From : [email]
To : money@themoneybrokers.com
Subject : Online Application

Email Address : [email]
Applicant Name : [realname]
Social Security # : [ssno]
Address : [address] 
City/State/Zip : [CityStateZip]
Home Phone : [HomePhone]
Applicant Work Phone : [AppWorkPhone]

Co-Applicant Name : [CoApplicant]
Social Security # : [CoAppSSNO]
Co-Applicant Work Phone : [CoAppWorkPhone]

Property Address : [PropertyAddress]
City/State/Zip : [PropertyCityStateZip]
Purchase Date : [PurchaseDate]
Purchase Price : [PurchasePrice]

Employment Data - Applicant
Employer #1 : [AppEmployer]
Occupation  : [AppOccupation]
Years On Job : [AppOnTheJob]
Monthly Salary : [AppSalary]
Additional Monthly Income : [AdditionalMonthlyIncome]

Employment Data - Co-Applicant
Employer #1 : [CoAppEmployer]
Occupation  : [CoAppOccupation]
Years On Job : [CoAppOnTheJob]
Monthly Salary : [CoAppSalary]
Additional Monthly Income : [COAppAdditionalMonthlyIncome]

Loan Information
Loan AmountRequested : [LoanAmount]
Purpose OfLoan : [LoanPurpose]
Balance On1st Mortgage : [Mortgage1Balance]
Lender For 1st Mortgage : [Mortgage1Lender]
Monthly Payment1st Mortgage : [Mortgage1Payment]

Balance On2nd Mortgage : [Mortgage2Balance]
Lender For 2nd Mortgage : [Mortgage2Lender]
Monthly Payment2nd Mortgage : [Mortgage2Payment]

PROPERTY DESCRIPTION
Rooms Bedrms : [Bedrooms] Bathrms : [Bathrooms]
Sq Ft : [SquareFeet] Age : [Age] 
Check only that which applies: 
Garage : [1car][2cars][3cars] 
Check All That Apply: 
[Livingroom][Diningroom] [FamilyRoom]

Lot Description : [LotDescription]

Condition Of Property
[PropertyCondition]
Estimated Value : [EstimatedValue]
How Was Estimated Value Determined
[ValueDetermined]

All Debts Current? [Alldebtscurrent]
If No,Briefly Explain
[DebtsExplain]
Number Of Late Charges On Real Estate Debt in Last 12 Months? : [LateCharges]
Bankruptcy, Liens, etc.?
[Comments]
Convenient Hours For A Phone Call : [CallHours]


