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“1st Step Mortgage Consultant”
Applicant & Co-Applicant Information (* indicates required fields):
Applicant		Co-Applicant
First Name*
Last Name*:
Phone(Home)*:
Phone(Work):
Email:
Date of Birth*:
Ssn:
School:
Address
City:
State:
Zip:
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Cash Deposit (Type of Account)
Account 1		Amount:$
Account 2:		Amount:$
Checking and Savings Accounts
Financial Institution		Amount:$
Account #:
Financial Institution:		Amount:$
Account #:
Stocks and Bonds (Please Describe)
1:		Amount:$
2:		Amount:$
Life Insurance:		Amount:$
Automobile Type		Est. Value
Auto 1:		Value:$
Auto 2:		Value:$
Auto 3:		Value:$
Other Assets (Please Describe)
Other Assets 1:		Amount:$
Other Assets 2:		Amount:$
Other Assets 3:		Amount:$
Other Assets 4:		Amount:$
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	Type of Loan Requested
Loan Type:
Residence Type:
Property Type:
Loan Term:
Loan Amount
	The best time to contact me
would be:
around:
by:
Comments:
"I authorize 1st Step Financial Services, Inc. to obtain my/our credit report for the purpose of determining credit worthiness. I understand that all information obtained from me is strictly confidential and that by submitting this information electronically, it is to deemed to be the equivalent of an original application taken in person"