First Carolina Realtors
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USER NOTICE: All information is confidential and this information is transferred securely over our "Secure Internet Server". If you have any questions, please visit our Privacy Policy

*All fields must be completed. If there is no co-borrower, enter zero
Borrower Information
First Name
Last Name
Email
Daytime Phone
Evening Phone
Best Time to Call
Address 1
Address 2
City
State
Zip
Co-Borrower Information
First Name
Last Name
Email
Daytime Phone
Evening Phone
Best Time to Call
Address 1
Address 2
City
State
Zip
Financial Information (Include co-borrower information if applicable.)
How are you primarily paid?  
How is co-borrower paid (if applicable)?  
Do you have 2 years continuous work experience?  
Does co-borrower have 2 years continuous work experience?  
What is your total monthly income? $ Income Calculator
What are the total assets available to buy this home? $ Asset Calculator
Of this amount, how much will be used for a down payment? $  
What is your total monthly minimum debt payment?
(Do not include your current rent or mortgage payment if you will sell your home in order to purchase your new home.)
$ Debt Calculator
Credit Report
Review of your credit report will allow the mortgage bankers to provide you with the most accurate assessment of your financial position and the best loans available for you.

Would you like to request a credit report?
Yes  No 
If yes please include:
Social Security #
Birthdate
Co-Borrower Social Security #
Co-Borrower Birthdate
North Carolina Law requires that acknowledgement of the document "Working With Real Estate Agents" be printed out and signed prior to entering into substantial discussions about finances or showing property.

The acknowledgement card for this document is available here for you to print and sign.

You can fax your signed acknowledgement to: (252)-447-9900
Havelock - Cherry Point NC is a military community in Eastern North Carolina. 1st Carolina, REALTORS proudly provides buying and selling real estate services to the area's men and women in uniform, as well as for the great citizens that make up the coastal region of Eastern North Carolina.
   496A Highway 70 West, Westbrooke Shopping Center, Havelock, NC 28532
   1.800.336.5610 toll free | 1.252.447.7900 phone