Account Representative: Jeff Kolenic Office: 216-292-3841 ...



|Finance Manager: Jeff Borsz Phone/Fax (216) 373-7360 |

|Complete the form below and send for a complimentary pre-approval consultation. |

|APPLICATION INFORMATION |

|Full Name: |Co-Applicant’s Full Name:       |

|DOB:       |DOB:       |

|Social Security Number:       |Phone Number:      |Social Security Number:       |Phone Number:       |

|Married |Dependents Number:       |Married |Dependents not included by applicant:       |

|Unmarried |Age(s):       |Unmarried |Age(s):       |

|Present Address: Own Rent ______ Yrs. |Present Address: Own Rent _____ Yrs. |

| | |

|Street:       |Street:       |

|City:       State:       Zip:       |City:       State:       Zip:       |

|Previous Address: Own Rent       Yrs. |Previous Address: Own Rent       Yrs. |

| | |

|Street:       |Street:       |

|City:       State:       Zip:       |City:       State:       Zip:       |

|EMPLOYMENT INFORMATION |

|Applicant’s Employer:       |Years on job:      |Co-Applicant’s Employer:       |Years on job:       |

|Address:       | |Address:       | |

|City:       State: | |City:       State: | |

|      | |Zip:       | |

|Zip:       | | | |

| |Years in Profession: | |Years in Profession:       |

|Type of Business:       |Business Phone:       |Type of Business:       |Business Phone:       |

|Position:       | |Position:       | |

|IF EITHER APPLICANT HAS BEEN WITH CURRENT EMPLOYER LESS THAN TWO YEARS, PLEASE COMPLETE THE FOLLOWING |

|Applicant’s Previous Employer:       |Years on Job:       |Co-Applicant’s Previous Employer:       |Years on Job:       |

|Address:       | |Address:       | |

|City:       State: | |City:       State: | |

|      | |Zip:       | |

|Zip:       | | | |

| |Years in Profession: | |Years in Profession: |

|Type of Business:       |Business Phone: |Type of Business:       |Business Phone: |

|Position:       | |Position:       | |

|MONTHLY INCOME INFORMATION (base income is your ‘before taxes’ income. For OT, Bonus and Commission income use a 24mos average) |

|APPLICANT ( PLEASE CHECK BOX IF SELF-EMPLOYED – HOW LONG? ___________|CO – APPLICANT ( PLEASE CHECK BOX IF SELF-EMPLOYED – HOW LONG? |

| |__________ |

|Base Monthly Income: |$       |Base Monthly Income: |$       |

|* Overtime |$       |* Overtime |$       |

|* Bonus / Commissions: |$       |* Bonus / Commissions: |$       |

|Rental Income: |$       |Rental Income: |$       |

|Other Income: |$       |Source:       |Other Income: |$       |Source:       |

|ASSETS for applicant & co-applicant |LIABILITIES |

|BANK ACCOUNTS, SAVINGS, CD’s, ETC. |CURRENT MONTHLY HOUSING EXPENSES |

| | |Rent or Mortgage: $       |Insurance: $      |

|BANK NAME |AMOUNT | | |

|      |$       |Property Taxes: $       |HOA Dues: $       |

|      |$ |What is the interest rate on your 1st lien? |

| |$ |On is the interest rate on your 2nd lien? |

|401K’s / IRA’s / STOCKS / BONDS etc. |$       |MONTHLY DEBTS (applicant | | |

| | |& co-applicant) |AMOUNT OWED |MONTHLY AMOUNT |

|Cell Phone number |$       |Total Balance on Credit Cards: |$       |$       |

|Email address: |$ |Auto Loan: |$       |$       |

| |$ |Auto Loan: |$       |$       |

|REAL ESTATE OWNED |Other: |$ |$ |

|Value of Present Home (if owned) |$       |Other: |$       |$       |

|Amount of Mortgages & Liens |$       |Other: |$       |$       |

|Value of all Other Real Estate Holdings |$       |Alimony / Child Support: |$       |$       |

| |

|New Property Address: |Estimated Purchase Price: |Realtor / Contact: |

|Street:       |      |      |

|City:       State:       Zip: | | |

|      | | |

For purposes of obtaining a mortgage, I authorize the lender to check my/our credit.

Applicant: ______________________________________________ Co-applicant: ____________________________________________

MORTGAGE LOAN CHECKLIST – the following documents are needed to verify your pre-approval and underwrite your mortgage application

← Current pay stub to show YTD income ( Landlord name and phone number to verify 12-mos rental history

← Prior 2-yrs W-2’s and if Self-employed: 1099, K-1’s, ( Documentation for any derogatory account(s) paid but not reporting as such

YTD profit & loss statement and corporate tax returns ( Copy of full bankruptcy papers including discharge notice

← Past two months statements for savings, checking, ( Documentation of any gift funds being used to assist you in this purchase

Investment and retirement accounts. Please provide ALL pages.

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Mortgage loan subject to credit approval. Borrower must qualify under Howard Hanna Mortgage Services program guidelines.

Howard Hanna Mortgage Services is an equal housing lender licensed by the Ohio Division of Financial Institutions #MB.802719.000. 4141 Rockside Rd., Seven Hills, OH 44131

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