Please fill in the answers you feel comfortable with as this application will be followed up by a personal call and/or email from Jerry Bettridge.

Mortgage Application - JerryBettridge.com

Details of Mortgage Requested:
First: Second:
Market Value: Purpose of Loan:
Email:

Personal Information:
Full Name: Present Residence:
Phone (Res): Phone (Bus):
City: Yrs:
Current Employer: Gross Annual Income: - Occupation:
Yrs:
Previous Employer:
(If less than 3 years)
Gross Annual Income: - Occupation:
Yrs:
Co-Applicant Name: Gross Annual Income: - Occupation:
Co-Applicant Current Employer: Yrs:
Other Income
Source: Amount:
Source: Amount:

Financial Net Worth:
AssetsValueLiabilitiesTotal DebtMonthly Payments
CashCredit Cards
Principal CashPrincipal Res.
Rental/Other Prop.Rental/Other Prop.
Credit Lines/Loans
Total Assets:Total Liabilities:

Property Description:
Municipal Address:Livable Area (sp M):Age:
Lot Size:Taxes:

Credit References:
BankLocationAccountAmount
CreditorDescriptionBalanceMonthly Payments

Exsisting Mortgages:
Held By:Amount:
Address:Maturity Date:
Mortgage Type:Payment:

Additional:
Additional Comments: