American Finance Company

 After submitting this application, our mortgage office will call you for any additional information. 

BORROWER INFORMATION

   PLEASE PROVIDE A COMPLETE 2 YEAR ADDRESS AND WORK HISTORY

Name                    SSN#          DOB 

Present Address   

City  ST    ZIP   County 

Previous Address (Please provide if less than 2 years at current address) 

SUBJECT PROPERTY ADDRESS 

Home Phone    Work Phone     

Cell Phone        Married     Single 

Employer    Time on Job 

Position       

Monthly Income  Other Income    

(Provide if less than 2 years on current job)

Previous Employer    Mo. Income  

Position  Start/End Dates

   CO-BORRower  

Name       

SSN#          DOB 

Employer    Position 

Work Phone       Time on Job      

Monthly Income  Other Income  

(Provide if less than 2 years on current job)

Previous Employer     Mo. Income  Position   Start /End Dates

Do you have any minor children or dependents that live with you?  

If so, ages    

Bankruptcy  Ch 7 or Ch 13 When Filed   Date Discharged

Do you have any liens or judgments against you? 

MORTGAGE INFORMATION

Purchase Price   Appraised Value                            

Down Payment    Year Built

Escrow:  Yes or No Current Owner/Seller   

Phone#                                Fax#   

OTHER REAL ESTATE OWNED

Address    Value 

Creditor Balance Payment

Address    Value

Creditor Balance  Payment

  ASSET INFORMATION  

Where do you bank?    

Checking / Savings   Acct#  Avg. Balance  

Checking / Savings   Acct#  Avg. Balance  

Checking / Savings   Acct#   Avg. Balance

CD        Value

IRA       Value

401K     Value

  Life Insurance (Cash value only)     Value

Stocks/Bonds   Value

 AUTOMOBILES OWNED

 Year Make   Model

  Year Make   Model

 Year Make   Model

 Year Make   Model

 COMMENTS

Consolidated Loan Company Home Office

430 West Tift Avenue

P. O. Box 46

Albany, Georgia 31702

To contact us: