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575.393.1525 | 1.800.388.0987 | 4830 Seminole Highway | Hobbs, NM 88240
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Personal Information: (Primary Applicant)
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First Name:
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Middle Initial:
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Last Name:
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Date of Birth:
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Social Security Number:
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Home Phone Number:
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Work Phone Number:
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Current Address:
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City:
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State:
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Zip:
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Do you rent or own?
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For how many years?
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Time at current job:
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*Are you self employed?
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Personal Information: (Spouse [If Applicable])
First Name:
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Time at current job:
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*Are you self employed?
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Yes
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Financial Information:
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Total monthly payments on debts (estimated):
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Funds available for down payment, closing costs, and reserves (estimated):
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Gross monthly income:
**Base income from employment:
*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
**Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower does not choose to have it considered for repaying this loan.
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