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Borrower & Co-Borrower Info
Borrower:
Phone:
FICO:
Co-Borrower:
Phone:
FICO:
Referral Source
Name:
Company:
Phone:
Cell:
Fax:
Email:

Property Info
Property Address:
Property Type: SqFt/Acr. Yr. Built
# Units:   # Bldgs:   % Occ: % Owner Occ:
Market Value: Taxes: Insurance:
Gross Income: Mgmt Fee:  
Other Expenses:
Notes:

Loan Info
Loan Purpose:
Doc. Type:
Loan Amt:
LTV:
Term:
Purchase
Sales Price:
Down Pymt:
Sub. Finance:
Cash on Hand:
Refinance
1st Mtg:
2nd Mtg:
Cash-Out:
Purchase Date:

Notes



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Syracuse Securities
1010 James Street
Syracuse, NY 13203
(315)424-0218
NYS Only: (800)448-3200
Fax: (315)424-6055

Equal Housing Lender - Licensed Mortgage Banker - NYS Banking Department

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