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Loan Application

Prospect Information
Applicant
Address 1
Address 2
Office Phone Ext
Home Phone
Best Time to Call Home Work
Current Customer? Appl. Required?
Existing Hometown or ARCS Mortgage?
Hometown Account # ARCS Account #

Source of Referral

Property Information
Residential Apartment Commercial
Hotel Motel Industrial
Religious Nursing Home Rooming House
Warehouse School Medical
Recreational Marina Bowling Alley
Automobile Site Funeral Home Restaurant
Comb. Home and Business Residential Detached Store and Apartment
Club House Land Acquisition Unimproved Land
Developed Building Lot Community Service Condominium
Co-Op Mobile Home Modular Home
Second Home Farm Shopping Center
Single Business Building Office Building Industrial Office Building
Use - Primary Residence: Vacation: Rental:
County: Town:
State:
Est. Annual Taxes $:
Annual Homeowners Insurance Premium $:

Mortgage Information
Amount $:
Fixed: ARM: SONYMA:
Years - 15: 20: 30: Other:

Purchase
In Contract
Purchase Price $
Real Estate Agent
Real Estate Broker

Refinance
Original Purchase Date
Original Purchase Price $
Est. Current Value

Current Mortgage Information
First Second/Equity
Lender
Original Balance
Current Balance
Year of Loan
Monthly Payment
Original Term
Current Rate
Fixed/ARM?
ARM cap and adjustment
period

Comments

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