Preliminary Information eAuthorization
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Print this form and fax or mail to the address below

 

Borrower Information

Name
____________________________________

Present Address
____________________________________

Years at Present Address ________________

Daytime Phone ________________________

24-Month Employment History

Occupation
____________________________________

Present Employer
___________________________________

Dates of Employment _______ to _________

Monthly Income _______________________

Previous Employment
____________________________________

Dates of Employment _______ to _________

 

Co-borrower Information

Name
____________________________________

Present Address
____________________________________

Years at Present Address ________________

Daytime Phone ________________________

24-Month Employment History

Occupation
____________________________________

Present Employer
___________________________________

Dates of Employment _______ to _________

Monthly Income _______________________

Previous Employment
____________________________________

Dates of Employment _______ to _________

 

Please fax or mail this form back to our office, along with the completed
Blanket Authorization Form (www.LoansByTrista.com/eform.html) - Thank you!

Director's Mortgage • 4550 SW Kruse Way, Suite 275 • Lake Oswego, Oregon 97035 • Phone (503) 709-1731 • Fax (503) 296-2342