Consumer Loan Information Form

Please complete the form below, read the disclaimers and initial, then click the Submit button.

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Loan Request

 NOTE: All items with an * are required.
Pool Builder: *
Pool Designer / Salesman: * Amount Requested: *
$
Reason for Loan?
Borrower Information
First Name: * MI: Last Name: * Suffix:
Social: * ¯ ¯ Date of Birth: *
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Please use numbers only Please enter a complete date
Drivers License Information
State: Number Expiration Date:
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Marital Status: *
Email: *
Home Phone: *
Area Code, Prefix, Line Number 		Cell Phone: *
Area Code, Prefix, Line Number
Best way to contact?
Have you ever had: (Please leave blank if these do not apply to you.)
Bankruptcy: Foreclosure: Short Sale:
v
v
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Date Date Date
NOTE: All items with an * are required.
Current Address Information
Address: *
City: * State: * Zip: *
Previous Address Information
Address:
City: State: Zip:
Current Employment
Employer (Company): *
Duration of Employment*
Years:
Months:
Occupation: *
Employer Phone: *
Area Code, Prefix, Line Number 		Gross Monthly Income: * $
NOTE: All items with an * are required.
Previous Employment
Employer (Company):
Duration of Employment:
Years:
Months:
Additional Information
Additional Income: $ Income from:
Liquid Assets: $ Credit Rating: *
NOTE: All items with an * are required.
Federal Applicant Demographics
Ethnicity: Race:
Gender:
Co-Borrower Information  
First Name: * MI: Last Name: * Suffix:
Social: * ¯ ¯ Date of Birth: *
v
Please use numbers only Please enter a complete date
Drivers License Information
State: Number Expiration Date:
v
Marital Status: *
Email: *
Home Phone: *
Area Code, Prefix, Line Number 		Cell Phone: *
Area Code, Prefix, Line Number
Best way to contact?
Have you ever had: (Please leave blank if these do not apply to you.)
Bankruptcy: Foreclosure: Short Sale:
v
v
v
Date Date Date
NOTE: All items with an * are required.
Current Address Information
Address: *
City: * State: * Zip: *
Previous Address Information
Address:
City: State: Zip:
Current Employment
Employer (Company): *
Duration of Employment*
Years:
Months:
Occupation: *
Employer Phone: *
Area Code, Prefix, Line Number 		Gross Monthly Income: * $
Previous Employment
Employer (Company):
Duration of Employment:
Years:
Months:
Additional Information
Additional Income: $ Income from:
Liquid Assets: $ Credit Rating: *
NOTE: All items with an * are required.
Federal Applicant Demographics
Ethnicity: Race:
Gender:
Financial Statement
Home Purchase Date* Purchase Price* Down Payment*
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Please enter the full date, not just the year! 		$
Please enter the purchase price of the home in full dollars. 		$
If you have a VA loan, please enter a Zero above.
First Mortgage Second Mortgage
Lender*:
Balance Owed* $
Monthly Payment* $
Interest Rate* %
Lender*
Balance Owed* $
Date Opened*
Monthly Payment* $
Interest Rate* %
Appraisal Information
Appraised Value* $
Date of Last Appraisal
Do you have a copy of the last appraisal?
Do you own any other land or real estate?
Additional Notes:
I/We agree to have my/our credit pulled (Initial to approve)   ←
NOTICE: Arizona is a "Community Property" state. Generally speaking, it means that all property, goods, salaries and debts acquired, earned or contracted after marriage, by law, belong to the marital community. "Sole and Separate Property" is generally defined as those goods, property, income and debts acquired prior to the marriage, or by gift or inheritance after the marriage. Please complete all sections of the application providing information about the applicant, co- applicant, or the person for whose alimony, support, maintenance payments or income/ assets you are relying upon.

By initialing below and submitting the application, the borrower(s) state that the information provided on the pre-application is true and correct. The borrower(s) authorizes AAMFG and any Lender as assigned, to obtain my/our credit information and to verify employment and income. I/we consent and authorize information regarding this pre-application to be communicated between A&A and any Lender as assigned.

Initial to approve:   ←