BORROWER INFORMATION   Primary Wage Earners Name   Social Security Number   Co-Borrowers Name   Social Security Number   Street Address   City   State   Zip Code   Phone Number EMPLOYMENT   Primary Wage Earners Job Title   Employer   Monthly Income – Gross (not after taxes)   Employment Dates   Co-Borrowers Job Title   Employer   Monthly Income – Gross (not after taxes)   Employment Dates LIABILITIES   Rent Payment   Monthly Debt Payments (Car Loans, VISA/credit cards, other)   Child Support/Alimony Paid ASSETS   Checking/Savings Accts   401(k) – or similar retirement funds   Stocks/Investments   Selling Your Home – Net Equity at Closing   Email   Cell Phone #   Tell us about any misreporting/errors on your credit reports, job gaps, bankruptcies, foreclosures or other financial situations you might have: Fields above marked with * are required.