much will go towards the down payment? :
What is your residency status? :
If permanent resident or non-resident alien. How long have you lived in the US? :
Are you working with a real estate agent? : Yes No
Notes and Comments:    


Client Disclosure

Any information you provide is completely confidential. ezzloan.com is committed to your right to privacy. For this reason, we ask only the minimal information required to process your inquiry. We will only share your personal data information with our appointed loan officers and affiliate realestate services and commercial mortgage lenders  when necessary in order to approve and obtain your loan. 

Please do not use dash's or coma's on this form.
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