Contact the Kunselman Team

*We do not ask for Social Security Numbers or Birthdates online. We will only ask for these items after we talk to you and determine if we should move forward.


	Applicant	Co-Applicant

Name:
Present Address:
Net Paycheck:
Frequency of paycheck:	Weekly Bi-Monthly_paycheck Once Every Two Weeks Monthly	Weekly Bi-Monthly_paycheck Once Every Two Weeks Monthly

Currently have a mortgage?:	Yes No	Yes No
Original Mortgage Balance:
Current Mortgage Balance:
Current Interest Rate:
Total Monthly Payment:
Total amount of Monthly escrow payment (if included in total mortgage payment):

Do you have a 2nd Mortgage:	Yes No	Yes No
2nd Original Mortgage Balance:
2nd Current Mortgage Balance:
2nd Current Interest Rate:
Is your mortgage a fixed rate:	Yes No	Yes No
Total Monthly Payment:

Total number of Credit Cards:
Total Balances of all credit cards:
Total monthly payments of credit cards:

Total number of loans (Student loans, Car loans, Personal Loans):
Total balances of all Loans:
Total payments of all loans:

Money in the Bank (Savings, Checking, CDs, Money Markets):
How many properties to you currently own:

Phone Number:
Best time to reach you on above number:

Email Address: