|
APPLICANT INFORMATION |
* |
First and Last Name |
|
| * |
Primary Email |
|
| * |
Work Phone |
|
| * |
Home Phone |
|
| * |
Street Address |
|
| * |
City |
|
| * |
State |
|
| * |
ZIP |
|
| * |
Date of Birth |
|
| * |
Social Security |
|
|
CO-APPLICANT INFORMATION
If you have a Co-Applicant, it is mandatory to provide
full information including Date of Birth and Social Security.
|
|
Co-Applicant First and Last Name |
|
|
Co-Applicant Date of Birth |
|
|
Co-Applicant Social Security |
|
|
EMPLOYER INFORMATION |
| * |
Employer Company Name |
|
| * |
Employer Contact Name and Position |
|
| * |
Employer Complete Address (incl. ZIP) |
|
| * |
Employer Phone |
|
|
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")
|
| * |
Position (exact Job Description) |
|
| * |
Employment Start Month |
|
| * |
Employment Start Year (last 2 digits) |
|
|
EMPLOYER INFO CO-APPLICANT
|
|
Employer Company Name (Co-Applicant) |
|
|
Employer Contact Name and Position (Co-Applicant) |
|
|
Co-Applicant Employer Complete Address |
|
|
Phone Employer Co-Applicant |
|
|
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") |
|
Co-Applicant Position (exact Job Description) |
|
|
Co-Applicant Employment Start Month |
|
|
Co-Applicant Employment Start Year (last 2 digits) |
|
|
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.
|
| * |
Annual Employment Income (Format: numbers only) |
|
|
Co-Applicant Annual Employment Income (Format: numbers only) |
|
|
Annual Other Household Income (Format: numbers only) |
|
|
Source(s) of Other Household Income |
|
|
REFERENCES |
| * |
First and Last Name Character Reference 1 |
|
| * |
Reference1 Complete Address |
|
| * |
Reference1 Phone |
|
| * |
First and Last Name Character Reference 2 |
|
| * |
Reference2 Complete Address |
|
| * |
Reference2 Phone |
|
|
Name Landlord and Position (mandatory if renting) |
|
|
Rental Start Date |
|
|
Landlord Complete Address |
|
|
Landlord Phone |
|
|
ADDITIONAL INFORMATION |
| * |
This Application is for |
|
| * |
Have you received our program information? |
|
| * |
Estimated Home Purchase Price (Format: numbers only) |
USD
|
| * |
Funds available for Closing Costs/Down Payment (Format: numbers only) |
USD
|
| * |
When are these funds available? |
|
| * |
Desired Closing Date |
|
| * |
Presently owned Real Estate |
|
| * |
Is the home you want to acquire in foreclosure? |
|
| * |
In what state do you want to acquire a home? |
|
|
In what city do you want to acquire a home? |
|
| * |
Magix Network Member or Real Estate Investor Email (do not change if already filled out) |
|
|
DISCLAIMER & PROCESSING
|
| * |
Agreement to Disclaimer |
|
| * |
Digital Signature (type full name) |
|
| * |
Date |
|
|
|
|
|