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Address:* |
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City:* |
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Zip Code:* |
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Present Address:* Years |
Balance:
1st
Mortgage
Rate:%* |
Balance:
2nd Mortgage
Rate:% |
Loan Type:
1st Fixed Adjustable*
2nd Fixed Adjustable* |
Home Value:
* |
Yearly Income: * |
Time With Current
Employment:
*Years |
Self
Employed? No Yes |
Credit
Rating: Good (some lates) Excellent (no lates) Fair (collection) Poor
(bankruptcy) |
Amount
Requested: * |
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