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Clear Sky Mortgage

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Contact Information

Clear Sky Mortgage is affiliated with
Geneva Financial, LLC
1018 East Guadalupe Road
Tempe, AZ 85283
BK#0910215
NMLS #42056

Contact information for Michael Cohen
(480) 491-7850
Fax (480) 302-7845
Michael@ClearSkyMtg.com

Please complete the fields below and we will respond to your inquiry by the next business morning!

Home Loan Application

Applicant Information
First Name:
Last Name:
Address Street 1:

City:
Zip Code:	(5 digits)
State:
Date of Birth:
Social Security Number:
Are You Self-Employed (SE), 1099 or W2:
Have You Been At Your Job More Then 2 yrs:
Place of Employment:
Position:
Gross Monthly Salary:
Co-Applicant Information
First Name:
Last Name:
Date of Birth:
Social Security Number:
Are You Self-Employed (SE), 1099 or W2:
Have You Been At Your Job More Then 2 yrs:
Place of Employment:
Position:
Gross Monthly Salary::

Contact Information
Daytime Phone:
Evening Phone:
Email:
Loan And Property Information
Loan Type:
If Purchase, Price:	(USD)
If Purchase. How much (in %) would you like to put down:
If Refi., Mortgage Balance on 1st Mortgage:
If Refi., Mortgage Balance on 2nd Mortgage (if applicable):
If Refinance, Would You Like to Cash Some Equity Out of The House:
Type of Loan:
Interest Only:
Property Type:
Occupancy:
Approx. Appraised Value:	(USD)
Financial Information
Savings/ Checking/ Stocks and Bonds:	(USD)
Retirement (IRA and 401K)	(USD)
What Are Your Top Three Goals Of This Loan and Please ProvideAdditional Information
Comments	Enter comments here!
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