G
RAND
R
IVER
USA
Home Finance
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Loan Questionnaire
Name:
Purpose:
Debt Consolidation
Refinance Rate/Term
Purchase
Pay Land Contract
Commercial
Credit:
Excellent
Good
Fair
Damaged
Poor
Home Phone:
Alt Phone:
Current Lender:
Current Rate:
Best Time to Call :
Balance Owed:
Fixed Rate
Referred By :
Adjustable Rate
Appraised Value
or Sales Price:
Email :
Down Payment
or Liquid
Assets:
Requested Loan
Amount:
Address:
Income Source:
W2 Employed
Self Employed
Retired/SS/Pension
Disability/SSI
Other
City/St/Zip:
Gross
Monthly
Income:
Yrs at Address:
Lot size/Acreage
Stickbuilt 1-Story/Ranch
Stickbuilt 2-Story
Modular (4 section)
Attached Condo
Manufactured Dbl (2 section)
Singlewide Mfg
Structure:
Comments:
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Grand River USA LLC 2003-2008
