2017 Self-Employed Bank Statement Loan Questionnaire

FREE LOAN QUOTE REQUEST

No Registration!
No Application Fees!
No Obligations!
We Dont Pull Your Credit!

SINCE THERE ARE NO SECURITY QUESTIONS. WE ENCOURAGE ALL REALTORS TO COMPLETE THIS QUESTIONNAIRE ON BEHALF OF THEIR CLIENTS.

BORROWER FULL NAME *

PRESTATARIOS NOMBRE

ARE YOU A US CITIZEN!

YES NO

EMAIL ADDRESS *

DIRECCIÓN DE EMAIL

MOBILE PHONE NUMBERS ONLY ! *

We text message loan status and important updates

BORROWER: RATE YOUR CREDIT *

APPROXIMATE LOAN AMOUNT *

WHERE IS YOUR PRIMARY INCOME DEPOSITED *

BUSINESS ACCT PERSONAL ACCT

SELECT TAX FORM YOU FILE? *

1099 - Contractor W-2 - Employee 1040 OTHER

BORROWER CREDIT EVENTS IN 2 YRS ? *

FORECLOSURE SHORT SALE BANKRUPTCY DEED IN LIEU NONE

BANKRUPTCY DISCHARGED DATE

FORECLOSURE SETTLEMENT DATE

SHORT SALE DATE

IS THERE A CO-BORROWER ? *

YES NO

CO-BORROWERS FULL NAME

CO-PRESTATARIOS NOMBRE

CO-BORROWER: RATE YOUR CREDIT

IS THE CO-BORROWER A US CITIZEN?

YES NO

LOAN TYPE *

PURCHASE REFINANCE CASH OUT REFI

FLORIDA PROPERTY ADDRESS

Street Address
Street Address Line 2
City	State
Zip Code	Country

PREFERRED TERMS *

PROPERTY TYPE *

PROPERTY USE *

$995 Flat Lender Fee Program

YES NO

LANGUAGE PREFERENCE

ENGLISH SPANISH

HAVE YOU SIGNED A PURCHASE CONTRACT? *

YES NO

REALTORS NAME (optional)

NOMBRE DE TU AGENTE

REALTORS EMAIL (optional)

AGENTE SU CORREO ELECTRÓNICO

Was this form prepared by a Realtor? *

YES NO

Is the Property located in Florida? *

YES NO

REQUESTS -- COMMENTS -- QUESTIONS

Referral (optional)