Test page – Integrity Lending

Loan Type
About You
Assets
Expenses

This Loan is for:

Type of Loan

Purpose of Loan

Length of Loan Desired

Type of Property

Number of Units

How soon do you need the loan

State where the property is located

Desired Loan Amount

Estimated Value of the Property

Rate your Credit

Applicant

First Name

Middle Name

Last Name

Email Address

Street Address

City

State

Zip

Phone (Day)

Phone (Evening)

Co-Applicant

Co-Applicant first name

Co-Applicant last name

Co-Applicant Social security number

Years of Schooling

Date of birth

Email

Home Number

Work Number

Address

Employment Information

Applicant Employer

Years on job

Monthly Income

Position

Years in same field

Co-Applicant Employer

Co-Applicant years on job

Co-Applicant Position

Co-Applicant year on job

Co-Applicant monthly income

Other Income Co-Applicant

Monthly Income ($)

Total Gross Monthly Income ($)

Your Assets

Cash Deposit (Account Type)

Amount

Checking and Savings Accounts Financial Institution

Amount

Account Number

Financial Institution

Amount

Stocks & Bonds (Description)

Amount

Stocks & Bonds (Description) part 2

Amount

Stocks & Bonds (Description) part4

Amount

Life Insurance

Face amount

Automobile Type 1

Est. value ($)

Automobile Type 2

Est. value ($)

Automobile Type 3

Est. value ($)

Other Assets (Description) 1

Amount

Other Assets (Description) 2

Amount

Other Assets (Description) 3

Amount

Other Assets (Description) 3

Amount

Please Describe Your Housing Expenses

1st Mortgage monthly payment

Amount of Property Taxes

Mortgage Insurance Monthly payment

Home Owners Insurance monthly payment

2nd Mortgage amount

Mortgage Insurance monthly payment

Home Owners Insurance monthly payment

Total Current Housing Expenses

Aprx. 1stMtg Balance ($):

Max Line of Credit ($):

Aprx. 2ndMtg Balance ($)

Max Line of Credit ($):

Aprx. Home value ($):

Home is to be

Please list your Monthly Debts

(1) Type of Liability

Account Number

Cur. Bal. ($)

Monthly Pmt. ($)

(2) Type of Liability

Account Number

Cur. Bal. ($)

Monthly Pmt. ($)