Nancy Bennett
Keller Williams Realty

(925) 606-8400
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FINANCIAL INFO    
Type of Loan  
Amount you wish to borrow $ .00
Do you prefer a fixed or adjustable rate?  
Desired term of loan:  
Your Monthly Gross Income $ .00
Co-Borrower Monthly Gross Income $ .00
Monthly Debt $ .00
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Your employment status:  
How long have you had your current position?  
Co-borrower's employment status:  
How long has the co-borrower had this position?  
     
CURRENT PROPERTY    
Do you currently own or rent your home?  
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Property Value $ .00
Purchase Price $ .00
Year Acquired  
Location of Property (State USA Only)  
     
Existing Loan Balance $ .00
Current Interest Rate  
Is this Adjustable or Fixed?  
First Mortgage Monthly Payment $ .00
Second Mortgage Balance (if any) $ .00
Second Mortgage Monthly Payment (if any) $ .00
     
PERSONAL INFO
Name
Email
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Co Borrower Name
Address
Addr2
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/Photos/120x/15385.jpg Nancy Bennett
Keller Williams Realty
Office: (925) 606-8400
Cell: (510) 381-9288
Fax: (925) 956-7188
3021 Citrus Circle Suite 100
Walnut Creek, CA 94598
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