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		1st Foundation Mortgage - Online Application Applying for: * If purchase: Amount: Term: Any funds for down payment: * If refinance: Amount: Cash out? What is being paid off? Type of property: Applicant Full Name E-mail Address DOB SSN Home Phone Cell Phone Work Phone Current Street Address City State Zip Do you rent or own your current residence? How long have you resided at your current residence? Previous residence (if current residence is less that 2 years) Previous Street Address City State Zip Did you rent or own your previous residence? Current Employer Current monthly income How long have you been employed with your current employer? Previous employer (if you have been employed by current employer for less than 2 years): Additional income: Alimony, child support, or separate maintenance income does not have to be disclosed. I authorize 1st Foundation Mortgage, Inc. to use the information provided to run a credit check. Co-Applicant Full Name E-mail Address DOB SSN Home Phone Cell Phone Work Phone Current Street Address City State Zip Do you rent or own your current residence? How long have you resided at your current residence? Previous residence (if current residence is less that 2 years) Previous Street Address City State Zip Did you rent or own your previous residence? Current Employer Current monthly income How long have you been employed with your current employer? Previous employer (if you have been employed by current employer for less than 2 years): Additional income: Alimony, child support, or separate maintenance income does not have to be disclosed. I authorize 1st Foundation Mortgage, Inc. to use the information provided to run a credit check. Assets Checking Account: Average Balance Where is it located? Savings Account: Average Balance Where is it located? Life Insurance: Type Amount Investments: Type Amount Autos (required regardless if an amount owed or not): Year Make Model Who will be processing this application? Sabrina Geist Lannie Geist Jamie Hill I Don't Know

1st Foundation Mortgage - Online Application