Advance Home Mortgage - Borrower Information

Borrower Information for Refinancing
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Borrower Information for Mortgage Pre-Approval
If the borrower is already pre-approved with another mortgage company, please submit this information for a comparative offer.

Borrower Information:

First	MI	Last	SSN

Mailing Address

City	State	Zip

Preferred Contact Information:

Email Address

Home Phone	Time Zone

Work Phone	Extention

Fax Phone	Cell Phone

Contact Preference	Best time to contact?

Employer Information:

Company Name
	Self Employed?
Address

City	State	Zip

Est. Gross Monthly Income	Years in Field
$

Co-Borrower Information:

First	MI	Last	SSN

Mailing Address

City	State	Zip

Preferred Contact Information:

Email Address

Home Phone	Time Zone

Work Phone	Extention

Fax Phone	Cell Phone

Contact Preference	Best time to contact?

Employer Information:

Company Name
	Self Employed?
Address

City	State	Zip

Est. Gross Monthly Income	Years in Field
$

Subject Property Information:

Address

City	State	Zip


Est. Property Value	Down Payment	Loan Amount
$	$	$


Property Type	Property Use


Estimated Closing Date

Credit History:

Credit Report

Do you have a copy? Yes No

Credit Score?



Bankruptcy

Filed in the last 7 years? Yes No



Credit Cards

Number of Cards

Paid on Time? Yes No



Open

Judgments $

Tax Liens-Federal $

Collections $

Tax Liens-State $

Current Mortgage Information:

Balance	$
Monthly Principal and Interest	$
Interest Rate	%
Term	$
Monthly Hazard Insurance	$
Monthly Real Estate Tax	$
Estimated Appraised Value	$
Date of Last Refinance (mm/dd/yyyy)

Other Information:


Referred By:
Name
Email
Phone Number

Notes: