York Capital Company
Mini Application

Applicant 1:    Social Security #:  --
Address:    Apt:  
City:     State:    Zip:  
Phone:  Email:    
Self-Employed:  YesNo
Occupation:   Years on the job:  
Annual Income:  
 
Applicant 2:    Social Security #:  --
Address: Apt :
City:    State:     Zip:  
Phone:  Email:    
Self-Employed:  Yes  No
Occupation:     Years on the job:  
Annual Income:  
Combined Assets
Savings Account:  $
Checking Account:  $
IRA/Keogh:  $
Stocks/Mutual Funds:  $
Other:  $
Combined Debts
Mortgage(Rental) Monthly Payment:   $Balance :  $
Auto Loans Payment:   $Balance:   $
Monthly Credit Card Payments:  $Balances:  $
Personal:  $Balances:  $
Have you found a home?  YesNo

 

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By submitting this form, you are authorizing the release of information deemed necessary in conjunction with a consumer credit report for a real estate transaction. This information is for the confidential use in compiling a mortgage loan credit report for a lender a photographic or carbon copy of this authorization may be declared to be the equivalent of the original and may be used as a duplicate original.

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