FINANCIAL INFORMATION SHEET
This information is presented with the understanding that it may be used as a basis for the acceptance of a contract by the seller. The undersigned hereby authorizes the agents to disclose to the seller, seller’s agents and any lender, all or any portion of the information sheet. Any misrepresentations, fraudulent entries and/or omissions on this form, which may adversely affect the Buyer’s ability to qualify for a loan, may be used as a basis for legal action.
Buyer ______Soc. Sec. # ______
email ______email 2 ______
Home Phone ______Bus. Phone ______Cell ______
Address______City, State, Zip ______
Years at present address ______Own or rent ______PITI or Rent ______email address ______
Previous Address ______City, State, Zip ______
Occupation Position and/or title ______Years in this job ______
Place of Employment ______
Address ______
Previous Employment ______
Co-Buyer ______Soc. Sec. # ______
email ______email 2 ______
Home Phone ______Bus. Phone ______Cell ______
Address ______City, State, Zip ______
Years at present address ______Own or rent ______PITI or Rent ______email address ______
Previous Address______City, State, Zip ______
Occupation: Position and/or title ______Years in this job ______
Place of Employment ______
Address ______
Previous Employment ______
Gross Annual Income:BuyerCo-Buyer
Self-employed______Both buyers First-Time
Base salary$ ______$ ______MD Home Buyers? ______Overtime $ ______$ ______Will both buyers occupy
Bonuses$ ______$ ______this property? ______
Commissions$ ______$ ______Number of dependents? ___
Dividends$ ______$ ______Notes: ______
Net Rental Income$ ______$ ______
Other: ______
Has either buyer ever declared bankruptcy? ______
Any outstanding judgments, lawsuits or tax liens? ______
Are there any factors that could affect your ability to obtain a mortgage? ______
Is any part of the down payment or settlement costs being obtained from a source other that from assets listed above? ______
Assets:
Present Residence: Mkt. Value ______Mtg. Bal. ______Lender ______
Checking $ ______Bank ______
$ ______Bank ______
Savings$ ______Bank ______
$ ______Bank ______
Other$ ______in ______
$ ______in ______
Liabilities: (Outstanding obligations including auto, mortgage(s), credit cards, personal loan(s), and/or cosigned loans.)
TypeCreditor’s NameUnpaid BalancePayments remainingMonthly Payment
______$ ______$ ______
______$ ______$ ______
______$ ______$ ______
______$ ______$ ______
I (we) certify that I (we) are over the age of majority and that the above information is true and accurate to the best of my (our) knowledge and by my (our) signature(s) acknowledge receipt of this financial information sheet.
______
BuyerCo-Buyer
______
DateDate
The Buyer’s Best, LLC
301-874-5100, 1-866-631-0525
Fax 301-607-4524