Lexington, Kentucky Real Estate by Bill D. Smith, Realtor

Printable Application to Fax

PRINT this form and fax it to Bill D. Smith at 1-866-391-7764
Borrower 1:_______________________________  D.O.B._______________________
Social Security #:__________________________ .
Borrower 2:_______________________________  D.O.B._______________________
Social Security #:__________________________  
Street Address:_________________________________________________________
City:____________________________________ State:___________________
Zip:_____________________________________ How long?________________
Monthly Income for Main Borrower:$___________________________________
Home Telephone # (w/Area Code): __________________________________________
Work Telephone # (w/Area Code): ___________________________________________
Email Address: __________________________________________________________
Please be sure all information is PRINTED and READABLE! Thanks!
Main Borrower's Employer:___________________ How long employed?________
Monthly Income for Co-Borrower:$___________________________________________
Co-Borrower's Employer:_____________________ How long employed?________
Amount Available for Down Payment: $_______________________________________
I/We grant permission to Bill D. Smith, Realtor with RE/MAX Creative Realty, to obtain my credit report.
Signature (Borrower):________________________ Date:_____________________
Signature (Co-Borrower):_____________________ Date:_____________________
 

 

All information herein believed accurate, but not warranted. Sellers disclosure available upon request.

Bill D. Smith, Realtor | Copyright © 2000-2007
Homes For Sale Of Lexington, Jack Gravitt, Broker, 1012 Dew Court, Lexington, KY 40515
Your Realtor for Today ... utilizing Tomorrow's Technology!
Call Bill at (859) 983-6778 | Email bill@billdsmith.com

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