Josue Reyes (713) 538-8300
josue.reyes@banker1.com
 
Attention to: Ignacio Osorio
   
Loan & Property Information
Estimated Sales Price: 
 Estimated Loan Amount: 
 Estimated Appraised Value: 
 Estimated Closing Date:
Street Address:
 City:
State:
 ZipCode:
Email Address:
 		    
Purpose:


 Term:


 Amortization:


 Occupancy:
Borrower Information
Borrower's Full Name: (First, Middle, Last)
Social Sercurity No.: Home Phone: Date of Birth:
Current Address:(Street)
City:
 State:
 Zip:
 # of Years
Landlord/Mortgage Company
Phone Number		 Married
 
Borrower's Full Name: (First, Middle, Last)
Social Sercurity No.: Home Phone: Date of Birth:
Current Address:(Street)
City:
 State:
 Zip:
 # of Years
Landlord/Mortgage Company
Phone Number		 Married
 
*If residing at current address for less than 2 years please complete the following
Former Address:(Street)
City:
 State:
 Zip:
 # of Years
Landlord/Mortgage Company and Phone Number
Former Address:(Street)
City:
 State:
 Zip:
 # of Years
Landlord/Mortgage Company and Phone Number
Employment Information
Current Employer Yrs on this job Current Employer Yrs on this job
Address Address
City:
 State:
 Zip:
 Yrs in this line of work
City:
 State:
 Zip:
 Yrs in this line of work
           
           
Position /Title / Type of Business Business Phone Position /Title / Type of Business Business Phone
       
*If employed at current employer for less than 2 years please complete the following
Current Employer Yrs on this job Current Employer Yrs on this job
Address Address
City:
 State:
 Zip:
 Yrs in this line of work
City:
 State:
 Zip:
 Yrs in this line of work
           
           
Position /Title / Type of Business Business Phone Position /Title / Type of Business Business Phone
       
Gross Monthly Income
  Verifiable? Base - Monthly Overtime - Monthly Bonus - Monthly Other- Monthly
Borrower
Co-Borrower
             
Asset Information
Total Cash in Accounts (Checking/Savings): Total Retirement Funds (401K/IRAs/Pensions): Other Assets:
   


Security Code
Security Code :