American Mortgage and Services, Inc.

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Loan Information Form

Instructions

Use this form to request mortgage information.
Please fill out as much of this form as possible.
When finished click on the send button.

A loan officer will contact you. A phone number is required.

General Information

	Borrower	Co-borrower (If different)
Full Name:
Address:
City, State, Zip
Home Phone:
Best time to contact:
E-mail:
Social Security #:
Employers:
Employers' Phone Number:
Are you self employed ?	Yes No	Yes No
Length of Employment:
Gross Monthly Income:
My credit history is:	excellent good, but some lates some credit problems major credit problems don't know	excellent good, but some lates some credit problems major credit problems don't know

Loan Request

Amount Requested:
Purpose of loan:

Property Information

(This information needs to be filled out for property that is collateral for the loan)

Street Address:
City, State, Zip Code:
Estimated Present Value:
Year Purchased:
Type of Property:	Primary Second/Vacation Investment
Purchase Amount:

Loan Information

Mortgage Balances	Amount:	Held by:	Payment:
First:
Second:

1st Mortgage Interest Rate:
Are taxes and insurance included?
Is interest rate fixed or adjustable?
2nd Mortgage Interest Rate:

Creditors	Amount Owed	Monthly Payment	Will you pay this off ?
	$	$	Yes No
	$	$	Yes No
	$	$	Yes No
	$	$	Yes No

Other monthly debts and information - please describe

How did you find this Web site?

Please enter the Web Address of the document that led you to this site:

By submitting this on-line application, I/We authorize American Mortgage and Financial Services, Inc. to check such things as my/our credit, business and employment status and histories.

American Mortgage and

Financial Services, Inc.

1580 N. Northwest Highway #305

Park Ridge, IL 60068

Phone: (847) 297-1010

Toll Free: (800) 216-8602

Fax: (847) 297-1017

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