All-Florida Mortgage Centers - Orlando, Florida

Financial Application

Date:
BORROWER INFO
Borrower's Name:
Date Of Birth:
Address:
Address:
City:
State/Province:
Zip code/Postal zone:
Telephone home:
Telephone work:
E-mail:
Employer:
How Long There:
Position:
Monthly Income:
Other Income:
CO-BORROWER INFO
C0-Borrowers Name:
Date Of Birth:
Address:
Address:
City:
State/Province:
Zip code/Postal zone:
Telephone home:
Telephone work:
E-mail:
Employer:
How Long There:
Position:
Monthly Income:
Other Income:
HOME INFO
How long have you owned your home?	yrs.
How much did you pay for it?	$
What do you think it's estimated value is today?	$
1^st Mortgage Info
What Company Holds the mortgage now?
What is the Interest Rate?	%
Is a Fixed or Variable rate?	Fixed Variable
Years Remaining?
Taxes and Insurance?
Monthly Payment
Balance
2^nd Mortgage Info
What Company Holds the mortgage now?
What is the Interest Rate?	%
Is a Fixed or Variable rate?	Fixed Variable
Years Remaining?
Taxes and Insurance?
Monthly Payment
Balance
Other Info
Are you current on all accounts?
Have you ever filed bankruptcy?
If so, when Was it discharged?
Do you need additional cash?	yes no
Amount
What plan or plans are you interested in?	30 year 20 year 15 year Fixed Variable
Comments or Questions?

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All-Florida Mortgage Centers, Inc.
4721 South Orange Avenue
Orlando, Fl 32806
Phone: 407-240-6060
Fax: 407-240-6766
Toll Free: 888-240-2210

All-Florida Mortgage Centers, Inc.
1613 Lee Road
Winter Park, FL 32789
Phone: 407-622-6060
Fax: 407-622-6061
Toll Free: 888-511-6060

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