By filling out this application do you give permission for our preferred lender to pull BORROWER/CO-BORROWER credit?  * Borrower   Borrower Name: SSN #: DOB: Email Address: Current Address: City: State: Zip Code: Own or Rent?: Current Payment: Prior Address (if current less than 2 yrs): Home phone: Work phone: Mobile phone: Employer: How Long?: Position?: Prior employer (if less than 2 yrs): Total savings in bank accts: Gross monthly income: Other monthly income: Source of other income?: Household size: Have you had a Foreclosure in the past 7 years?: Explain any credit issues: Explain any collections liens judgements:

Co-Borrower   Co-Borrower Name SSN # DOB Email Address Current Address City State Zip Code Own or Rent? Current Payment Prior Address (if current less than 2 yrs) Home Phone Work phone Mobile phone Employer How Long? Position? Prior employer (if less than 2 yrs) Total savings in bank accts Gross monthly income Other monthly income Source of other income? Household size Have you had a Foreclosure in the past 7 years? Explain any credit issues Explain any collections liens judgements Security code:   * Do not enter anything in this field: