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Get a head start on your loan. Simply fill out the form below and a FT Franklin representative will contact you with the next step in the process. Please fill out the information below as completely and accurately as possible. Thank you for choosing FT Franklin Funding.

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Borrower Information:

Co-Borrower Information (Optional):

*First Name:

Include Jr. or Sr. if applicable

First Name:

Include Jr. or Sr. if applicable

*Last Name:

Last Name:

*Email Address:

Email Address:

*Social:

Social:

*Home Phone:

e.g. 520-555-1212

Home Phone:

e.g. 520-555-1212

*Date of Birth:

mm/dd/yyyy

Date of Birth:

mm/dd/yyyy

Years of School:

*Present Address:

Present Address:

*City: *State: *Zip:

City: *State: *Zip:

Own Rent

I have been residing at my present address for LESS THAN 2 YEARS

Borrower Employment Information:

Co-Borrower Employment Information:

Employer Name:

Employer Address:

City: State: Zip:

Borrower Monthly Income and Combined Housing Expense Info:

Co-Borrower Monthly Income and Combined Housing Expense Info:

*Monthly Gross Employment Income:

Monthly Gross Employment Income:

*Combined Monthly Housing Expense:

Combined Monthly Housing Expense:

Assets and Liabilities

*Name of Bank:

*Bank Address:

*City:

State: Zip:

*Type of Account:

*Account Number:

*Account Value:

Name of Bank:

Bank Address:

City:

State: Zip:

Type of Account:

Account Number:

Account Value:

Stocks and Bonds

Company Name:

Description:

Value:

Automobile

*Make:

*Year:

Today is Tuesday, May 13, 2008

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