First International Mortgage Corporation

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Equal Housing Lender

    
 


Please fill out the form below and one of our Specialist will get in touch with you ASAP.

Purchase Price of the property:
Amount of the loan:
Type of Property:
Type of Ownership:
Current Living Status:
Current Monthly Housing Payment:
Property Address:
Property City:
Property State:
Property Zip:
Source of down payment and amounts:
Savings:
Gift:
Savings & Gift:
Other:
   
Assets  
Savings & Checking Account (amount):
Other Liquid Assets (amount):
   
Liabilities  
Car Payments:
Credit Card Min. Payments:
Installment Loans:
Alimony/Child Support:
   
Income Information  
Name of Employer:
Address of Employer:
City of Employer:
State of Employer:
Zip of Employer:
Occupation:
Work Telephone #:
Number of Years on the Job:
Monthly Income:
Other Income:
   
Borrower  
Borrower's Name:
Borrower's Address:
Borrower's City:
Borrower's State:
Borrower's Zip Code:
Borrower's Home telephone number:
Borrower's E-mail address:
   

Note: If there is a Co-Borrower, please include:
Co-Borrower's Name:
Co-Borrower's Address:
Co-Borrower's City:
Co-Borrower's State:
Co-Borrower's Zip:
Co-Borrower's Home Telephone #:
Co-Borrower's E-mail address:
Co-Borrower's Assets:
Co-Borrower's Liabilities:
Co-Borrower's Income:
   

Additional Comments:

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