* FOCUSIT, INC V6

Thank you for applying with Company Name Equity Mortgage for your home financing needs. I would like to take a moment to give you an idea of what to expect from our team. As your Loan officer with Company Name Equity Mortgage, I look forward to working with you to help you obtain the best loan for your current financial needs. In order to do this, I will need you to complete the following fields. If you have any questions, please feel free to contact me at 111-111-1111 or contactme@noemail.com Once again, I am looking forward to working with you on this transaction and will be contacting you shortly to request further information.

Spanish

English

George King
Loan Officer

Work Phone: 480-346-1299

Cell Phone: 727-642-9570

Fax: 480-333-4444

Email Address: GeorgeKing@PulseDemo.com

George King
Loan Officer

Work Phone:

Cell Phone:

Fax:

Email Address:

GeorgeKing@PulseDemo.com

Equal Housing Opportunity

Steps 1 Of 3

1. Personal Information

1. Personal Information

2. Employment Information

3. Subject Property

First Name *

Middle Initial

Last Name *

Social Security

Date of Birth

Cell Phone *

Home Phone

Work Phone

Email Address *

Address

Zip

City

State

Add a Co-Borrower

Co-Borrower Personal Information

First Name

Middle Initial

Last Name

Social Security

Date of Birth

Cell Phone

Home Phone

Work Phone

Email Address

User Borrower Address

Yes No

Address

Zip

City

State

Next: Employment Information

Self Employed

Employer

Title/Position

Years at Current Job

Monthly Income

$

Other Monthly Income

$

Co-Borrower Employment Information

Self Employed

Employer

Title/Position

Years at Current Job

Monthly Income

$

Other Monthly Income

$

Back Next: Subject Property

User Personal Information Address

Yes No

Street Address

Zip Code

City

State

Loan Purpose

Occupacy Type

Purchase Sales Price

$

Loan Amount

$

Comments

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By submitting this informaton the above listed individuals authorizes * FOCUSIT, INC V6 and its affiliates to obtain a consumer credit report.

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* FOCUSIT, INC V6
Ste #1000
Scottsdale, AZ 85260