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 *

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? *

1b. Title *

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 *

1a. Name of your previous Employer

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