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Year Of Purchase
Estimated Property Value ($)
First Mortgage Balance ($)
First Mortgage Interest Rate (%)
Property Will Be Used For
Second / Vacation
Rental / Investment
Existing Type of Rate
Additional Cash You Wish To Borrow ($)
Can You Show Proof of Income?
Bankruptcy, Short Sale, or Foreclosure Last 3 Years?
Average Monthly Income ($)
Average Monthly Expenses ($)
Do You Currently Have an FHA Loan?
Late Mortgage Payments in Last 12 Months
No Late payment
1 Late payment
2 + Late payment
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