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Please contact Erin Moraites at erin.moraites@gmail.

com 
Phone: 432‐923‐3225    Fax: 888‐833‐7383     Date:_____/_____/200____ 
 
Borrower:______________________________  Co‐Borrower:_______________________________ 
 
SSN:___________________________________  SSN:______________________________________ 
 
DOB:___________________________________  DOB:______________________________________ 
 
Address:_________________________________  Address:___________________________________ 
 
_________________________________________  ___________________________________________ 
Yrs__________Mths______________    Yrs______________Mths________________ 
 
Past Address:_____________________________  Past Address:_______________________________ 
Yrs___________Mths______________    Yrs______________Mths_________________ 
 
#Children:________Ages:___________________  Email:____________________________________ 
 
Email:____________________________________  Cell:______________________________________ 
 
Cell:______________________________________  Credit Expectation:  Excellent   Good   Fair   Low 
 
Home:____________________________________  =========================================== 
 
Purchase Price:_____________________________  Do you currently own a home?   Yes   No 
 
Percent to put down:________________________ If Yes are you renting it or selling it?___________ 
 
Credit Expectation:   Excellent   Good   Fair   Low 
 
EMPLOYMENT INFORMATION 
 
Employer:______________________________       Employer:__________________________________  
Job Title:____________________________               Job Title:____________________________ 
 
Phone:_________________________________        Phone:_____________________________________ 
# of Years:_________           # of Years:_________ 
Income:___________         Income:___________ 
 
Paid:  Hourly   Salary   Comm   Bonuses    Paid:  Hourly   Salary   Comm   Bonuses 
 
How did you learn about us?____________________________________________________________ 

Phone: 432.923.3225  West Texas Sustainable Ventures & Ed Teeples Homes  Fax: 888.833.7383 


  www.westtexassustainableventures.blogspot.com 
 

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