Mortgage Lending - American Home Bank

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Borrower Name:

Co-Borrower Name:

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Is this your work or home number? (Select One) Work / Home

State your home be built in:

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Zip:

Annual Salary / Income:

Current Mortgage / Rent Payment:

All Other Monthly Payments:

(auto, installment, credit cards)

My / Our Credit History

	Excellent		Good
	Fair		Not So Great, but Getting Better

Sale Price:

Appraised Value:

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Questions that you have on financing that we should be prepared to answer.

Yes

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