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Form preview Mini mortgage loan application... Fax 281-500-4067 Short Form Mortgage Application Mini-1003 Page 1 of 2 DATE TIME LOAN OFFICER PURPOSE OF LOAN REFINANCE PURCHASE CONSTRUCTION EQUITY LINE PRIMARY BORROWER DOB //19 SSN -- PHONE H - PHONE W - PHONE C - CO-BORROWER DOB //19 CURRENT ADDRESS House No. Street City State Zip FOR PURCHASE LISTED HOME HOME TYPE SINGLE FAMILY DUPLEX MULTIPLEX TOWNHOME CONDO EST. MARKET VALUE HOME ADDRESS Y CASH OUT Y / N N AMOUNT REASON S FOR CASH YEAR PURCHASED YEAR BUILT ORIGINAL COST HOW LONG IN HOME ESCROW Y / NN MORTGAGE INS Y / N N AMT PER MO CURRENT MORTGAGE HOLDER MTG TYPE INTEREST RATE 0. 00 TERM YRS LEFT BALANCE MO PMT 2ND MORTGAGE/LINE OF CREDIT HOLDER MTG TYPE INTEREST RATE TERM YRS LEFT BALANCE MO PMT EMPLOYMENT HISTORY BORROWER EMPLOYER NAME EMPLOYER ADDRESS POSITION/TITLE YRS ON JOB YR GROSS INCOME MO / YR MO PAID ON W-2 SELF EMPL PREVIOUS EMPLOYER/PART TIME EMPLOYMENT INFO MO YR REVOLVING DEBT/MONTHLY OBLIGATIONS Majority of this information will be obtained via the credit report. DO YOU PAY CHILD SUPPORT OR ALIMONY Y / N N AMOUNT/MO REAL ESTATE TAXES Y / N N YEARLY MO IF KNOWN HOME INSURANCE CREDIT HISTORY Y / N N EXCELLENT AGREE TO CREDIT CHECK Y / NN GOOD AVERAGE HAVE YOU HAD ANY LATE PAYMENTS ON YOUR MORTGAGE PAST 12 MO CHALLENGED SCORE Y Y NN / DESCRIBE CREDIT ISSUES JUDGEMENTS BANKRUPTCY COLLECTIONS ASSETS CASH IN BANK ACCOUNTS include savings checking INVESTMENTS including 401K brokerage accounts stocks bonds Etc PROPERTY including rental units cabins 2nd homes land NOTES. MARKET VALUE HOME ADDRESS Y CASH OUT Y / N N AMOUNT REASON S FOR CASH YEAR PURCHASED YEAR BUILT ORIGINAL COST HOW LONG IN HOME ESCROW Y / NN MORTGAGE INS Y / N N AMT PER MO CURRENT MORTGAGE HOLDER MTG TYPE INTEREST RATE 0. 00 TERM YRS LEFT BALANCE MO PMT 2ND MORTGAGE/LINE OF CREDIT HOLDER MTG TYPE INTEREST RATE TERM YRS LEFT BALANCE MO PMT EMPLOYMENT HISTORY BORROWER EMPLOYER NAME EMPLOYER ADDRESS POSITION/TITLE YRS ON JOB YR GROSS INCOME MO / YR MO PAID ON W-2 SELF EMPL PREVIOUS EMPLOYER/PART TIME EMPLOYMENT INFO MO YR REVOLVING DEBT/MONTHLY OBLIGATIONS Majority of this information will be obtained via the credit report. 00 TERM YRS LEFT BALANCE MO PMT 2ND MORTGAGE/LINE OF CREDIT HOLDER MTG TYPE INTEREST RATE TERM YRS LEFT BALANCE MO PMT EMPLOYMENT HISTORY BORROWER EMPLOYER NAME EMPLOYER ADDRESS POSITION/TITLE YRS ON JOB YR GROSS INCOME MO / YR MO PAID ON W-2 SELF EMPL PREVIOUS EMPLOYER/PART TIME EMPLOYMENT INFO MO YR REVOLVING DEBT/MONTHLY OBLIGATIONS Majority of this information will be obtained via the credit report. DO YOU PAY CHILD SUPPORT OR ALIMONY Y / N N AMOUNT/MO REAL ESTATE TAXES Y / N N YEARLY MO IF KNOWN HOME INSURANCE CREDIT HISTORY Y / N N EXCELLENT AGREE TO CREDIT CHECK Y / NN GOOD AVERAGE HAVE YOU HAD ANY LATE PAYMENTS ON YOUR MORTGAGE PAST 12 MO CHALLENGED SCORE Y Y NN / DESCRIBE CREDIT ISSUES JUDGEMENTS BANKRUPTCY COLLECTIONS ASSETS CASH IN BANK ACCOUNTS include savings checking INVESTMENTS including 401K brokerage accounts stocks bonds Etc PROPERTY including rental units cabins 2nd homes land NOTES.
Form preview Anz loan application form If you re using your personal loan for a new purchase do you have current insurance protection for that purchase Would you like to discuss what ANZ Cover can offer you for ANZ Cover House Protection ANZ Cover Contents Protection or Motor Vehicle Fire Theft and Accident Insurance. discounts apply for customers who have more than one policy in the ANZ Cover range ANZ Cover Loan Protection Insurance If you would like to apply for ANZ Cover Loan Protection Insurance please read and accept the customer authority/declaration below and then fill out this section with the assistance of an ANZ sales representative. Discounts apply for customers who have more than one policy in the ANZ Cover range ANZ Cover Loan Protection Insurance If you would like to apply for ANZ Cover Loan Protection Insurance please read and accept the customer authority/declaration below and then fill out this section with the assistance of an ANZ sales representative. Option 1 Disability Redundancy and Life Cover Premium Total mthly loan repayment including insurance or Joint cover for joint personal loan applications Single cover for sole personal loan applications Customer Authority/Declaration The information received from you will be securely held by ANZ Banking Group New Zealand Limited ANZ and if you have applied for ANZ Cover Loan Protection Insurance ANZ Life Assurance Company Limited ANZ Life and Royal Sun Alliance Insurance New Zealand Limited R SA. ANZ Personal Loan Application Loan Details How much do you wish to borrow How are Funds required yrs Term of loan Applicant Details Separate/new loan Add to existing loan Loan purpose Customer 1 Title First name s Family name Current residential address Customer 2 for joint loans Yrs Time there Mths Postcode Phone Home Mobile Fax Home Phone Business Fax Business E mail Date of birth Gender M F Permanent Resident of New Zealand Yes No If no do you have a work permit Previous address if above is less than 2 years Current occupation Employer Employer address Employment type Temporary Full-time Part-time Unemployed Self employed Casual Contract Period Employed Previous Employer Marital status Single Married Separated Divorced Defacto Widowed Number of dependants living with you Do you Age s Own freehold Rent Live with Parents/Family Own mortgage Other Board Page 2 Statement of Position combined if two people are applying Assets what you own Current value Deposits/Investments with ANZ Liabilities what you owe Combined limit Number of Motor Vehicles State CC rating 4WD Tick if yes Value Real Estate Owned Life Insurance/Superannuation Surrender Value Only Other Assets specify excluding personal and household effects ANZ Overdrafts Limit Other Institutions Overdrafts Current ANZ Loans HP s /Lease payments ANZ Credit Cards Outstanding Other Debts specify eg Student/Family Loans tax etc Other Credit Cards incl store cards Limit Number of Credit/Store cards Total Assets Less Total Liabilities Total Liabilities Surplus Proposed Monthly Budget as it will be if loan is approved combined if two people applying deposits and liabilities ie.

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