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| Borrower Information: |
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First |
Middle |
Last |
| Name |
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First |
Middle |
Last |
| Co Borrower |
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| Current Address |
Street |
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City |
State |
Zip |
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| *Due to certain
homestead restrictions, we do not loan in Texas |
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| Contact Information: |
Home Phone |
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Work Phone |
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Cell Phone |
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Email |
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When is the best
time to contact you? |
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| Income and Assets: |
Primary Borrower's
Gross Monthly Income |
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$ |
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Co-Borrower's Gross
Monthly Income |
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$ |
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Total Savings (Checking
/ Savings / 401K / Cash, etc) |
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$ |
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Your current home
value |
Number of years there |
| $ |
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Balance owed on
current home |
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$ |
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Lot Information: |
Lot Owned? |
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Lot Number or Street
Address (if known) |
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City |
State |
Zip |
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Date Purchased: |
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Lot Purchase Price: |
| $ |
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Current Lot Value
(if known) |
| $ |
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Lot Payoff (Balance
owed) |
| $ |
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| Project Information: |
Do have cost estimates
and/or bids? |
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Estimated Cost of
Construction |
| $ |
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Will you act as your
own General Contractor? |
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Do you have a working
set of plans? |
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Are you interested
in a Home Package Quote? |
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| How soon are you
ready to close your loan and start construction? |
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How did you hear about us?
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| Any other comments
or information you'd like us to know about? |
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| This application
is for prequalification purposes only. A loan officer
will help you complete your application. Your credit
report will NOT be pulled without your permission. All
loan approvals are based on credit worthiness and
other lending guidelines. |
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