BUYER'S STATEMENT
MAPI LENDING INVESTORS, INC.
BUYER'S STATEMENT
Applicant
*
First Name
Last Name
Age:
*
Date of Birth:
*
-
Month
-
Day
Year
Date
Contact #:
*
Spouse:
*
Write NONE if you can not supply.
Age:
*
Write NONE if you can not supply.
Address:
*
Please select:
*
Own a House
Renting
If renting:
Landlord
Landlady
Previous Address:
*
No. of Dependents:
*
Write NONE if you can not supply.
EMPLOYMENT RECORD
If Self-employed please write NONE and provide State of Income & Expenses below
Employer:
*
Please write NONE if can not supply.
Office Address:
*
Please write NONE if can not supply.
Position:
*
Please write NONE if can not supply.
Department
*
Please write NONE if can not supply.
Length of Service:
*
Please write NONE if can not supply.
Telephone No.
*
Please write NONE if can not supply.
Spouse Employer
*
Please write NONE if can not supply.
Office Address:
*
Please write NONE if can not supply.
Position:
*
Please write NONE if can not supply.
Department:
*
Please write NONE if can not supply.
Length of Service:
*
Please write NONE if can not supply.
Telephone No.
*
Please write NONE if can not supply.
If self-employed state kind of business:
STATEMENT OF INCOME & EXPENSES
Business Income
Business Income
Gross Monthly Income:
Employment Income
Salary (Basic Monthly Pay)
Spouse Salary:
Others:
Total
Less Expense:
Rental:
Education:
Transportation:
Living:
Others:
Net Monthly Pay:
REALAND PERSONAL PROPERTIES
KIND
LOCATION
Value Assessed
Value Market
ENCUMBRANCE
PERSONAL REFERENCES:
(Relatives of friends not living with you.)
NAME
ADDRESS
TEL. NO.
RIDERS TO BUYER'S ONLY
I hereby certify that the data I have disclosed in the buyer's Statement are true and correct to my personal knowledge. I authorized HMW LENDING INVESTORS, INC. and it's authorized representative to conduct the corresponding credit Investigation thereon.
Spouse Signature
Applicant's Signature
BUYER ORDER
Delivered to
Address
Quantity / Description
*
Model:
*
Color:
*
Qty:
Please draw the Sketch of your Residence below
Please verify that you are human
*
Continue
Continue
Once we receive your loan application form, we will review the details and contact you once your application is approved. We appreciate your patience, as the review process may take some time. Thank you.
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