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Loan Application Form

    General Question

    YesNo
    YesNo
    YesNo
    TownhomeSingle FamilyCondoCooperative2 Unit3 Unit4 Unit
    Primary ResidenceSecondary ResidenceInvestment Property
    [text* p_price id:p_price placeholder ""USD 0.00"]
    YesNo

    EMPLOYMENT HISTORY

    YesNo
    YesNo
    YesNo
    YesNo
    YesNo
    YesNo

    OTHER INCOME

    Dividends/InterestPension/Retirement IncomeNet Rental IncomeAlimony/Child Support IncomeSocial Security/DisabilityOtherNone
    Checking/Savings AccountMoney MarketReal EstateStock/BondRetirement FundsCertificate of DepositCash Deposit on Sales ContractTrust FundsSecured Borrowed FundsMutual FundsGift/Gift of EquityOther Non-Liquid AssetsOther Liquid AssetsNone

    DECLARATIONS (LEGAL HISTORY AND DEMOGRAPHICS)

    YesNo
    YesNo
    YesNo
    YesNo
    YesNoother
    YesNo
    YesNo
    YesNo
    YesNo
    YesNo
    YesNo
    United States CitizenLawful Permanent Resident (LPR)Not a United States Citizen
    American Indian or Alaska NativeAsianAfrican AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhiteRather not say
    MaleFemaleOtherRather not say
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