Alternative Income Qualification Intake Form
Bank Statement/1099/Asset Depletion/Stated
Primary Contact Name
First Name
Last Name
Phone Number
Email
example@example.com
Entity Name
Entity Type
Individual
LLC
Corporation
Other
Years in Business
Back
Next
Subject Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Loan Purpose
New Purchase
Refinance
Cash Out Refinance
Other
Property Occupancy
Primary Residence
Second Home
Investment Property
Other
Property Type
Single Family
Condo
Duplex
3-4 Unit
MultiFamily
Mixed Use
Other
Purchase Price
Estimated Value
Loan Amount
Back
Next
Income Qualification Type
Bank Statement
Asset Depletion
1099
Stated Income/No Ratio
How many months of Bank Statement can you provide?
Please Select
12 Months Personal Bank Statements
12 Months Business Bank Statements
24 Months Personal Bank Statements
24 Months Business Bank Statements
Bank Name(s)
Average amount of Monthly Deposits in combined bank statements:
Years of 1099 income:
Number of properties currently Owned:
Estimated Credit Score:
780+
760-779
700-759
650-699
600-649
<600
NOTES:
Submit
Back
Next
Should be Empty: