1003 Application
Borrower Name:
Social Security#:
Street Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Home Phone Number:
Work Phone Number:
E-mail Address:
Co-Borrower Name:
Social Security#:
Street Address:
City:
State:
CA
AL
AK
AZ
AR
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Home Phone Number:
Work Phone Number:
Annual Income
Employer
How
long
Annual
Salary
Avg Annual
Commission
Total Annual
Income
Borrower's:
Co-Borrower's:
Other Income(Describe):
Monthly Debt
Monthly
Payments
Balance
Months
Remaining
Auto Loans
#1
#2
#3
Student Loans
#1
#2
Child Support
and/or Maintenance
Other Loans
#1
#2
Credit Cards
#1
#2
#3
Down Payment
Money available for down payment and closing costs and reserves
1.
from sale of house
2.
gift
3.
savings
4.
other (describe)
Total
I authorize Sterling Capital Mortgage to do an in-file credit report for pre-qualification
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