1.
State:
*
2.
Applicant's credit rating:
*
3.
Amount of loan desired:
*
$
4.
Current interest rate:
*
5.
Type / Reason for loan:
*
6.
Estimated property value:
*
min.75000 $
7.
Type of property owned:
*
8.
Amount owing on
mortgage,
if any:
$
*
9.
Year property was purchased: