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Contact Information

Applicant Name:
First Name • Middle Initial • Last Name


Co-Applicant Name:
First Name • Middle Initial • Last Name

Do you currently: Own a Home Rent

Current Street Address:   
City • State:     
Zip Code:   
Home Phone:    (xxx-xxx-xxxx)
Work Phone:    (xxx-xxx-xxxx)
Mobile Phone / Pager:    (xxx-xxx-xxxx)
Best time to contact you?:   
Email Address:   
     
Property Details

     
Property Type:   
Purchase Price:    .00
Year Property was Acquired:   
Present Value of Property:    .00
     
Existing First Mortgage Details (if applicable)

     
Amount on 1st Mortgage:    .00
Current Interest Rate:    %
Loan Type:     Fixed       Adjustable
Monthly Payment:   
     
Existing Second Mortgage Details (if applicable)

     
Amount on 2nd Mortgage:    .00
Current Interest Rate:    %
Loan Type:     Fixed       Adjustable
Monthly Payment:   
Type of Loan Desired:   
Loan Amount Desired:    .00
 
Please describe your current loan needs: 
I am very interested and ready to work with a lender.
I am currently working with a lender, but am looking at other options.
I am just checking rates, but I would consider pursuing a loan if it looked like a good/better deal.
I am only interested in seeing rates and don't want a loan at this time.
     
Employment/Income Information

     
Primary Applicant    
Current Employer Name:   
Years with Current Employer:   
Yearly Income:    .00
Please rate your credit?:    Excellent  Good  Fair  Poor
     
Co-Applicant (if applicable)    
Current Employer Name:   
Years with Current Employer:   
Yearly Income:    .00
Please rate your credit?:    Excellent  Good  Fair  Poor
     
Additional Comments

 
Please include anything you feel might be helpful to us in consideration
of your application:








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Steve and Ceci Watts - Watts & Associates
Re/Max Palos Verdes  •  425 Via Corta, Suite 101  •  Palos Verdes Estates, CA 90274
Phone: (310) 375-5645  •  Fax: (310) 375-5825