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Loan Application

**This loan application information will be received by Chad Bergman - Senior Mortgage Counsultant. All information will be kept confidential and private. If you have any questions about this application or the services I provide, please call me at 303-875-2240.

Applicant & Co-Applicant Information:

Applicant First Name Applicant Last Name Home Phone Work Phone	SSN E-Mail
Co-Applicant First Name Co-Applicant Last Name Home Phone Work Phone	SSN E-Mail
Property Address City	State Zip

Gross Income:

1.	Applicant Employer Position Years on Job Years in same field	Monthly Income Amt. $
	Co-Applicant Employer Position Years on Job Years in same field	Monthly Income Amt. $
3.	Other Income Applicant	Monthly Income Amt $
4.	Other Income Co-Applicant	$

Total Gross Monthly Income:		$

Assets

1.	Earnest/Deposit Money (Held by)	Amount $
2.		$
1.	Checking and Savings Accounts Financial Institution	Amount $
	Account Number
2.	Financial Institution	Amount $
	Account Number


1.	Stocks and Bonds (Please Describe)	Amount $
2.		$
3.		$


1.	Life Insurance	Face Amount $

1.	Automobile Type	Est. Value $
2.		$
3.		$


1.	Other Assets (Please Describe)	Amount $
2.		$
3.		$
4.		$

Housing Expenses:

		Monthly Pymt
1.	1st Mortgage/Rent	$
2.	Property Taxes	$
3.	Home Owners Insurance	$
Total Monthly Housing Expenses:		$

Monthly Debts:

	Holder of Liability	Account Number	Cur. Bal.	Monthly Pymt
1.			$	$
2.			$	$
3.			$	$
4.			$	$
5.			$	$
6.			$	$
7.			$	$

Type of Loan Requested:

Loan Type:
Residence Type:
Property Type:
Loan Type:
Sales Price/ Appraised Value	$
Estimated Loan Amount:	$

The best time to contact me
would be:
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You can also DOWNLOAD a loan application via a Adobe PDF and fax it to me.