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The Paul Meegan Team

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Click Here to Use the Secure Version of the Application.

  Use this Form to Request Mortgage Information

  •  Please fill out as much of this form as possible.

  •  When finished click on the send button.

  •  A loan officer will contact you. 
    ** Please note, a phone number is required.

General Information

Borrower

Co-borrower 
(if different)

Full Name:
Address:
City, State, Zip
Home Phone:
Work Phone:
Best time to contact:
E-mail:
Social Security #:
Employers:
Employers' Phone Number:
Are you self employed ?

Yes No

Yes No

Length of Employment:
Gross Monthly Income:
Date of Birth:
My credit history is: excellent
good, but some late 
some credit problems 
major credit problems 
don't know 
excellent
good, but some late
some credit problems 
major credit problems 
don't know 

Property Information (Current)

(This information needs to be filled out for property that is collateral for the loan)
Street Address:
City, State, Zip Code:
Estimated Present Value:
Year Purchased:
Original Price:
Type of Property: Primary Second/Vacation Investment 
Purchase Amount:

Loan Information

Mortgage Balances

Amount: Held by: Payment:
First:
Second:
Other:

 

Creditors Amount Owed Monthly Payment Will you
pay this off?

$

$

Yes 
No

$ $ Yes
No

$ $ Yes
No

$ $ Yes
No
Other monthly debts and information - please describe



 
 

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Last modified: March 06, 2008