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First Name
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Middle Name
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Last Name
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Social Security Number
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Birth Date
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Email Address
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Best Contact Number
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Area Code
Phone Number
Home/Cell Number
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Area Code
Phone Number
Current Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ownership
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Rent
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# Of Years At This Residence
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More Than 2 Years
Less Than 2 Years
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Monthly Rent $
Previous Residence Address (If Less Than 2 Years)
APT_Number
City
State
Zip_Code
Employment Information
Current Employer
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Employer Phone Number
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Area Code
Phone Number
Current Employer Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start Date of Employment
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Month
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Day
Year
Date
Job Title
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Monthly/Hourly Income
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Income
Hourly
Salary
Are You Self Employed
Yes, Self Employed
Previous Employer (If current is Less Than 2 Years)
Previous Employer Address
Street Address
Street Address Line 2
City
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Postal / Zip Code
Start Date of Employment
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Month
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Day
Year
Date
End Date of Employment
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Month
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Day
Year
Date
Loan and Property Information
Address
City
State
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CA
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Property Type
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Single Family Residence
2-4 Plex
Condo
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Property Will Be:
Please Select
Primary Residence
2nd Home
Investment Property
Purpose of Loan
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Purchase, Refinance (Cash Out)
Refinance (No Cash Out)
Other
Estimated Property Value: $
Loan Amount: $
Type of Loan
Please Select
30 yr fixed
20 yr fixed
15 yr fixed
10 yr fixed
10/1 ARM
7/1 ARM
5/1 ARM
3/1 ARM
Additional Information
Financial Information
Account #1
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Checking
Savings
Money Market
Retirement
Other
Balance
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Account Number
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Account #2
Checking
Savings
Money Market
Retirement
Other
Balance
Account Number
Account #3
Checking
Savings
Money Market
Retirement
Other
Balance
Account Number
Realtor Name
Realtor Phone Number
Realtor's Email
example@example.com
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Co-Borrower
First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Social Security Number
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None if no Co-Borrower
Phone Number
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Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Upload the following documents or email them to the following email address: Inform@Martinmortgagefinancial.com
Copy of Driver's license, 1-month check stubs, 2 years of W2s or tax returns, 3 months of bank statements, Asset statement (401K, stock, bonds).
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Borrower: Approval: By completing my name below and submitting this form, I authorize Martin Mortgage Financial to order a copy of my credit report to use in conjunction with this quote request worksheet. Please type in your full name.
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Co-Borrower: Approval: By completing my name below and submitting this form, I authorize Martin Mortgage Financial to order a copy of my credit report to use in conjunction with this quote request worksheet. Please type in your full name.
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