Borrower Information

Full Name:  
Home Phone:  

Work Phone:

   
E-Mail:  
Current Employer:  
Start Date:   mm/dd/yyyy
Position:  
Type of Business:  
Income: (2 year average)  
          Salary: $  

Commission:

 $

          Hourly:

$

 

Over Time:

 $
          Bonus: $   Other:  $

Monthly obligations:

(Include child support & alimony)

 $  

Co-Borrower Information

Full Name:  
Home Phone:  

Work Phone:

   
E-Mail:  
Current Employer:  
Start Date:   mm/dd/yyyy
Position:  
Type of Business:  
Income: (2 year average)  
          Salary: $  

Commission:

 $

          Hourly:

$

 

Over Time:

 $
          Bonus: $   Other:  $

Monthly obligations:

(Include child support & alimony)

 $  

Loan Information

Desired Price Range:

  From:

$

  To:

$
Desired Down Payment: $  

 

Send mail to KAS2000, Inc. with questions or comments about this web site.
Copyright © 2000 First Equity Residential Mortgage, Inc.