1003 Application Borrower Name: Street Address: City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip: Home Phone Number: Work Phone Number: E-mail Address:   Co-Borrower Name: Street Address: City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip: Home Phone Number: Work Phone Number: Annual Income Employer How long Annual Salary Avg Annual Commission Total Annual Income Borrower's: Co-Borrower's: Other Income(Describe): Monthly Debt Monthly Payments Balance Months Remaining Auto Loans #1 #2 #3 Student Loans #1 #2 Child Support and/or Maintenance Other Loans #1 #2 Credit Cards #1 #2 #3 Down Payment Money available for down payment and closing costs and reserves 1. from sale of house 2. gift 3. savings 4. other (describe) Total I authorize New York Mortgage 123 to do an in-file credit report for pre-qualification