PRIMARY BORROWER'S INFORMATION - Full name
Address in US. Include city and state. (last or current)
Do you own or rent?
How long have you lived there ?
Telephone Number (Contact)
Telephone Number - Office
Social Security # (Required)
Marital Status
Children (please indicate how many dependent children and their ages) If none, enter NONE.
Employer's Name and Address (if not military). Enter N/A if military.
Unit (if military). Enter N/A if not military.
Gross Monthly Salary (before taxes)
Number of years currently employed.
Position Title (for civilian) or rank (for military).
Other monthly income and source (retirement, VA disability, etc)
Have you had a bank-- ruptcy in last 10 years ?
Have you had a fore- closure in the last 10 years?
Have you served at least 90 continuous days in the active armed forces or reserves?
Is Texas your home of record ?
Did you enter military service in Texas?
REMARKS (include any child support payments. Specify if you make the payment or receive the payment)
SPOUSE'S INFORMATION (Full Name) . The information below is required, if married .
Address in US. Last or current..
Social Security # (Required)
Employer's Name and Address
Gross Monthly Salary (before taxes).
ETS Date (if applicable).
Other monthly income and source (retirement, VA disability, etc).
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