2019 Self-Employed Bank Statement Loan Questionnaire

FREE LOAN QUOTE REQUEST

We do not asked for personal security questions and invite realtors to complete this form on behalf of their clients.

PRIMARY BORROWERS FULL NAME *

PRESTATARIOS NOMBRE

EMAIL ADDRESS *

DIRECCIÓN DE EMAIL

MOBILE PHONE NUMBERS ONLY ! *

We text message loan status and important updates

LOAN TYPE *

PURCHASE REFINANCE CASH OUT REFI

PROPERTY ADDRESS

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

PREFERRED TERMS *

PROPERTY TYPE *

PROPERTY USE *

LANGUAGE PREFERENCE

ENGLISH SPANISH

HAVE YOU SIGNED A PURCHASE CONTRACT? *

YES NO

WAS THIS FORM PREPARED BY A REALTOR? *

YES NO

REALTORS NAME (optional)

NOMBRE DE TU AGENTE

REALTORS EMAIL (optional)

AGENTE SU CORREO ELECTRÓNICO

PROPERTY LOCATED IN FLORIDA? *

YES NO

REQUESTS -- COMMENTS -- QUESTIONS

Referral (optional)