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Your full name:

Co-Borrower / Spouses Full Name:

Your Email Address:

Subject Property Street Address:

City:

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If your State is not listed, we currently not licensed in your State.

Zip:

County:

Personal Information -

Employer:

Position:

Gross Monthly Income:

Other Monthly Income:

Years Employed At Current Employer:

Years In This Line Of Work:

Work Phone:

Home Phone:

 

Please select the type of loan you are interested in:

 

Total Money Needed:

Years At Current residence:

Current Market Value:

Balance Of First Mortgage:

Balance Of Second Mortgage: (if applicable)

Co-Applicant Information -

Employer:

Position:

Gross Monthly Income:

Other Monthly Income:

Years Employed At Current Employer:

Years In This Line Of Work:

Work Phone:

 

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Authorization to release information.....

I/we hereby give our consent to Alexander Lending, Inc. and any credit reporting bureau designated to obtain any and all information concerning our employment, checking and/or saving account, obligations, and all other credit matters which they may require in connection with our application for a mortgage loan. This form may be reproduced or photocopied and a copy shall be as effective consent as the original which we have submitted.

If you agree with the above Authorization to Release Information . . . Press the SUBMIT button.