Manufactured Home Loan Application

Name*

Address*

City*

State*

Zip

Email Address

Phone Number

Social Security Number*

Date of Birth
mm/dd/yyyy

Individual Income*
gross annual income from employment

Current Employer*

Position / Title*

Length of Employment (years)*

Other Income Source

Income from SSI, retirement, disability, alimony, child support or separate maintenance agreement need not be disclosed if you don't wish to have it considered as a basis for undertaking or repaying this debt.

Child Support
SSI
Alimony
Other

Child Support*

SSI*

Alimony*

Other Income*

Joint / Co-Borrower?*

No
Yes

Co-Borrower Name*

Co-Borrower Address*

Co-Borrower City*

Co-Borrower State*

Co-Borrower Zip*

Co-Borrower Email Address

Co-Borrower Phone Number

Co-Borrower Social Security Number*

Co-Borrower Date of Birth*
mm/dd/yyyy

Co-Borrower Individual Income*
gross annual income from employment

Co-Borrower Current Employer*

Co-Borrower Position / Title*

Co-Borrower Length of Employment (years)*

Co-Borrower Other Income Source

Income from SSI, retirement, disability, alimony, child support or separate maintenance agreement need not be disclosed if you don't wish to have it considered as a basis for undertaking or repaying this debt.

Child Support
SSI
Alimony
Other

Co-Borrower Child Support*

Co-Borrower SSI*

Co-Borrower Alimony*

Co-Borrower Other*

Name of Community*

Lot Rent Amount*

Year / Make of Home*

Size*

Total Purchase Price (including tax)*

Down Payment*

I authorize GreenState Credit Union to obtain a consumer credit report on me, as well as any other information necessary to process my request. I understand that credit inquiries have the potential to impact my credit score.

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