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  Loan Officer
Loan Officer Name:   Best Time to Call: AM PM
  Borrower & Co-Borrower
Borrower: Age: SS#
 Co-Borrower: Age: SS#:
 Address: Home Phone #:
 City: State: Zip:
  Borrower Employment
 Current Employer:  Years on Job:
 Position: Gross Monthly Salary $:
 Work Phone #:
  Co-Borrower Employment
 Current Employer:  Years on Job:
 Position: Gross Monthly Salary $:
 Work Phone #:
  Assets
 Current Value of Home $: Date of Purchase:
 Purchase Price $: Type of Property:
  Comments and Overall Objective