Bell & Associates Real Estate Firm - (903) 784-0024

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Borrower Information
Borrower's Name Co-Borrower's Name
Social Security Home PhoneDOB Yrs. School Social Security Home PhoneDOB Yrs. School
EmployerNumber of Years EmployerNumber of Years
Home AddressCity StateZipcode
Cell Phone Email Address
Landlord Monthly Rent Payment $
Child Support Income $ Gross Income + Other Income $
Gross Income $ Savings for Down Payment $

Who do you pay monthly (not utilities) Example: car, visa, furniture, finance co, bank, etc.

Creditor Monthly Payment $
Creditor Monthly Payment $
Creditor Monthly Payment $
Creditor Monthly Payment $
Creditor Monthly Payment $
Creditor Monthly Payment $
Child Support Debt $ Monthly Payment $

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