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APPLICANT INFORMATION |
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First and Last Name |
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Primary Email |
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Work Phone |
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Home Phone |
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Street Address |
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City |
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State |
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ZIP |
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Date of Birth |
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Social Security |
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CO-APPLICANT INFORMATION If you have a Co-Applicant, it is mandatory to provide full information including Date of Birth and Social Security.
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Co-Applicant First and Last Name |
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Co-Applicant Date of Birth |
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Co-Applicant Social Security |
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EMPLOYER INFORMATION |
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Employer Company Name |
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Employer Contact Name and Position |
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Employer Complete Address (incl. ZIP) |
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Employer Phone |
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POSITION Under Position please provide the exact job description (i.e. not "Trainer" but "Area Coach and Training Leader and District Manager/ 2 stores") as well as experience (i.e. "Programmer with 8 years experience COBOL")
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Position (exact Job Description) |
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Employment Start Month |
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Employment Start Year (last 2 digits) |
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EMPLOYER INFO CO-APPLICANT
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Employer Company Name (Co-Applicant) |
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Employer Contact Name and Position (Co-Applicant) |
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Co-Applicant Employer Complete Address |
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Phone Employer Co-Applicant |
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CO-APPLICANT POSITION Under Position please provide the exact job description (i.e. not "Trainer" but "Area Coach and Training Leader and District Manager/ 2 stores") as well as experience (i.e. "Programmer with 8 years experience COBOL") |
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Co-Applicant Position (exact Job Description) |
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Co-Applicant Employment Start Month |
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Co-Applicant Employment Start Year (last 2 digits) |
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INCOME All income is gross income (not take home pay). Please include any bonuses, overtime pay etc. under Employment income and Co-Applicant Employment Income respectively. Please state this for a full year. Under Other Household Income please include alimony, child support, annuity, retirement income, additional wages (second/third job) and 1099 based income, etc.
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Annual Employment Income (Format: numbers only) |
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Co-Applicant Annual Employment Income (Format: numbers only) |
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Annual Other Household Income (Format: numbers only) |
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Source(s) of Other Household Income |
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REFERENCES |
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First and Last Name Character Reference 1 |
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Reference1 Complete Address |
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Reference1 Phone |
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First and Last Name Character Reference 2 |
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Reference2 Complete Address |
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Reference2 Phone |
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Name Landlord and Position (mandatory if renting) |
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Rental Start Date |
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Landlord Complete Address |
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Landlord Phone |
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ADDITIONAL INFORMATION |
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This Application is for |
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Have you received our program information? |
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Estimated Home Purchase Price (Format: numbers only) |
USD
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Funds available for Closing Costs/Down Payment (Format: numbers only) |
USD
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When are these funds available? |
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Desired Closing Date |
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Presently owned Real Estate |
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Is the home you want to acquire in foreclosure? |
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In what state do you want to acquire a home? |
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In what city do you want to acquire a home? |
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Magix Network Member or Real Estate Investor Email (do not change if already filled out) |
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DISCLAIMER & PROCESSING
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Agreement to Disclaimer |
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Digital Signature (type full name) |
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Date |
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