Wellington Home Mortgage Company

Wellington Home Mortgage Company

Tell Us About Yourself

Primary Borrower				Co-Borrower
Fist Name:				First Name:
Last Name:				Last Name:
Home Phone:				Home Phone:
Work Phone:				Work Phone:
E-mail Address:				E-mail Address:
Social Security #				Social Security #
Marital Status:				Marital Status
Age:		# Dependents:		Age:		# Dependents

Primary Address				Primary Address (Co-Borrower)
Own/Rent		# of Yrs.		Own/Rent		# of Yrs.
Street:				Street
City				City
State		Zip Code		State		Zip Code

Previous Address				Previous Address (Co-Borrower)
Own/Rent		# of Yrs.		Own/Rent		# of Yrs.
Street:				Street
City				City
State		Zip Code		State		Zip Code

Loan Information

Mortgage Type:		Loan Amount: $
Term:		Requested Interest Rate:
Documentation Type:

Loan Purpose:		Existing liens:
Occupancy:		1st Mortgage Balance: $
		2nd Mortgage Balance: $

Realtor Information
Name of Realtor
Address of Realtor
Phone # of Realtor

Property Information

Street:

City:

State:

Zip Code:

Purchase Price:		Estimated Mkt. Value:
Property Type:		Are You Looking For:
How much money do you want to use for down payment?
When would you like to close? ( Use this format: 00-00-2000 )

Tell Us About Your Job

Primary Borrower	Co-Borrower
Are you self-employed?	Are you self-employed?

# Yrs. current job?

# Yrs. previous job

# Yrs. current job

# Yrs. previous job

	Primary Borrower $	Co-Borrower $
Self-employed income
Base employee income
Overtime
Bonuses
Commissions
Net Rental Income
Other income
Current housing expense

Do you have checking/savings account?
Have you been declaired bankrupt within last 7 year?
Have you had any properties foreclosed in the last 7 years?
Do you have any Federal Delinquency Liens?
Are you a U.S. citizen
Do you intend to occupy the property as your primary residence?
Have you had ownership in any property in the last 3 years?

Tell Us About Your Debts

Primary Borrower (Types of Debt)
	Monthly Payment: $		Present Balance: $
Auto(s)
Credit Cards
Installment
Other
Co-Borrower (Types of Debt)
Auto(s)
Credit Cards
Installment
Other

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