Quick Application
Borrower: SS#: Phone:
Address: Zip:
Rent:   Own:   How Long:   Payment:   WK #:
 
Co-Borrower: SS#: Phone:
Address: Zip:
Rent:   Own:   How Long:   Payment:   WK #:

EMPLOYMENT
Borrower: Position: Years:
Co-Borrower: Position: Years:
Gross Monthly Income: Borrower: Salaried  Self-Employed

Co-Borrower: Salaried  Self-Employed
Total:

ASSETS
Checking/Savings:   Gift:   Other:

DEBTS
           Creditors: Balance Owed: Monthly Payment:
           
           
           
           
           

I/We hereby authorize America First Mortgage Co. to obtain an
in-file credit report detailing my/our former and/or present credit.

        
        Borrower

Date
        
        Co-borrower

Date

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