Loan Officer/Mortgage Broker
Yes No
Personal Guarantor Information

Yes No
Mailing Address


Personal Info
 Unmarried  Married  Separated
 U.S. Citizen  Perm Resident Alien  Non-Perm Resident Alien
Yes No
 Currently serving on active duty
 Currently Retired, discharged, or separated from service
 Non-activated member of the Reserve or National Guard
 Surviving Spouse
Personal Guarantor Background
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Business Entity
Yes No
 

Subject Property Details

  Property Location

  Property Characteristics

  Property Details

In Month

  Property Access

Yes No
VENDOR & EQUIPMENT INFORMATION
 
Loan Terms
$
Yes No
Yes No
$
$
$

$


$
$
$

%

%

Personal Guarantor Employment Information
I have ownership share of less than 25%
I have ownership share of 25% or more
Weekly   Monthly   Every 2 weeks   Twice a month


Guarantor Monthly Income
$
$
$
$
$
$

$

(Borrower)