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* Required
Monthly Gross Income				Monthly Payments¹
Base Salary:*	$			Auto Loans:	$
Overtime:	$			Student Loans:	$
Bonuses:	$			Credit Card Payments:	$
Commissions:	$			Other Loans:	$
Dividends/Interest:	$			Child Support/Alimony:	$
Other Income:	$

Prospective Loan Information
Mortgage Rate: *		%		Mortgage Term: *		Years
Property Tax Rate:		%	OR	Annual Property Tax Amount:	$
Property Insurance Rate:		%	OR	Annual Premium:	$
Condo. Association Fee:	$			Miscellaneous Expenses:	$

Rental Property Information
Please enter total income and expenses for all rental property owned.
Rental Income per month:	$			Miscellaneous Expenses:	$
Total Mortgage payments:	$			Insurance per month:	$
Property Tax per month:	$

¹ Do not include any loans that will be paid off within 10 months.

940 Southwood Blvd, Suite 101 - Incline Village, NV 89451
Phone: (775) 833-7100 Fax: (775) 833-7108 Toll Free Phone: (800) 761-6054

We lend in the following states: California and Nevada

Equal Housing Lender