Buyer Financial Information Sheet -
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2BUYER FINANCIAL INFORMATION SHEET
(If there is more than one buyer, a separate Buyer Financial
Information Sheet shall be completed for each.)
INFORMATION ABOUT BUYER
Last Name
First Name
Initial
Sr,Jr,II
Date of Birth
Social Security No.
Mo. Day Year
Home Address
Street
City
State
Zip Code
How Long?
Home Phone
Rent
Own
Previous Address
Street
City
State
Zip Code
How Long?
No. of Dependents
Name and address of nearest relative not living with you
Relationship
Home Phone
Name/address of employer
Position held
Gross mo. salary
How long with
Business Phone
firm?
OTHER INCOME: You need not disclose
Name of your bank, credit union or savings & loan:
alimony, child support or separate maintenance
_________________________________________
payments unless you wish to use such income to
Checking No.____________ Balance___________
establish your creditworthiness.
Savings No._____________ Balance___________
Other monthly income $___________________
Source: ________________________________
ASSETS
(What you own)
Description
If co-owned,
Value
show name of co-owner
Home:
Own
$
Rent
Other Real Estate
Car
Furniture
Other Assets (Stocks, Bonds, Insurance, etc.)
Total Assets
$
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Parent category: Business