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	U. S. Finance Group, LLC 274 Hudson Road, Stow, MA 01775 Tel: 978-568-8800 Fax: 978-568-8815 Processing@usfinancegroup.com sales@usfinancegroup.com
Residential	Mortgage financing Mass. Mortgage Broker MB 1492	Commercial

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Your Name Annual Income Monthly Credit Liability Payments Social Security # Years at Your Job	Job Type Are you self employed? Home Telephone Number Work Telephone Number U.S. Citizen? Green Card? If no Green Card,Visa Type?	Street Address City State Zip Code May we Check your Credit? Yes No
Proposed Property Information: Owner Occupied 2nd Home/Vacation Home Investment Home Total Number of Units in the House Price/Value	Down Payment Amount Proposed Mortgage Amount How Would You Describe Your Credit History? Excellent Good Fair Poor Very Poor	How many payments have you been more than 30 days late on in the last 24 months? Have you been declared bankrupt in the past 4 years? Have you had a foreclosure in the last 4 years?