, THE RILEY GROUP REALTY & PROPERTY MANAGEMENT Phone: 864-654-1999

The Official Realtors of Lake Keowee, Lake Hartwell and Surrounding Area     Area Communities     Attractions     Guestbook     Home     Mortgage Rates     Prequalify     Recommended Vendors     Team Members     Today's News     Useful Links FOR BUYERS     MLS Search     My Listings     Dream Home FOR SELLERS     Market Analysis     Ask an Expert RESOURCES     Area Profile     Free Reports     Area Weather     Area Libraries     Area Schools     Terminology     Calculator     Site Map     Our Friends     Mailing Lists CONTACT     Tell a Friend     Contact Me PREQUALIFY Borrower Information:   Borrower (Full Name): Date of Birth: (ex. dd/mm/yyyy) Soc. Security #: Residence Phone #: Business Phone #: Present Address: City: State/Province: Zip Code/Postal Code: E-mail Address Years at Present Address:   Rent $  /month or Own $   Previous Address: City: State/Province: Zip Code/Postal Code: Marital Status: Married Separated Unmarried (including single, divorced, or widowed)     Occupation:    (Position & Title) # of years: Place of Employment:   (Name & Address) Previous Employer:    (Name & Address) Co-Borrower Information:   Co-Borrower (Full Name): Date of Birth: (ex. dd/mm/yyyy) Soc. Security #: Residence Phone #: Business Phone #: Present Address: City: State/Province: Zip Code/Postal Code: E-mail Address Years at Present Address:     Rent $  /month or   Own $    Previous Address: City: State/Province: Zip Code/Postal Code:   Marital Status: Married Separated Unmarried (including single, divorced, or widowed)   Occupation:    (Position & Title) # of years: Place of Employment:    (Name & Address) Previous Employer:    (Name & Address) Gross Annual Income:   Borrower Co-Borrower Self-Employed ? Yes    No Yes    No Base Salary: $ $ Overtime: $ $ Bonuses: $ $ Commissions: $ $ Dividends: $ $ Net Rental Income: $ $ Other: $ $   Total: $ $   Do You Intend To Occupy This Property ?    Yes     No Number of Children: Ages: Other Dependents:   Assets:   Other Assets (Specify): Checking: $  Bank: $  Bank: Savings: $  Bank: $  Bank: Credit Union: $  Bank: Stocks: $ Bonds: $ Life Insurance: $   Present Residence  (If Owned): Market Value: $ Morg. Value: $ Lender:     Liabilities:   (List outstanding obligations including auto loans, mortgage payments,credit cards, personal loans, and all other loans.)   Type Creditor's Name Unpaid Balance Due Date Monthly Payment $ $ $ $ $ $ Total:   $ $   Additional Monthly Obligations: Alimony:  $ Child Support:  $ Child Care:  $   Are There Any Judgements or Lawsuits Present?   Yes    No Amount:  $ Is Any Part of the Down Payment or Settlement Costs Being Obtained From a Source Other Than From Assets Listed Above?   Yes    No I hereby give my consent to have my credit report secured from any credit reporting agency which you designate.   Yes    No

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