COLORADO MORTGAGE NETWORK LLC

LOAN APPLICATION

	Borrower Information	Co-Borrower Information
Name:
Email Address:
Street Address:
City, State, Zip
Phone

INCOME Information
Base Salary
Hourly Pay:
Other Income: (Income Received on a regular basis for at least 2 years)
Social Security
Employment Information	Borrower Information	Co-Borrower Information
Current Employer Address/State / Zip     # of years on Job # of years in Industry
Self Employed?	Yes No	Yes No

Loan Information
Loan Purpose	Purchase Refinance
Loan Amount Down Payment	Zero Down 5% Down 10% Down 20 % Down blank
Rate your Credit	Excellent Good Fair Poor	Excellent Good Fair Poor
If Refinance:   Current 1st Mtg: Current 2nd Mtg: Current House Value	Borrower Mtg Info	Co-Borrower Mtg Info (If different from Borrowers)