CONSOLIDATED LENDERS GROUP, INC.


*NEW HOME LOAN*

	It just takes minutes to submit your loan request. Once you submit your request, our Loan Matching system will go to work and select the best possible rate and loan product. Our system will then submit your loan request for approval. All fields are required unless otherwise noted.

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1.	If someone referred you, please enter their name	(not required)
2.	Your First Name
3.	Your Last Name
4.	Your Spouse Name	(not required)
5.	E-mail Address
6.	Home Phone
7.	Work Phone	(not required)
8.	Social Security Number
9.	Spouse Social Security Number	(not required)
10.	I give CLG permission to run a credit check
11.	In which city is the property located?
12.	In which state is the property located?
13.	How much much money do you wish to borrow?
14.	What type of property do you want to buy?
15.	For what purpose will you use this property?
16.	What is the estimated purchase price?
17.	How much cash do you want to put towards a down payment?
18.	What is your gross, pre-tax, monthly income?
	(Please include wages, investment income, and other income as well as any co-borrower's income) Please note: If you are willing to provide documentation of your income you will usually be charged less by lenders.
19.	What's your tax status?
20.	How long have you been at your current job?	Years Months
21.	How long have you been at your current address?	Years Months
22.	What are your monthly obligations?
	(Please include all monthly bills for yourself and any co-borrower, excluding housing)
23.	Have you declared bankruptcy sometime in the last 7 years?
24.	What best describes your credit history?
25.	When do you need this loan?
	(When do you expect to close?)
26.	Enter any comments here:	(not required)