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L&R MORTGAGE

Borrower Information

Borrower Name*

DOB*

Month

Day

Year

Email*

Phone*

SSN or ITIN*

Country of Nationality*

Which language do you prefer to communicate in?*

English

Spanish

Other

Marital Status*

Single

Married

Divorced

Widowed

Domestic Partnership

Prefer not to say

Other

File upload*

File upload

Two Years of Taxes, Paystubs & W2*

Address Where You Currently Reside *

How Much Is Rent?*

How Long You Have You Lived in Current Address*

Previous Address Where You Lived*

How Long You Lived in Previous Address*

Current Occupation*

Current Employer*

Employer Address*

Employer Phone Number

Time Working in Current Job?*

Start Date*

End Date*

Previous Occupation*

Previous Employer*

Previous Employer Address*

Previous Employer Phone Number

Start Date*

End Date*

Do You Own A House?*

Yes

No

Do You Own A Vehicle?*

Yes

No

Monthly Car Payment Amount:*

Vehicle Payment Status:*

Financed

Leased

Paid Off

Make, Model & Year of Vehicle*

Do You Have Children?*

Yes

No

If Yes, How many? *

Children Ages

Have You Been Evicted or Declared Bankruptcy in the last 5 years?*

Evicted

Bankruptcy

N/A

What is your credit score? Approximate*

What price range are you looking to buy a property in?

Send all documents

to: lrmortgageok@gmail.com

VISION
ABOUT

OVER 15 YEARS LENDING IN OKLAHOMA CITY METRO. CALL: 405-413-8418

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