Smart Money Blueprint Program
Financing Request
First Name
Last Name
Phone
*
Email
*
SSN
*
Date of birth
*
Address
Street Address
City
State
Postal Code
Credit Rating
*
Excellent (720 +)
Good (660 - 719)
Fair (620 - 659)
Poor (< 620)
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Do you currently rent or own your primary residence?
Own without a mortgage
Own outright
Rent
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Amount Requested
*
Total Monthly Income
*
Include any additional income earned (for example, rental, child support, etc)
Are you W2 or self employed / 1099?
*
W2
Self Employed
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Pay Check Frequency
*
Weekly
Bi-weekly
Monthly
Commission Only
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