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LOAN APPLICATION

Customer Information
Borrower’s Name: * Co-Borrower:
Home Phone: Length of time in home:
Address: Home Type:
Bed Rooms: Baths:
Garage: Square Footage:

Employment Information
Employer: Co Borrower:
Position: Position:
Work Phone: Work Phone:
Gross Monthly Income: Gross Monthly Income:
Length Of Employment:

Asset Information
Savings Balance: Checking Balance:
401K/IRA:

Real Estate Information
Estimated Home Value:
1st Mortgage Co: 2nd Mortgage Co:
Loan Balance: Loan Balance:
Interest Rate: Interest Rate:
Loan Type: Loan Type:
Monthly Payment: Monthly Payment:
Escrows (Taxes and Insurance included):

Proposed Loan
Proposed Loan Type: Estimated Amount Needed:
E-Mail: *
How did you hear about us?:


We will contact you within one business day.
  9350 Falls of Neuse Road Suite 103 Raleigh, NC 27615 © 2005 - 2012 Triangle Lending Group LLC  
Triangle Lending Group NMLS# 64446
North Carolina License Number: NC B-1222129
Virginia State Corporate Commission License Number: VA MC-5531
Colorado License Number: CO LMB100034014
Oregon License Number: OR ML-5030
Washington License Number: MB-64446
Maryland License Number: 19689
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