Broker: Contact:
Address:
City: State:
Zip Code:
Phone: Fax: E-Mail:
Borrower: Co-Borrower:
Address:
City: State:
Zip Code:
Property Type: Location: Occupancy:
Appraised Value / Purchase Price: Loan Amount:
LTV: Must Have LTV? Product Request:
Mortgage / Rental:
Payment History (Last 12 months):
Borrower Scores: Eq: Ex: TU:
Co-Borrower Scores: Eq: Ex: TU:
Bankruptcy:
Foreclosure:
CCCS:
Minimum U/W Submission Requirements:
Completed 1003
Initial RESPA Disclosures
Purchase Agreement (if applicable)
Income Documentation
*Other documentation may be required on case-by-case basis
Other Comments / Remarks:
Please fax this form with your 1003 & credit report to (314) 817-1590. If you have any questions, please contact your Account Executive at (800) 860-0878, ext 718 or email me at tzaegel@crevecor.com
