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	Loan and Property Information
Loan Purpose: (*)	Select HerePurchaseRefinanceConstruct HomeHome ImprovementDebt ConsolidationNew ConstructionOther Invalid Input
Loan Type:	Select HereConventionalVA LoanFHA LoanFarmHA LoanOther Loan
Property Type:	Select HerePrimary ResidenceSecondary ResidenceInvestment
Building Type:	Select HereSingle FamilyCondoTownhouseManufactured Home2-4 Plex
Purchase Price:	Invalid Input
Down Payment:	Invalid Input
Property Address (if known):	Invalid Input
City, State, Zip:	Invalid Input
	Applicant(s) Information
Full Legal Name: (*)	Invalid Input
Social Security:	Invalid Input
Co-Borrower Name:	Invalid Input
Social Security:	Invalid Input
Address:	Invalid Input
City, State, Zip;	Invalid Input
Home Phone:	Invalid Input
Work Phone:	Invalid Input
Co-Borrower Work Phone:	Invalid Input
Contact me at:	Select HereHomeWork Invalid Input
Call in the:	Select HereMorningAfternoonEvening Invalid Input
E-Mail:	Invalid Input
	Co-Borrower Information (If different than above.)
Home Phone:	Invalid Input
Address:	Invalid Input
City, State, Zip;	Invalid Input
	Employment Information
	Borrower
Employer's Name:	Invalid Input
Employment:	Invalid Input
Gross Monthly Income:	Invalid Input
My credit history is:	Select HereExcellentGood but some latesSome credit problemsMajor credit problemsUnknown Invalid Input
	Co-Borrower
Employer's Name:	Invalid Input
Employment:	Invalid Input
Gross Monthly Income:	Invalid Input
My credit history is:	Select HereExcellentGood but some latesSome credit problemsMajor credit problemsUnknown Invalid Input
	Assets and Liabilities
Current Housing Expense:	Invalid Input
Total Bank Balances:	Invalid Input
Total of all Monthly Debts:	Invalid Input
	Notes: (type in whatever information you feel might be relevant.)
	Invalid Input
	Fair Credit Reporting Act Notice You understand that by clicking on the I AGREE button immediately following this notice, you are providing 'written instructions' to Apex Home Loans under the Fair Credit Reporting Act authorizing Apex Home Loans to obtain information from your personal credit profile. You authorize Apex Home Loans to obtain such information solely in accordance with a Mortgage Loan Application.
I agree (required):	Agree Invalid Input
Verification	Refresh Invalid Input