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25900 Greenfield Road, Suite# 507
Oak Park, Michigan 48237
Phone 248.968.1979 | Fax 248.968.3631
ONLINE LOAN APPLICATION
Loan information
Loan Amount Requested:
Purpose of Loan:
Borrower #1
Name (Last, First)
,
Employer
How long at this employer?
Business Phone #
Monthly Income
Self Employed?
No
Yes
Borrower #2
Name (Last, First)
,
Employer
How long at this employer?
Business Phone #
Monthly Income
Self Employed?
No
Yes
Property Information
Property Address:
City,State, Zip
Home Phone:
Own/Rent & How Long
Rent
Own
For How Long?
Do you live in this property?
Yes
No
Purchase Price:
Est Value
Other Information
Have you ever filed Bankruuptcy?:
Yes
No
If Yes, How long ago?
Have you ever had a Foreclosure?:
Yes
No
If Yes, How long ago?
How is your credit history?
Excellent
Good
Fair
Bad
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