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Name * First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Number ### - ### - ####
Income Section

Please tell us a little about how you make your money.
Current Employer
Start Date with Employer MM / DD / YYYY
Gross base earnings with no OT or commissions or bonus: (weekly, monthly, or yearly)
Gross Base Earnings (Before Taxes) Interval
Monthly "Other Income" Amount (e.g. O.T., Commissions, Alimony, Child Support,etc.)
Total balance (approx.) in checking and savings: ($)
Total of other non-retirement liquid assets: ($)
Total of retirement accounts: ($)
Expense Section

Please share with us some expense info which we need to get you the best loan.
Car Loan Monthly Payment ($)
Other Loan(s) Monthly Payment ($)
Credit Card(s) Minimum Monthly Payment ($)
Do you have any monthly obligation for child support or alimony?
Yes No
Monthly Child Support or Alimony Payment Amount
About Your New Home

Did you know every town/ county has different lending guidelines?
Which state are you looking to buy a home in?
New Hampshire Massachusetts Maine
Do you have a specific town(s) in mind?
How much would you like to spend for the down payment and closing costs?
Do you have a sales price in mind? If yes, please fill in below the price range.
Do you have a maximum monthly payment you'd like (including tax & insurance)? If yes, please provide a range.
Do you have an estimated amount for annual property taxes?
Is there a co-applicant?
Yes

If there is a co-applicant please have them visit this same web page and complete the application.
Co-applicant name
Do Not Fill This Out

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Income Section

Expense Section

About Your New Home