connecticut home mortgage loan

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Matthew Biggins Financial Consultant Connecticut Home Mortgage Property Information for Loan City, ST, Zip: Purchase Refinance (Rate/Term) Phone (860) 334-3876 eFax (860) 910-4771 Address: Purpose: Borrower Name: SSN: E-mail: Home Phone: Married Price: Refinance (Cash-Out) Borrower Information Birthdate: Yrs of school: Unmarried Separated Co-Borrower Information Co-Borrower Name: Birthdate: SSN: E-mail: Yrs of school: Home Phone: Married Unmarried Separated Dependants: Address: City/State/Zip: Ages: Dependants: Address: (if different) City/State/Zip: Ages: Own Rent Own Rent Since: **PREVIOUS ADDRESS - If residing at present address for less than 2 years: Address: Address: City/State/Zip: City/State/Zip: Own Rent Own Rent No. Years: Address: Address: City/State/Zip: City/State/Zip: Own Rent Own Rent No. Years: Employment Information Self Employed Name: Name: City/State/Zip: City/State/Zip: Hire Date: Yrs in field: Hire Date: Position/Title: Position/Title: Phone: Mo. Income: Phone: **PREVIOUS EMPLOYMENT - If employed in current position for less than 2 years: Name: Self Employed Name: City/State/Zip: City/State/Zip: Hire Date: Until: Hire Date: Position/Title: Position/Title: Phone: Mo. Income: Phone: Other Income (i.e. child support, pension, social security, etc): Since: No. Years: No. Years: Self Employed Years in field: Mo. Income: Self Employed Until: Mo. Income: Description: Amount: Address: City/State/Zip: Mortgage Co./Landlord: Sold Pending Sale How Often: Description: Amount: Housing Expenses Address: (if different) City/State/Zip: Mortgage Co./Landlord: Sold Pending Sale How Often: Rental Property Rental Property Loan Balance: Market Value: Payment/Rent: Rental Income: Loan Balance: Market Value: Payment/Rent: Rental Income: Matthew Biggins Financial Consultant Connecticut Home Mortgage Assets - Checking, Savings, 401k, IRA, and Investments Type: Institution: Balance: Account No. Type: Institution: Balance: Account No. Type: Institution: Balance: Account No. Declarations Phone (860) 334-3876 eFax (860) 910-4771 Institution: Account No. Institution: Account No. Institution: Account No. Type: Balance: Type: Balance: Type: Balance: Borrower Co-Borrower Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No No a. Are there any outstanding judgments against you? b. Have you been declared bankrupt within the past 7 years? c. Have you had a property foreclosed upon or given title or deed in lieu thereof in the last 7 yrs? Yes Yes Yes No No No No No No No No No No No No No d. Are you a party to a lawsuit? Yes e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure? Yes f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, Yes financial obligation, bond, or loan guarantee? g. Are you obligated to pay alimony, child support, or separate maintenance? Yes h. Is any part of the down payment borrowed? Yes Yes i. Are you a co-maker or endorser on a note? Yes j. Are you a U.S. Citizen Yes k. Are you a permanent resident alien? Yes l. Do you intend to occupy the property as your primary residence? Yes m. Have you had an ownership interest in a property in the last three years? Primary Residence Second Home Investment Property What type of property? Solely by yourself Jointly with Spouse Jointly with another How did you hold title? Borrower I do not with to furnish this information Co-Borrower I do not with to furnish this information Ethnicity Hispanic or Latino Not Hispanic or Latino Not Applicable Ethnicity Hispanic or Latino Not Hispanic or Latino Not Applicable Race American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not Applicable Race American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not Applicable Sex Male Female Sex Male Female info@matthewbiggins.com click here to email the file once you have saved it to your computer: or mail completed application to: Matthew Biggins 864 Hopeville Road Griswold, CT 06351

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