Texas Mortgage Loan - Quick Application

	Borrower	Co-borrower
First Name & Middle Initial
Last Name
Social Security Number
Birth Date
Home Phone
Business Phone
E-mail address
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	Borrower	Co-borrower
Is the following information the same as the subject property?	Yes No
Present Address - Street
City, State, Zip
Rent or Own?
Years of employment at current job
Years employed in current line of work/profession
Are you self employed?
Total Monthly Payments on debts*
Down Payment*	$ or %
Borrower - Permission to pull Credit
Co Borrower - Permission to pull Credit
Read Disclosure <click here to open in new window>	Did you read the disclosure?
*Estimated

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