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P r i m a r y
A p p l i c a n t I n f o r m a t i o n |
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* First
- Middle Initial - Last Name |
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* Current
Address |
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* City, State & Zip
Code |
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Previous Address
(If less than 2 Years) |
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City, State & Zip
Code |
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* Day & Evening Phone
(Include Area code) |
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Cell /
Pager (Include Area code) |
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* Social Security Number |
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* Date of Birth
(ex:07/04/2000) |
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* Best Time to Reach You |
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* Email Address |
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* Employers Name |
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* Employers Address,
City, St. Zip |
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* Work Phone (Include Area code) |
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* How long at present job? |
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* Position Held |
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* Gross Monthly Income (US dollars) |
$
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Previous job (If less than 2 years) |
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Previous Employers Name |
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Previous Employers Address,
City, St. Zip |
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* Any Bankruptcy or Foreclosure History
(Discharged within last) |
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Co
A p p l i c a n t I n f o r m a t i o n N/A if
Not Applicable |
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* First
- Middle Initial - Last Name |
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* Current Address |
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* City, State & Zip
Code |
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Previous Address
(If less than 2 Years) |
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City, State & Zip
Code |
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* Day & Evening Phone
(Include Area code) |
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Cell/Pager (Include Area
code) |
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* Social Security Number |
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* Date of Birth |
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* Best Time to Reach You |
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* Email Address |
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* Employers Name |
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* Employers Address, City, St. Zip |
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* Work Phone (Include Area code) |
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* How long at present job? |
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* Position Held |
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* Gross Monthly Income (US dollars) |
$
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Previous job
(If less than 2 years) |
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Previous Employers Name |
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Previous Employers Address,
City, St. Zip |
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* Any Bankruptcy or Foreclosure History
(Discharged within last) |
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B a n k C h e c k i n g & S a v i n g s |
*
Monthly checking and savings account balance
(Total Monthly Deposits) |
$
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O u t G o i n g E x p r e s s e s
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* Total Monthly
Consumer Debts.
Primary and Co-Borrower Credit Cards etc. |
$
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*
Verifiable Rental or Mortgage History for the last 12 Months |
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* Own or Rent & Number of
Years |
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*
Current
Mortgage / Rent Monthly Payment |
$
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Y o u r P r o p e r t y N e e d s |
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*
Do you currently have a house under a real estate contract? |
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*
What's the most you can afford to pay monthly
for your new home? |
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*
What's the most you can afford to put
down on your home? & Desired down payment. |
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* What price range house are you looking for? |
to
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* How is your credit? |
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* How soon are you looking to purchase your
next home? |
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* In which area(s) do you wish to purchase your
home? |
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* How many bedrooms do you require? |
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* How many bathrooms do you require? |
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* How many square feet do you require? |
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* Do you require a garage? |
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* Do you require a basement? |
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Do you have any other special requirements? |
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Do you have any additional questions or comments? |
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* How did you hear about us? |
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Credit Report Payment Information
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Do to the high volume of applicants that we get in a day. We do ask if you would
cover the cost for pulling a credit report. We strive to get every one
approved and keep cost to a minimum. Please pay $22.00 for
the credit report, most banks charge $50.00. This information is mandatory at
this time, and it is certainly appreciated. |
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Credit Card |
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Card Number (No dashes (-) or spaces) |
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Expiration Date mm/yy |
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Name as it appears on the card |
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Billing address for the card |
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City, State
and Zip Code |
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D i g i t a l S i g n a t u r e |
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*
Primary Applicant (Type in your name) |
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* Today's Date |
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* Co Applicant
(Type in your name) |
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* Today's Date |
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Branch Manager Name |
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Electronic Verification
I verify that my answers to the above questions are true to the best of your
knowledge and you are also authorizing Heartland Investment Group, Saxton
Corporation or lenders permission to pull your credit reports on your behalf.. By clicking on the "Submit" button below, I intend and consent to its use as an electronic signature, equivalent to my handwritten signature as provided under applicable federal and state law. This electronic signature shall only apply to the answers to the above questions and Terms of Use and incorporated Affiliated Business Arrangement Disclosure.
Credit reports can not be sent to the applicant or Seller
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If you have any
problem submitting this form, please contact us and let us know.
OwnerFinance@KCHeartland.com
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