J-Pena

Address:	4757 S. Jackson Rd Edinburg, TX 78539
Office:	(956) 687-8500

Main Applicant

Name

Marital Status

SS#

DOB

Address

City

State

Zip

Home Phone

Cell Phone

Employer

Job Position

Years

Home/Rent Payment

Years

Co-Applicant (if exists)

Name

Marital Status

SS#

DOB

Address

City

State

Zip

Home Phone

Cell Phone

Employer

Job Position

Years

Home/Rent Payment

Years

Monthly Income

	Borrower	Co-Borrower
Salary Income
Hourly Income
Commission (2 Yrs.)
Bonuses (2 Yr. Avg.)
Alimony/Child Support
Rental Income
Other Income

Monthly Expenses

	Payments	Balance
Mortgages
Car Payment (1st)
Car Payment (2st)
Credit Cards
Installment Loans
401K Loans
Alimony/Child Support

Cash Available for Closing

Checking

Stocks & Bonds

Gift Funds

Savings

Sale of Real Estate

Retirement

Regarding your new home

Desired Sales Price

Desired Monthly Payments

Approximate Down Payment

Are you a Veteran?

Are you Relocating?

Primary, 2nd Home, or Investment?

Are you a U.S. Citizen?

I (We) hereby authorize Gold Financial Services to order a consumer credit report. I (We) understand that a copy of this form will also serve as authorization.

Borrower’s Signature

Date

Co-Borrower’s Signature

Date

Get Pre-Approved by our

Preferred Lender at Golds Financial!

William Esquivel

Gold Financial Services

Main Applicant

Co-Applicant (if exists)

Monthly Income

Monthly Expenses

Cash Available for Closing

Regarding your new home

Maintenance Request

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