Online Application

Please provide the following contact information:

Property Address		City		State		Zip
BORROWER INFORMATION
First Name	Initial	Last				Age
Current Address		SS#
City	State	Zip		Own    Rent   # Yrs
If less than two years at current address complete the following. We need at least two years of residence history.
Previous Address			Own      Rent	# Yrs.
		City		State		Zip
Additional Address			Own      Rent	# Yrs.
		City		State		Zip
CO-BORROWER INFORMATION
First Name	Initial	Last				Age
Current Address		SS#
City	State	Zip		Own    Rent   # Yrs
If less than two years at current address complete the following. We need at least two years of residence history.
Previous Address			Own      Rent	# Yrs.
		City		State		Zip
Additional Address			Own      Rent	# Yrs.
		City		State		Zip

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INCOME			LL	LIQUID ASSETS			HOUSING EXPENSE
	Borrower	Co-Borrower		Before Closing	After Closing			Present	Proposed
Base	$	$		$	$		Rent $
OT	$	$					1st PI $
Bonus	$	$					2nd PI $
Other	$	$					Insurance $
Total	$	$					Taxes $
Describe other income							Total $
				Installment Debt After Closing Total Outstanding Balance  $ Total of Monthly Payments $
				Revolving Debt After Closing Total Outstanding Balance  $ Total of Monthly Payments $

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Self Employed? Borrower yes no   Co-Borrower yes no
Primary Residence	Second Home	Purchase	Rate & Term Refi	Cash Out Refi
Purchase Price	$	Appraised Value	$
Loan Amount	$	Interest Rate	$
Bankruptcy?	yes no	Foreclosure?	yes no
Gift?	yes no	If Yes	$

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Please provide the following contact information.
BORROWER
Work Phone		Home Phone
FAX		E-mail
CO-BORROWER
Work Phone		Home Phone
FAX		E-mail

Please click the "Submit Form" button below. We'll get back to you within 24 hours. 

Thanks for selecting Dave Swisher of the Mortgage Professionals.

Thank you for using are online application form, click here to print and fax a copy off to 541-330-7466or mail to 250 NW Franklin Ave suite 401 Bend, OR 97701

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