Or fax to 417-267-5013 or 309-424-1998
Borrower _________________________________________
SSN ______________________
Co Borrower ______________________________________
SSN ______________________
Address _____________________________________________________________________
Home Phone __________________________ Work Phone ____________________________
PROPERTY INFORMATION:
Purchase ___ Refinance ___ Owner Occupied ___ 2nd Home ___ Investment ___
Purchase Price ______________
Estimated Value _______________
Existing Liens _______________
County _____________________
Annual Property Taxes _____________
Annual Hazard Insurance _________________
BORROWER INFORMATION:
Monthly Income ________________
Other Income ____________________
Total Monthly Income (all sources) ____________________
Monthly Car Debt ____________
Monthly Personal Loans __________________
Monthly Credit Card Debt _______________
Monthly Other Debt Payable _____________
Total Cash Available for Down Payment and Closing Costs $________________ or %___
Borrower / Co Borrower Credit:
__Poor __Fair __Good __Excellent
FICO SCORE (if known) ______
Liens ______________________
Bankruptcy _________________
Other (please explain) __________________________________________________________
LOAN REQUEST INFORMATION:
__Fixed __Adjustable __Jumbo
Loan Amount Requested $___________________
Term ___ yrs Interest Rate ____ Points ____
PLEASE COMPLETE AND RETURN via email or fax to Horse and Home, Karen Rickert