MORTGAGE APPLICATION
1) Real Estate Owned (type):Rental   Investment   Owner Occupied   Retaining or Selling
Values and Rental Income
2) Property Address:
3) Real Estate Taxes Per Year:
4) Homeowners Insurance Per Year:
5) # Of Units:  Single   Two   Three   Four
BORROWER INFORMATION:CO-BORROWER INFORMATION:
1) Name:1) Name:
2) Address:2) Address:
3) Social Security #: -  - 3) Social Security #: -  - 
4) Home Phone:4) Home Phone:
5) Date of Birth: /  / 5) Date of Birth: /  / 
6) Present Employer:6) Present Employer:
7) Years on this Job:7) Years on this Job:
8) Years Employed in field:8) Years Employed in field:
9) Position:9) Position:
10) Business Phone #:10) Business Phone #:
11) Gross Monthly Income:11) Gross Monthly Income:
12) Assets
     (401k, savings, IRA, etc.) 		12) Assets
     (401k, savings, IRA, etc.) 
                                                                        
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|RI Mortgage Broker Lic.#20041604LB  First Choice Financial Group is a licensed Mortgage Broker in the State of Massachusetts, License Number MB3452. CT First Mortgage Broker Lic.# 13492  CT Second MOrtgage Broker Lic. # 13850  NH Mortgage Broker Lic.# 11065-MBR. "We arrange but do not make loans"