Please fill out the application form below to apply for a house loan. Note that by submitting this form, you give 1st Choice Home Centers and the bank that we send your application to, permission to do a credit check.  All the fields are required!
		Name (Including middle initial)         Social Security Number Enter like this 222-33-4444   Please enter all NINE digits Birth date   Marriage Status Married Divorced Separated Single         Number of Dependants (How many children?) 0 1 2 3 4 5 6 7 8 9 10 or more         What are their ages (Separate ages with a comma)         Present Street         City         State Zip     Contact Phone (Home or other Contact Number)   Cell Phone (Not required)   Fax Number (Not required)   How long (have you lived at present )         Do you rent or own? Rent Own Live with family         How much Rent/Month?         Previous (If less than 2 years at present )         Current Employer         Employers         Employers Phone # Hire Date         Job Title         Gross Salary (How much do you make before tax) Pay Period Per Hour Per Week Per Month Per Year         If paid by the hour, how many hours average per week         Do you get Overtime? No Yes Hours per week         Previous Employer (If less than 2 years at present job)         Do you have a bank account? Yes No Type of account? Checking Savings         Name of Bank         E-mail (Not required)           If a spouse or another person is going to apply with you, please enter his/her information below         Name (Including middle initial)         Social Security Number Birth date         Current Employer         Employers Phone # Hire Date       Gross Salary (How much do you make before tax) Pay Period Per Hour Per Week Per Month Per Year       Additional Comments       Note that by submitting this form, you give 1st Choice Home Centers and the bank that we send your application to, permission to do a credit check.
		Phone #	704-225-8850
		Fax #	704-225-8480
		E-mail	info@1stchoicemonroe.com
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			Page last updated March 25, 2010