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Mortgage Approval Questionnaire
  
  
  
 Personal Info
Your Name - First MI Last: 
Street Address: 
City; State; Zip: 
Home Phone: 
Work Phone: 
E-mail Address: 
Social Security #: 
1.   I am planning to move in: [i.e. 3 months, 1 year]
2.  I currently: [own or rent?]
3.  My current monthly payment is:
4.  The maximum affordable payment for my new home?
Employment Info
Current Employer:
Employed here for: [in years]
Current Salary:
Any other info about your employment:
i.e. an upcoming raise, bonus or commission.
Additional Info
I would like to spend approximately for my down payment and closing costs.
  		 from $ to $
Have you ever filed for bankruptcy? [Y or N]  
If yes, when? [year]
Have you recently had any late payments or collections. If yes please give the details in the space provided.
  

Please use this space to provide us with any further information we may need to better serve you.

Thank you for taking the time to fill out this form.
 
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461 Midland Ave.
S.I., N.Y. 10306
tel: 718.979.0707
fax: 718.979.3485
email: Mid Island
415 Manor Rd.
S.I., N.Y. 10314
tel: 718.442.2880
fax: 718.442.1073
email: North Shore
2546 Arthur Kill Rd.
S.I., N.Y. 10309
tel: 718.984.1515
fax: 718.605.8377
email: South Shore