Green Pastures Mortgage & Finance Company

BORROWER INFORMATION
SSN: (optional)		- -
First Name:
Middle Initial:
Last Name:
Phone:
Email:
Marital Status:		Married Seperated Single

COBORROWER INFORMATION
SSN: (optional)		- -
First Name:
Middle Initial:
Last Name:
Phone:
Email:
Marital Status:		Married Seperated Single

CURRENT ADDRESS

Street:

City:

State:

ZIP:

SUBJECT ADDRESS

Same as Current Address

Street:

City:

State:

ZIP:

BORROWER EMPLOYMENT
Company:
Occupation:
Years on Job:
Annual Income:
Work Phone:

COBORROWER EMPLOYMENT
Company:
Occupation:
Years on Job:
Annual Income:
Work Phone:

LOAN INFORMATION

Value of Home:

Type of Loan:

Style:

Rancher	Cape Cod	3-Story
Colonial	Condo	Multi
Split Level	Split Foyer	Manufactured

Bedrooms:

1 2 3 4 5

Exterior Finish:

Brick	Vinyl	Aluminum	Wood
Stone	Stucco	Formstone

Basement:

Full

Partial

Crawl

Slab

% Finished:

Water Front:

Yes No

Water View:

Yes No

Other rooms:

Central Air:

Yes No

Fireplace:

0 1 2 3 or more

Half-Bath:

0 1 2 3 or more

Full Bath:

0 1 2 3 4 or more

Amenities:

Front Porch	Rear Porch	Deck
Fence	Shed	Outbuildings
Inground Pool	Patio	Screened Porch

Lot Size

Car Storage

Carport	1 Car Garage	2 Car Garage
3 Car Garage	4 Car Garage

HOW DID YOU HEAR ABOUT US?
mailer website radio referred by someone

ADDITIONAL COMMENTS: