Primary Borrower General Information

Thank you for choosing Tiffany The Lender for your home/commercial financing needs. This information will help identify the best financing options for your scenario.

Full Name *

Phone *

Email *

Date of birth *

Social Security Number

Projected Credit Score *

Additional Borrowers

Please give full names and separate by commas if more than one.

Home Address

Address

Street Address *

City *

State *

Country *

Postal Code *

Date of Occupancy *

When did you begin living at the address above?

Do you rent or own your home? *

Employment History

Employment Type *

2 year employment history required

1. Name of your current Employer *

2. Title *

3. Employer Address 1 *

4. Employer Phone Number *

5. Employer Start Date *

6. Employer End Date (Leave Blank if Presently Employed)

1a. Name of your previous Employer

1b. Title

1c. Employer Address

1d. Employer Start Date

1e. Employer End Date

Liquid Assets

Money in checking and/or Savings *

Cash on Hand *

401K / IRA / Brokerage Account *

Equity in Existing Real Estate *

How much money do you have set aside for down payment and closing cost? *

What is the max monthly mortgage you are comfortable paying? *

What is your target purchase price? *

Income Information (Monthly)

Gross Monthly Income (before deductions) *

Monthly Mortgage OR Rent Payment *

Monthly Auto Loan Payment(s) *

Total Monthly Credit Card Minimum Payments *

Monthly Student Loan Payments *

Monthly Child Support / Alimony Payments *

Total Liens / Judgements *

Business Entry

Marital Status *

Married

Single

Separated

Do you intend Married to purchase property in the name of a Corporation or LLC? *

Yes

Will you apply for this loan with a co-borrower? *

Yes

Referral Information

Since we are growing our business, we would love to know how you found out about us.

Referrer's Name