Debt Analysis - JMR Financial

Phone: (630) 894-2720
Pager: (630) 487-1098

2037 Bloomingale Road
Suite 201 B
Glendale Heights, IL 60139

Debt Analysis Worksheet

What Am I most Interested in?

(Hold down Ctrl to make multiple selections)

Borrower Information

Name:

Date of Birth:

Soc. Sec.#:

Address:

Years:

Home Phone:

Work:

Employer:

Years:

Position:

Email Addr.:

Monthly
Salary:

Other
Income:

Mortgage:

Holder

Balance

Payment

Home Info:

Purchase Price

Crnt. Mkt. Val.

Home Type

Co-Borrower Information

Name:

Date of Birth:

Soc. Sec.#:

Employer:

Monthly
Salary:

Work
Phone::

By checking this box, I authorize JMR Financial Services, Inc. to obtain my/our credit report for the purpose of determining credit worthiness. The information that is obtained is strictly confidential. A photocopy, e-mail or facsimile of this authorization may be deemed to be the equivalent of the original.

Inner Circle Clients - Don't forget: If you are a member of a participating Inner Circle Company or Group please indicate the name of the company/group to receive your discount.

If your company or group would like to become an Inner Circle Client, contact ARanvestel@JMRMortgage.com.

For Highest Priority and Fastest Approval
Fax to (630) 894-2721 or mail copies of these documents after you've submitted your Debt Analysis Form:
If Employed: 1 month's paystubs. W-2 form from last year
If Self-Employeed: Schedule C from Form 1040 for previous 3 years.
If on Fixed Income: Award letter, 1099, or bank statement
Homeowner's Insurance Declaration Page

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JMR Financial is an Illinois Residential Mortgage Licensee
and an Equal Housing Opportunity Lender.