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BORROWER INFORMATION Borrower s Name include Jr. or Sr. if applicable Social Security Number Home Phone incl. area code DOB Married Separated Yrs. School MM/DD/YYYY Dependents not listed by Co-Borrower Unmarried include single divorced widowed Present Address street city state ZIP no. TYPE OF MORTGAGE AND TERMS OF LOAN Mortgage Applied for VA Conventional FHA USDA/Rural Housing Service Amount Other explain Interest Rate No. of Months Agency Case Number Amortization Type Lender Case Number...
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