Tano's Quick Application Form - EZ Fundings Home Loans

WHO REFERRED YOU? *

HOW MUCH DO YOU CURRENTLY OWE ON YOUR HOME? *

WHAT IS THE APPROXIMATE VALUE OF YOUR HOME? *

WHAT IS YOUR ESTIMATED CREDIT SCORE? *

DESIRED LOAN AMOUNT

PROPERTY TYPE *

BORROWER'S NAME *

First

Last

DOB *

SSN *

MARITAL STATUS *

CELL PHONE NUMBER *

HOME ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

EMAIL *

CITIZENSHIP *

EMPLOYER

WORK ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

EMPLOYED FOR (YEARS AND MONTHS)

SELF EMPLOYED

POSITION HELD

BUSINESS PHONE NUMBER

CO-BORROWER'S NAME

First

Last

DOB

SSN

MARITAL STATUS

CELL PHONE NUMBER

EMAIL ADDRESS

HOME ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

CITIZENSHIP

EMPLOYER

WORK ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

EMPLOYED FOR (YEARS AND MONTHS)

SELF EMPLOYED

POSITION HELD

BUSINESS PHONE NUMBER

ANY OTHER DETAILS TO SHARE:

Checkboxes *

I hereby authorize EZ Fundings, Inc. to verify all the information provided and to review my credit.