Borrower Authorization Form PDF
Loan Info
Agent Name
*
Agent Email
*
Trainee
Purpose
Lead
Mobile Home
Purchase
Refinance
Reverse Mortgage
Credit Repair
Cross Qualification
Home Office
HQ-Pomona
Lynwood
Monterey Park
Texas
Utah
Has Co-App
YES
NO
Note
Agent Phone Number
Applicant
First Name
*
Middle Name
Last Name
*
Suffix
Phone (Mobile)
*
Phone (Work)
Social Security
*
Birthday
*
Email Address
*
Marital Status
*
Married
Single
Separated
Citizenship
Citizen
Resident
Work Permit
Preferred Language
*
English
Spanish
List ages of All Dependants noted on Taxes
*
Current Rent Ammount
*
Current Address
Address
*
City
*
State
*
Zipcode
*
Ownership Type
RENT
OWN
How Long?
*
Previous Address
Address
City
State
Zipcode
Ownership Type
RENT
OWN
How Long?
Current Employment
Self Employed
YES
NO
Employers Name (VOE cost may vary)
*
Employer Address
*
City
*
State
*
Zipcode
*
Years in Profession
*
Filed taxes past 2 years
YES
NO
Filed taxes together?
YES
NO
Monthly Income
*
Monthly Debt Payments
*
Overtime
YES
NO
Bonuses
YES
NO
Commission & recent pay increase
YES
NO
Hire Date
Current Job
End Date
*
Position
Total of Received Alimony, Child Support, or Other Income
Previous Employment(s)
Assets / Down Payment Source
Checking
*
Savings
*
401K
*
Cash / Gift Amount
*
Bankruptcy in the last 7 years
YES
NO
Foreclosure in the last 5 years
YES
NO
Loan-Modifications in the last 5 years
YES
NO
If Down Payment Assistance Requested
Zipcode Your Buyer is interested in purchasing
Non Credit (Alimony, Child Support, IRS Installments)
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Co-Applicant
First Name
Middle Name
Last Name
Suffix
Phone (Mobile)
Phone (Work)
Social Security
Birthday
Email Address
Marital Status
Married
Single
Separated
Citizenship
Citizen
Resident
Work Permit
Preferred Language
*
English
Spanish
List ages of All Dependants noted on Taxes
*
Current Rent Ammount
*
Current Address
Address
City
State
Zipcode
Ownership Type
RENT
OWN
How Long?
Previous Address
Address
City
State
Zipcode
Ownership Type
RENT
OWN
How Long?
Current Employment
Self Employed
YES
NO
Employers Name (VOE cost may vary)
Employer Address
City
State
Zipcode
Years w/ Employer
Years in Profession
Filed taxes past 2 years
YES
NO
Filed taxes together?
YES
NO
Monthly Income
Monthly Debt Payments
Overtime
YES
NO
Bonuses
YES
NO
Commission & recent pay increase
YES
NO
Hire Date
Current Job
End Date
Position
Total of Received Alimony, Child Support, or Other Income
Previous Employment
Self Employed
YES
NO
Employers Name (VOE cost may vary)
Employer Address
City
State
Zipcode
Hire Date
End Date
Position/Major
Assets / Down Payment Source
Checking
Savings
401K
Cash / Gift Amount
Bankruptcy in the last 7 years
YES
NO
Foreclosure in the last 5 years
YES
NO
Loan-Modifications in the last 5 years
YES
NO
Non Credit (Alimony, Child Support, IRS Installments)
{{vm.Error}}
×
Submit