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CALL NOW: (856) 644-1195

Mortgage Application

Borrower #1 First Name: *

Borrower #1 Middle Name:

Borrower #1 Last Name: *

Borrower #1 Suffix:

Are you a U.S. citizen?: *

Borrower #1 Date of Birth :

Borrower #1 Social Security Number :

Borrower #1 Home Phone:

Borrower #1 Cell Phone: *

Borrower #1 Work Phone:

Borrower #1 Email: *

Borrower #1 Marital Status: *

Borrower #1 Current Home Address: *

Borrower #1 City *

Borrower #1 State *

Borrower #1 Zip Code *

How long have you lived at this address?: *

Do you own, rent, or live with family?: *

Mailing Address (if different from current home address):

Former Address (if less than 2 years at current address):

Borrower #2 First Name:

Borrower #2 Middle Name:

Borrower #2 Last Name:

Borrower #2 Suffix:

Borrower #2 Date of Birth :

Borrower #2 Social Security Number:

Borrower #2 Home Phone:

Borrower #2 Work Phone:

Borrower #2 Cell Phone:

Borrower #2 Email:

Borrower #2 Marital Status:

Borrower #2 Current Home Address:

Borrower #2 City

Borrower #2 State

Borrower #2 Zip Code

Purchase or Refinance: *

If refinance, cash-out or rate-and-term?:

Do you have any down payment money?: *

If so, how much?

How much do you want to borrow? ( It is okay to estimate )

Number of Dependents: *

Ages of Dependents (If Applicable):

Are you a Veteran?: *

Current Employer:

Employer Address:

Employer Phone:

What is your position/job title?:

How long have you worked for this employer?:

If less than 2 years at current employer, please list previous employer with start and end dates:

Are you self-employed?:

If so, how long have you been self-employed?:

Are you hourly or salary?:

How much per hour do you make and how many hours per week do you work? / Or, what is your annual salary?:

Do you receive any other income such as alimony, child support, SSI, pension, or VA benefits? *

If other income please list amounts

Do you own any investment properties or second homes? *

Will you be receiving a gift from a friend or family member towards your purchase? *

Is this a primary residence? *

Are you a co-signer for anyone else? *

Have you had any foreclosures, short sales, or deed in lieu in the last 7 years? *

Have you had any bankruptcies in the last 7 years? *

Are you in default on any federal debt? *

Please Verify Your Contact Information

Full Name *

Phone *

Email *

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Bauer Group of TAM Lending | NMLS #984914

2557 Delsea Drive

Franklinville, NJ 08322