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CREDIT APPLICATION
Fill out the secured form below to apply for financing. Let us help you make your dream basement affordable today.
PRIMARY BORROWER
*First Name : *Address :
*Last Name : *City :, *State :   
Middle Initial : *Zip Code :
*Social Security Number : No hyphen *Primary Phone : e.g. 123-456-7890
*Date of Birth : Secondary Phone : e.g. 123-456-7890
CO-BORROWER
*First Name : *Primary Phone : e.g. 123-456-7890
*Last Name : Secondary Phone : e.g. 123-456-7890
Middle Initial :  
*Social Security Number : No hyphen
*Date of Birth :
REAL ESTATE INFORMATION
*Is the above property Owner Occupied ? : Yes No
*Is the Deed of the property in a Trust ? : Yes No
Date Home Purchased :
Original Purchase Price :
Number of Loans Secured to Home :
1st Mortgage Balance :
Monthly Payment :
2nd Mortgage Balance :
Monthly Payment:
*Property Taxes and Insurance Included ? : Yes No
*Mobile Home ? : Yes No
*Multi-Family Property ? : Yes No
How Many Units :
PRIMARY BORROWER EMPLOYMENT
Employer : Other Income :
Position : Work Phone : e.g. 123-456-7890
Length of Employment : Address :
Annual Income : City, State :   
CO-BORROWER EMPLOYMENT
Employer : Other Income :
Position : Work Phone : e.g. 123-456-7890
Length of Employment : Address :
Annual Income : City, State :   
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