5
5

6
6

7
7

8
8

9
9

10
10

11
11

12
12

13
13

14
14

15
15

16
16

17
17

18
18

19
19

20
20

21
21

25
25

26
26

27
27

28
28

29
29

30
30

31
31

32
32

33
33

34
34

35
35

36
36

37
37

38
38

39
39

40
40

41
41

42
42

43
43

44
44

45
45

46
46

47
47

48
48

49
49

50
On01

51
51

52
52

53
53

54
54

55
55

56
On01

57
On01

58
58

59
59

60
60

61
61

62
62

63
63

64
64

65
65

96

97

98

99

100

101

115

116

118

119

120

121

122

123

124

125

126

127

145

146

147

148

149

150

600
600

601
601

602
602

Property Address

Legal Description

Units

Year Built

Box
Box

box
box

Purchase
Purchase

Primary Residence
Primary Residence

Secondary Residence
Secondary Residence

Investment
Investment

Title Held

Manner Held

Fee Simple
Fee Simple

Source of Funds

Borrower Name

Co Borrower Name

Fixed Rate
Fixed Rate

ARM
ARM

Age

SSAN

Phone Number

AGE

School

Married
On01

Separated
On01

Unmarried
On01

Kids

Ages

Current Address

Former Address

Self employed
Self employed

Employer

Years on Job

Years in Profession

Job title

Phone #

Dates

Income

Job Title

Phone

Job tilte

Loan Amount

Interest Rate

Number of Months

Conventional
Conventional

Refi
Refi

Single
Single

Self Employed
On01234

Own1
On01

Own2
On01

Own3
On01

Rent1
On01

Rent2
On01

Rent3
On01

Years1

Years2

Years3

Employer2

Employer3

Co-Employer

CoEmployer2

CoEmployer3

BorIncome

Borovertime

Borbonus

Borcommissions

Bordividends

BorNetrental

Otherincome

Bortotal

B

Co

Desc. Borrower

Desc. Co-borrower

CB Income

CBOvertime

CB Bonus

CB Commissions

CB Dividends

CB Net Rental

CB Other Income

CB Other 2

Other2

CBTotal

Com Total Base Income

Total Overtime

Total Bonus

Total Commissions

Total Dividends

Toal Net Rental

Total Other 1

Total Other 2

Total Combined Income

Current Rent

Current 1st Mtg

Current Other 2nds

Current Hzd

Current RE Taxes

Current MI

Current HOA

Current Other

Current Total

P&I

2nds

Hzd Ins

RE Taxes

PMI

HOA

Other

PITI

Monthly 1

Monthly 2

Jointly
Jointly

Not Jointly
Not Jointly

Earnest Money

How Much $$

Bank1

Bank2

Bank3

Bank 4

Stocks/Bonds Etc

$$ of Stocks

Acct#

$$1

$$2

$$3

Acct #2

Acct#3

Acct#4

$$4

Face Value of LI

Cash Value

Value of RE

Ret. Account

Value of Business

Types of Cars

Value of Cars

Total Assets

Other Assets

$$ Other Assets

Net Worth

Liab 1

Liab2

Acct#1

Acct 2

Acct 3

Liab4

Liab 5

Acct 5

Liab 6

Acct 6

Liab 7

Acct 7

Alimony Paid 2

Child Care Info

Total Monthly Payments

Liab 1 Payment

Liab 1 Balance

Liab 2 Payment

Liab 2 Balance

Liab 3 Payment

Liab 4 Balance

Liab 4 Payment

Liab 5 Payment

Liab 5 Balance

Liab 6 Payment

Liab 6 Balance

Liab 7 Payment

Liab 7 Balance

Total Liabilites

Real Estate1

Real Estate2

Real Estate 3

Sold,PS,etc

Sold2

sold3

Prop. Type

Prop. Type 2

Prop. Type 3

Prop. Value

Prop. Value 3

Prop Value 2

Liens 1

Liens 2

Liens3

Total Property Values

Total Liens

Total Rent Income

Rent 3

Rent 2

Rent 1

Pay 1

Pay 2

Pay 3

Pay 4

Tax 1

Tax 2

Tax3

Tax4

Total Rent

Total Rent2

Total Rent 3

Rent 4

Alt Credit Name

Alt 2

Purchase Price

Alt, Improvments

Land

Refinance

Est.Prepaids

Est. Closing Costs

PMI/MI

Disc. Pts

Total Costs

Sub Financing

CC by Seller

Other Credits 1

Other Credits2

Loan Amout

Fin PMI

Total Loan Amount

cash from borrower

judgments
judgments

no1
no1

bk
bk

no2
no2

No3
No3

No4
No4

lawsuit
lawsuit

tsf
tsf

n5
n5

Prim. Res
Prim. Res

Prim. Res2
Prim. Res2

titl
titl

title2
title2

Subtotal of Assets

Year Acquired

Original Cost

leins

Lot value

Improvement Costs

Totals

Year

cost

Current Leins

Refi Purpose

Cost Improvements

made
made

to be made
to be made

Lease hold
Lease hold

va
va

fha
fha

fmha
fmha

other
other

pat
Jeffrey Rosner

co
Seren Funding Corp.46

ad1
46 East Park Avenue

ad2
Long Beach NY 11561

phone
516-889-8218