Buyer's Info Sheet

Buyer's Info Sheet
FERNANDO FERNANDEZ, REALTOR® is ready to consult you,
negotiate for you, and to keep your best interest in the forefront.

Our loan officer will need:

• State Identification or Driver’s License
• Proof of Income: Three Months of Pay Stubs or 1099s
• Proof of Funds: Two Months of Bank Statements (All Pages).
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date Of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
File Upload*

Cancelof
Status*

SingleMarriedDivorcedWidow or Widower
Have you ever declared bankruptcy?*

YesNo
Have you had a foreclosure in the past 7 years?*

YesNo
Do you have any outstanding judgments or lawsuits against you?*

YesNo
Are you a U.S. citizen or permanent resident?*

YesNo
Are there any co-borrowers on the loan?*

YesNo
Employment
Name of Employer*
Employer's Phone Number*
Please enter a valid phone number.
Annual Income*
Employer's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position*
Start Date*

MonthDayYear
Date
Paystubs

Three Months of your Most Recent Pay Stubs or 1099s
#1 Most Recent Paystub or 1099*

Cancelof
#2 Prior Pay Stubs or 1099*

Cancelof
#3 Pay Stubs or 1099*

Cancelof
#4 Pay Stubs or 1099

Cancelof
#5 Pay Stubs or 1099

Cancelof
#6 Pay Stubs or 1099

Cancelof
Secondary Source of Income or Employment (if applicable)
Secondary Employment (if applicable)
Secondary Employment Phone Number
Please enter a valid phone number.
Annual Income of Secondary Employment
Secondary Employment's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position at Secondary Employment
Start Date with Secondary Employment

MonthDayYear
Date
#1 Most Recent Paystub or 1099

Cancelof
#2 Prior Pay Stubs or 1099

Cancelof
#3 Pay Stubs or 1099

Cancelof
#4 Pay Stubs or 1099

Cancelof
#5 Pay Stubs or 1099

Cancelof
#6 Pay Stubs or 1099

Cancelof
Bank Statements

Please Submit Two Months of Bank Statements (include all pages) in a .PDF File.
File Upload*

Cancelof
File Upload*

Cancelof
Liabilities
Current Debts
Mortgage Balance: $$$

Car Loan Balance: $$$

Credit Card Debt: $$$

Personal Loan Balance: $$$

Student Loan Balance: $$$

Judgments: $$$

Liens: $$$

Debt Holder (other): $$$
Monthly Debt Payments
Monthly Mortage Payment: $$$

Monthly Car Payment: $$$

Monthly Credit Payment: $$$

Personal Loan Monthly Payment: $$$

Student Loan Monthly Payment: $$$

Monthly Payments towards Judgments: $$$

Debt Holder of Monthly Payment (other): $$$
Assets
Estimated Value of Primary Residence: $$$

Estimated Value of Investment Properties: $$$

Estimated Value of Vehicles: $$$

Financial Assets: $$$

Cash and Savings: $$$

Retirement Accounts (401(k), IRA, etc.): $$$

Stocks, Bonds, and Other Investments: $$$

Other Assets: $$$
Should be Empty:

Buyer's Info Sheet

Employment

Paystubs

Secondary Source of Income or Employment (if applicable)

Bank Statements

Liabilities

Assets