The Plainsmen Financial Group, Inc.
Loan Information Sheet
App. Number:    Agent:
Scores:	EXP	FMV
	TU	LA
	EXF	LTV
Scores:	EXP	CLTV
	TU	CDTI
	EXF

   Year of last loan:

Borrower(s):
Phones:	(Office)  (Home)  (Cell)
Email address:
(B) SSN: DOB: (C) SSN: DOB:
Customer Objectives

Income Program?
Income Amount:    

Subject Property

1st Lien Balance:    2nd Lien Balance:

Loan purpose: PurchaseHELOCConstructionConst/PermR/T REFICash-Out REFI

Desired CASH Amount:

Source of funds to close:

	Option #1	Option #2	Option #3	Option #4
Investor:
Loan Prog:
Term:
PPP:
Int.Rate:
P&I Pmt:

Comments: