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1950 Craig Road, Suite 100 St. Louis, MO 63146
(314) 988-3212
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Jason Emerson, Mini Application
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Nickname:
Name borrower 2 as you'd like it on the paperwork:
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Cell Phone 2:
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Email address 2:
2+ year living history - address(es):
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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Dates lived from and to:
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Rent or own:
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Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Dates lived from and to:
Rent or own:
Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Dates lived from and to:
Rent or own:
Terms
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Max Monthly payment, if applicable:
If you are just looking to see how much you would qualify for, please put yes here:
Amount you'd like to put as a down payment, if any:
Where will this money come from (savings, 401k, gift from a relative, etc)
2+ year work history
Borrower 1:
Name of current company:
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Position:
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Date hired:
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How paid (hourly, salary, commission):
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Rate of pay (hourly*/weekly/monthly/annually):
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Per
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Hour
Day
Week
Month
Year
What type of income(s) do you have? (check all that apply)
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W-2
1099
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SSI/disability
VA retirement
VA disability
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Other
Average number of hours worked per week
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Name of previous/2nd company:
Position:
Dates worked from and to:
How paid (hourly, salary, commission):
Rate of pay (hourly*/weekly/monthly/annually):
Per
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Hour
Day
Week
Month
Year
What type of income(s) do you have? (check all that apply)
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W-2
1099
Self-employed
SSI/disability
VA retirement
VA disability
Rental income/investment income
Other
Average number of hours worked per week
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Borrower 2:
Name of current company:
Position:
Date hired:
How paid (hourly, salary, commission):
Rate of pay (hourly*/weekly/monthly/annually):
Per
Select
Hour
Day
Week
Month
Year
What type of income(s) do you have? (check all that apply)
(Required)
W-2
1099
Self-employed
SSI/disability
VA retirement
VA disability
Rental income/investment income
Other
Average number of hours worked per week
(Required)
Name of previous/2nd company:
Position:
Dates worked from and to:
How paid (hourly, salary, commission):
Rate of pay (hourly*/weekly/monthly/annually):
Per
Select
Hour
Day
Week
Month
Year
What type of income(s) do you have? (check all that apply)
(Required)
W-2
1099
Self-employed
SSI/disability
VA retirement
VA disability
Rental income/investment income
Other
Average number of hours worked per week
(Required)
Permission to pull credit:
(Required)
Yes
No
Date of Birth borrower 1:
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MM slash DD slash YYYY
Soc Sec number borrower 1:
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Date of Birth borrower 2:
MM slash DD slash YYYY
Soc Sec number borrower 2:
Misc Information
Credit score(s), if known:
Where did you get that number (Credit Karma, other lender, etc):
Any credit issues we should know about:
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How much money is in savings plus checking (not that we need to use it; just for informational purposes):
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Is borrower a veteran or enlisted:
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Any other debts we might not know to ask (child support, loans that show on paystubs, etc):
Any other forms of income? If so, please list:
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If needed, are any co-signors possible:
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How did you hear about us?
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Any other information that will be helpful:
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