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Applicant Information
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Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
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Co-Applicant Information
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Contact Information
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Evening Phone:
Email:
Financial Information
Loan Type:
Loan Amount: (USD)
Property Information
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Purchase Price: (USD)
Appraised Value: (USD)
Mortgage Balance: (USD if applicable)
Other Information
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Liz Glenn
Southwestern Mortgage Company
12526 High Bluff Dr,  #300
San Diego, CA 92130

Bus: (858) 395-9140
Fax: (209)569-5469

liz@loanwithliz.com

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