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Quick Application
PRIMARY BORROWER
Name: DoB:
Soc. Sec. #:
Current Address: City:
State: Zip:

Rent ----------- Own-----(How long have you owned the property at your current address? Yrs.--- Mths.
Home Phone: Bus. Phone:
Cell Phone: Email:

Current Employer: ------------- Self Employed
Time on the Job:-- Yrs.--- Mths.-----------------------------------------------------Monthly Income (before taxes): $

CO-BORROWER
Name: DoB:
Soc. Sec. #:

Current Address: City:
State: Zip:
Home Phone: Bus. Phone:
Cell Phone: Email:

Current Employer: ------------- Self Employed
Time on the Job:-- Yrs.--- Mths.-----------------------------------------------------Monthly Income (before taxes): $

OTHER DETAILS
Purchase---------------------- Refinance---------------------------Estimated Sales Price (or value if refinancing): $
Amount you wish to contribute to down payment: $ ------Amount in 401K or Savings: $
Impression Realty, Inc. has permission to check my credit as part of the loan pre-approval process.----------Initials:





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