Together we can do it
February 6th, 2012 
Kosta Michailidis
Sales Representative, ABR

Better Homes and Gardens Real Estate Signature Service Inc., Brokerage
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Best Fixed - 1 year
2.59%
Best Fixed - 5 year
3.09%
Best Variable - 5 year
2.75%
In order to qualify for a mortgage I require the following information. Please fill out this form completely. I ONLY collect personal information necessary to effectively market and to sell the property of sellers, to locate, assess and qualify properties for buyers and to otherwise provide professional services to clients and customers.
I do not sell, trade, transfer, rent or exchange your personal information with anyone.

I appreciate the trust you are placing in me.
Type of Loan
  Personal Information:
First Name
Last Name
Present Address
City
Postal Code
How Long
Previous Address (if less than 2 years)
E-mail
Home Phone Number
Business Phone Number
  Employment:
Current Employer
How Long
Gross Annual Income
Occupation
Current Employer's Address
Phone Number
Previous Employer (if less than 2 years)
How Long
Gross Annual Income
Previous Employer's address
  Co-Applicant Personal Information:
First Name
Last Name
Present Address
City
Postal Code
How Long
Previous Address (if less than 2 years)
E-mail
Home Phone Number
Business Phone Number
  Co-Applicant Employment:
Current Employer
How Long
Gross Annual Income
Occupation
Current Employer's Address
Phone Number
Previous Employer (if less than 2 years)
How Long
Gross Annual Income
Previous Employer's address
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