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Financial Information Request Form

This document requests financial information from borrowers including total income, total debts, surplus amount, how long each borrower has been in their current job, number of dependents, estimated value of their home, how long they have owned the home, whether the property is for sale, potential listing price and date, contact information for their realtor if listed, and signatures authorizing the lender to verify this financial information.

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37 views1 page

Financial Information Request Form

This document requests financial information from borrowers including total income, total debts, surplus amount, how long each borrower has been in their current job, number of dependents, estimated value of their home, how long they have owned the home, whether the property is for sale, potential listing price and date, contact information for their realtor if listed, and signatures authorizing the lender to verify this financial information.

Uploaded by

api-25314129
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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Loan #

Financial Information Request Information

Total Income $ Total Debts $ Surplus $

How long on current job for Borrower? How long on current job for Co-Borrower?

Number of Dependents Estimated Value of Home $ How long have you owned the home?

Is your property for sale?


Listing Price $ Listing Date

Realtor Name Realtor Company Realtor #

I/We agree that the above financial information provided is an accurate statement of my / our financial status. I/We understand that
any action taken by the Lender is in strict reliance on this information. My/Our signature below grants the holder of my mortgage the
authority to confirm the information that I/We have disclosed in this financial statement, to verify it is accurate by ordering a credit
report and to contact my/our loan modification representative.

_______________________________________ ______________________________________
Mortgagor’s Signature Date Co-Mortgagor’s Signature Date

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