Preliminary Information e Authorization
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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 _________

Funds Available
Savings __________ 401K __________IRA __________Gift __________ Other __________
Credit Card / Auto Loan DebtMortgage Information
Credit Cards
and Auto 		Balance Monthly
Payment		Value of current home $_________
___________ ________ ________ Current mortgage balance $ _________
___________ ________ ________

Monthly payment $ _________

___________ ________ ________
Have you ever filed bankruptcy?
 Yes ____ No ____		Foreclosure?? Yes ____ No ____
How would you rate your credit??
 Excellent ____ Good ____ Fair ____ Poor ____		Previous divorce?? Yes ____ No ____

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

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