Golden Mortgage Capital, LLC


	Loan Application

	Instructions: Print this page Fill in all fields Fax to (303) 205-7926

Applicant Name:
Home Phone:
Home Address:
Previous:
	**If less than two years
Employer:
Work Phone:
Work Address:
Income:			Year		Month		Week
Years on the Job:
Social Security #:
Date of Birth:
Age:


Co-Applicant:
Home Phone:
Home Address:
Previous:
	**If less than two years
Employer:
Work Phone:
Work Address:
Income:		Year		Month		Week
Years on the Job:
Social Security #:
Date of Birth:
Age:


	Equal Housing Opportunity


	Checklist of Items Required:

		2 recent pay stubs 2001 & 2002 W-2’s 2001 & 2002 1040’s if self-employed/commissioned Copy of hazard insurance (if applicable) Bank statements (last two months) Divorce Decree or Bankruptcy papers ( if less than three years)

To Whom it may concern:

The undersigned applicant(s) has/have applied for a loan with Golden Mortgage Capital. You are hereby authorized to release any information required to complete the processing of the loan request.

Please accept a photocopy of this document in lieu of original signatures.

Applicant:		Date:
Co-Applicant:		Date:


		Please fax this application to:

	(303) 205-7926


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