Express Fax Application

Complete and Fax to

800-695-6016.

Thank you.

Christine Wilson, DE

Loan Originator

Your Preferred Home Lender

214-563-5645  Direct

Borrower Name:

DOB:

SSN:

Martial Status

Address:

How Long:

City

State:

Zip:

Home Phone:

Work Phone:

Fax Number:

Email Address:

Do you currently: *  own      *  rent

Monthly Payment:

Current Employer:

How Long?

Position:

Gross Monthly Income:

Previous Employer if less than 2 yrs:

How Long?

Position:

Gross Monthly Income:

Describe any other source of income:

Borrower Name:

DOB:

SSN:

Martial Status

Address:

How Long:

City

State:

Zip:

Home Phone:

Work Phone:

Fax Number:

Email Address:

Do you currently: *  own      *  rent

Monthly Payment:

Current Employer:

How Long?

Position:

Gross Monthly Income:

Previous Employer if less than 2 yrs:

How Long?

Position:

Gross Monthly Income:

Describe any other source of income:

How much money do you have to invest in a new home?

Where will this money come from (savings, gift, sale of home, etc.)?

Do you have good credit?

If no, describe areas of concern

Do you pay child support or alimony?

If yes, please describe:

List your monthly debt:

Creditor

Payment

Creditor

Payment

Creditor

Payment

Creditor

Payment

Creditor

Payment

Creditor

Payment

Borrower Signature

Date:

Co-Borrower Signature

Date: