BLUE SKY SERVICES CREDIT FORM

Apply for Financing with Blue Sky Services

Cash Price: $ Down Payment: $
Amount Requested: $ Term: months
Defer Payment:   days Lien Position:
Consolidation: Application Type:
Borrower Name:
Social Security #: Date of Birth:
Phone #:
Co-Borrower Name:
Social Security #: Date of Birth:
Phone #:
Borrower's Current Address:
City, State & Zip:
County: How Long? :
Improvement on Primary Residence: Date Puchased:
Purchase Price: $ Estimated Market Value: $
Loan Balance Monthly: $ Payment(PITI): $
Mortgage Holder/Lender:
Borrower's Previous Address (if < 2 yrs at current):
City, State & Zip:
County: How Long? :
Co-Borrower Current Address if different from borrower:
City, State & Zip:
County: How Long? :
Co-Borrower's Previous Address (if < 2 yrs at current):
City, State & Zip:
County: How Long? :
Borrower Employer:
How Long?: Work Phone with Area Code:
Position:
Salary (Gross/Month): Salary (Net/Month):
Borrower Previous Employer (if < 2 yrs at current):
How Long?:
Has borrower declared bankruptcy in the last 10 years?: If yes, date discharged
Co-Borrower Employer:
How Long?: Work Phone with Area Code:
Position:
Salary (Gross/Month): Salary (Net/Month):
Co-Borrower Previous Employer (if < 2 yrs at current):
How Long?:
Has co-borrower declared bankruptcy in the last 10 years?: If yes, date discharged
Other Income: You do not have to disclose income from alimony, child support or separate maintenance payments unless you want us to consider it for obtaining this loan.
Other Income For: Source:
Amount (Gross/Month): Amount (Net/Month):
Other Creditors
Other Creditor / Loan: Type: Payment:
Balance: Paying Off:
Other Creditor / Loan: Type: Payment:
Balance: Paying Off:
Other Creditor / Loan: Type: Payment:
Balance: Paying Off:
NOTICE - APPRAISAL COPY. You have the right to a copy of the appraisal used in connection with your application for credit. If you wish to receive a copy, please write to us. We must hear from you no later than 90 days after we notify you about the action taken on your credit application or you withdraw your application.
The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit oppoortunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate on the basis of this information, or on wheteher you choose to furnish it. However, if you choose not to furnish this information, under federal regulations the lender is required to note race or national origin and sex on the basis of visual observation or surname. If you do not wish to furnish this information please check below.
BORROWER: I do not wish to furnish this information.
ETHNICITY OF BORROWER:
RACE OR NATIONAL ORIGIN OF BORROWER:
SEX:
CO-BORROWER: I do not wish to furnish this information.
ETHNICITY OF CO-BORROWER:
RACE OR NATIONAL ORIGIN OF CO-BORROWER:
SEX: