Mortgage Application
Please Print and Fill out Form and Fax to: 305-895-1236
JOANN J. PARKER
MORTGAGE BROKERAGE BUSINESS
TELEPHONE 305-893-3080 FAX 305-895-1236
625 NE 123rd STREET NORTH MIAMI FLORIDA 33161
(Short Form)
NAME OF BORROWER ______________________ HOME TEL:( )______________
ADDRESS ________________________________ CITY ______________________
STATE ___________ ZIP _____________
DATE OF BIRTH _________/ _________/ ___________
SOCIAL SECURTY _____________________________
CO-BORROWER:
NAME ____________________________________ HOME TEL: ( )_____________
ADDRESS ________________________________ CITY ______________________
STATE ____________ ZIP _____________
DATE OF BIRTH _________/ _________/ ___________
SOCIAL SECURTY _____________________________
GROSS MONTHLY INCOME ( BORROWER ) _________________________
GROSS MONTHLY INCOME ( CO-BORROWER ) ______________________
TIME ON JOB ( BORROWER) ________________ ( CO-BORROWER ) ___________________
MONTHLY OBLIGATION ( BORROWER ) ____________________________
MONTHLY OBLIGATION ( CO-BORROWER ) ________________________
TOTAL CASH TO CLOSE _________________________
SOURCE OF CASH _______________________________
(GIFT, SAVINGINGS, SALE, ETC.. EXPLAIN)
_________________________ _________ ___________________ ______
SIGNATURE DATE SIGNATURE DATE
(Signature Required)
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