Better Choice Financial - Online Application

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If you have questions, please contact us at (888)484-3223

ALL INFORMATION IS KEPT CONFIDIENTIAL AND ONLY SHARED AS NEEDED TO COMPLETE YOUR APPLICATION.
Borrower's Full Name:			Co-Borrower's Full Name:

Borrower's SSN:			Co-Borrower's SSN:

Borrower's Home Address:			Co-Borrower's Home Address:
,			,
Borrower's Home Phone:			Co-Borrower's Home Phone:

Borrower's Work Phone:			Co-Borrower's Work Phone:

Borrower's Cell Phone:			Co-Borrower's Cell Phone:

Borrower's Email Address:			Co-Borrower's Email Address:

Borrower's Monthly Income:			Co-Borrower's Monthly Income:


CURRENT MORTGAGE INFORMATION
Estimated Home Value:

First Mortgage			Second Mortgage
Balance	% Rate	Payment	Balance	% Rate	Payment


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