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Contact EMP today and tell us about your mortgage needs... One of our

EXPERIENCED
MORTGAGE
PROFESSIONALS

will help you along the way from the moment you call to the day you close your loan.
EMP is here to help you

SAVE MONEY and GET MONEY

TO DETERMINE IF YOU'RE PREQUALIFIED FOR A LOAN:

Please fill in all the applicable information below and click SEND.  An EXPERIENCED MORTGAGE PROFESSIONAL will contact you within 1 business day from time of submission with more information...
Purpose of Loan {Purchase Home/Refinance Home/Other}
Sale Price (Purchases Only)
Amount Available for Down Payment/Closing Costs (Purchases Only)
Source of Assets/Down Payment {BankAcct/InvestmentPortfolio/RetirementFund/Gift/SaleOfProperty/Other(Please Specify)/}
Current Home Value (Refinances Only)
Cash out Amount Requested (Refinances Only)
Reason for Cash Out (Refinances Only) {Home Improvments/Debt Consolidation/Other(please specify)/}
Address of Propety to Be Mortgaged {#/Street/City/State/Zip}
Property Type {SingleFamily/Condo/Co-Op/2-4 Unit/Mixed Use/Other(please specify)/}
Year Home Built
Annual Property Tax Amount
Annual Insurance Premium Amount
Year Home Purchased (Refinances Only)
Original Purchase Price (Refinances Only)
1st Mortgage Balance (Refinances Only)
1st Mortgage Monthly Payment (Refinances Only)
2nd Mortgage Balance (Refinances Only)
2nd Mortgage Monthly Payment (Refinances Only)
Other Property Lien Balances (Refinances Only)
Have you ever been late on your mortgage by more than 30 days in the last 12 months? If yes, indicate approx # of days late of most severe late payment
How would you rate your credit? {Excellent/Good/Fair/Poor/}
Have you ever filed for Bankruptcy? (If yes, indicated chap 7 or 13, approx file date, approx discharge date)
Have you ever been in foreclosure? If yes, indicate date occurred and final outcome {SaleOfHome/Refinance/Modification/DeedInLieu/Bankruptcy/PropertyAuctioned/}
Approx Auto Loan Balances
Approx auto loan monthly payments
Approx Credit Card Balances
Approx total credit card monthly payments
Borrower First Name
Borrower MI
Borrower Last Name
Borrower current address (#/Street/City/State/Zip)
Years/months there
Current Rent/Mortgage Monthly Payment
Borrower Previous Address (If at current address less than 2 years)
Borrower Employment Status {Employed/Self-Employed/Retired/Unemployed/}
Borrower Annual Income
Co-Borrower First Name
Co-Borrower MI
Co-Borrower Last Name
Current Rent/Mortgage Payment
Co-Borrower Current Address (if different than Borrower)
Years/months there (if different than borrower)
Co-Borrower Previous Address (if at current address less than 2 years)
Co-Borrower Employment Status {Employed/Self-Employed/Retired/Unemployed/}
Co-Borrower Annual Income
Other Income (Please be specific)
Additional Comments/Requests
Daytime Phone() -
Evening Phone() -
Best time to call
EMP Network, Inc. CORPORATE OFFICE: 732 Smithtown Bypass, Suite A55, Smithtown, NY 11787 
New York-Registered Mortgage Broker NYS Banking Dept All Loans Arranged Thru 3rd Party Lenders

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EXPERIENCED MORTGAGE PROFESSIONALS