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Is this for a purchase or refinance?
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How much would you like to borrow? (Purchase)
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How much would you like to borrow?
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What was your original loan amount?
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What is your monthly payment on the loan?
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Does this include tax, insurance, and escrows?
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What is your current loan's interest rate?
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Is this loan for your primary residence?
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What is this loan for?
Vacation Home
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What is your full name?
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What is your date of birth?
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What is your email address for Docusign?
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What is the best phone number to reach you at?
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What is your current address?
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Current Date
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19
When did you begin living here?
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20
We see you've lived in your home for this many years.
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21
What was your previous address?
Street Address
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City
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Zip Code
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
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Malta
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Mayotte
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Yemen
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
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Austria
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The Bahamas
Bahrain
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Belize
Benin
Bermuda
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Brunei
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Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
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Colombia
Comoros
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Costa Rica
Cote d'Ivoire
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Cuba
Curaçao
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Finland
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Panama
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Philippines
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Poland
Portugal
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Qatar
Republic of the Congo
Romania
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Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
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Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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22
When did you live there?
Ex. June/2017-May/2019
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23
At your previous address, did you...?
Rent
Own
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24
Does this account for a full two years' residential history?
Yes, let's move on!
Not quite yet
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25
What was your address prior to the previous address?
Street Address
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State
Zip Code
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Afghanistan
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Algeria
American Samoa
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Brunei
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Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
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Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
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Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
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Ghana
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Greenland
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Guatemala
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Guinea-Bissau
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Hong Kong
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Indonesia
Iran
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Israel
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Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
United States
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United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea-Bissau
Guyana
Haiti
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India
Indonesia
Iran
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Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
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Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
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At your prior address, did you...?
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How many years have you worked for the company?
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How many years have you worked in this industry?
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How many years of school have you completed?
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38
How many dependents do you have?
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Please list their ages:
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Do you have a Homeowner's Association?
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What are the monthly dues?
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Do you have a second mortgage?
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43
Name of Second Mortgage Lender:
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Is this a manufactured home?
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Do you have solar panels?
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Are they leased or owned?
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Do you have any outstanding judgments against you?
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Are you party to a lawsuit?
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Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee?
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Are you obligated to pay alimony, child support, or separate maintenance?
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54
Are you a co-maker or endorser on a note?
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Are you an United States citizen?
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Do you intend to occupy the property as your primary residence?
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57
What is your marital status?
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58
Do you have a co-borrower?
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Name of Co-Borrower
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60
(Co-borrower) What is your date of birth?
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61
(Co-borrower) What is your email address for Docusign?
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(Co-borrower) What is the best phone number to reach you at?
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(Co-borrower) Name of Employer (If retired, write "retired")
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64
(Co-borrower) What is your title / position with the company?
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65
(Co-borrower) What is your employer's address?
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Saint Lucia
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(Co-borrower) What is your employer's phone number?
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67
(Co-borrower) How many years have you worked for this company?
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68
(Co-borrower) How many years have you worked in this industry?
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69
(Co-borrower) How many years of school have you completed?
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70
(Co-borrower) Do you have any outstanding judgments against you?
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71
(Co-borrower) Have you been declared bankrupt in the past 7 years?
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72
(Co-borrower) Have you had a property foreclosed upon or given title or deed in lieu thereof in the past 7 years?
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73
(Co-borrower) Are you party to a lawsuit?
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74
(Co-borrower) Have you been obligated on any loan resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?
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75
(Co-borrower) Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee?
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76
(Co-borrower) Are you obligated to pay alimony, child support, or separate maintenance?
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77
(Co-borrower) Are you a co-maker or endorser on a note?
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78
(Co-borrower) Are you an United States citizen?
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79
(Co-borrower) Do you intend to occupy the property as your primary residence?
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80
(Co-borrower) What is your marital status?
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81
Nearest Living Relative
(Please choose someone who does not live with you.)
First Name
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82
Relationship to Borrower
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83
Phone Number of Nearest Living Relative
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84
Address of Nearest Living Relative
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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United States
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Algeria
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Chile
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Finland
France
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Gabon
The Gambia
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Germany
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Gibraltar
Greece
Greenland
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Guadeloupe
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