FINANCIAL INFORMATION WORKSHEET

Including taxes & insurance, what monthly payments do you want: $____________

What approximate price range do you want to look in?            $____________

How much cash do you have available for a down payment?         $____________

Does this include closing cost? ______

Are you currently renting?______ If yes, how much rent: $__________

Do you currently own? ______  Do you need to sell before buying? __________

How much do you think your home is worth? $___________

What is the unpaid balance? $__________ Interest rate _____ term _________

Dated ___/___/___ type of loan ________________ monthly payment $ __________

List your regular monthly payments (installment debt, revolving charges,
student loans, etc.

Description                                         Amount
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Are you current on all debts?______ Is there any problem with your credit?______

What is your monthly income: $________ Your spouse's monthly income:$ ________

Do you have any other monthly income? ___________ If yes, how much? $___________

Employed ______Self-employed _____ How long have you been employed with this employer?

____________ Where? _______________________________

Have you or your spouse ever taken bankruptcy? __________ If yes,explain:
______________________________________________________________________________

Have you or your spouse had a home foreclosure? _________ If yes, explain:
______________________________________________________________________________