Grant Loan Application

THE AMERICAN FINANCIAL EXCHANGE PURCHASE GRANT-APPLICATION

How Did You Hear About Us?: Pick Here Web Radio TV Newspaper Realtor Friend or Family Member

Sales Price You Want To Get Approved For?: $

What Are You Looking To Buy?: Pick Here Single Family Residence Condominium Town Home 2nd Home Rental Property Duplex

APPLICANT INFORMATION

First Name: Mid. Init.: Last Name:

Date of Birth: (Example: 01/01/1900)

Social Security Number: (Example: 333-33-3333)

CURRENT ADDRESS

Address 1:

Address 2:

City: State: Zip:

Home Phone (with Area Code): 1- (Example: 734-777-5555)

Cell Phone (with Area Code): 1- (Example: 734-777-5555)

Email:

APPLICANT INCOME AND CREDIT INFORMATION

Income Type: Pick Here W2 Employee 1099/Commission Self-Employed Fixed Income Select A Credit Profile: Pick Here Good Credit 700 Plus Fair Credit 625-699 Sub-Prime 575-624 Bad Credit 500-574 No Credit Score N/A

Company Name/Employer:

Position Or Job Title:

How Long Have You Been With This Company? Years

Hourly Wage: $ (Example: 20.00) Salary Wage Pre Year: $ (Example: 100,000)

C0-APPLICANT INFORMATION

Co. First Name: Co. Mid. Init.: Co. Last Name:

Co. Date of Birth: (Example: 01/01/1900)

Co-Social Security Number: (Example: 333-33-3333)

CURRENT ADDRESS

Address 1:

Address 2:

City: State: Zip:

Home Phone (with Area Code): 1- (Example: 734-777-5555)

Cell Phone (with Area Code): 1- (Example: 734-777-5555)

Email:

CO-APPLICANT INCOME AND CREDIT INFORMATION

Income Type: Pick Here W2 Employee 1099/Commission Self-Employed Fixed Income Select A Credit Profile: Pick Here Good Credit 700 Plus Fair Credit 625-699 Sub-Prime 575-624 Bad Credit 500-574 No Credit Score N/A

Company Name/Employer:

Position Or Job Title:

How Long Have You Been With This Company? Years

Hourly Wage: $ (Example: 20.00) Salary Wage Pre Year: $ (Example: 100,000)

MORTGAGE OR RENT INFORMATION

Do You Currently Rent Or Own: Rent Own

What Is Your Current Rent Or Mortgage Payment?:$ (Example: 2,500)

How Many Years Have You Been There? YR.

What Do You Currently Rent Or Own?: Pick Here House Town House Condo Apartment Mobile Home

How Do You Pay Your Rent: Check Money Order Cash

If You Pay Rent, Who Do ou Pay It To?: Landlord Company

LET US KNOW IF YOU HAVE ANY QUESTIONS OR IF YOU WOULD LIKE TO PROVIDE ANY ADDITIONAL INFORMATION.

By Clicking The Apply Now Button, You Agree To Our Privacy Policy And Understand That You Will Be Contacted Either By Phone Or Email By A Mortgage Banker At American Financial Exchange. By Clicking The "Apply Now" Button: I/We authorize American Financial Exchange, its successors and or assigns to investigate any and all information in order to process this mortgage transaction. This will include, but is not limited to, a request by our Lending Partners for a mortgage banking credit report.