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* Required
Monthly Gross Income				Monthly Payments¹
Base Salary:*	$			Auto Loans:	$
Overtime:	$			Student Loans:	$
Bonuses:	$			Credit Card Payments:	$
Commissions:	$			Other Loans:	$
Dividends/Interest:	$			Child Support/Alimony:	$
Other Income:	$

Prospective Loan Information
Mortgage Rate: *		%		Mortgage Term: *		Years
Property Tax Rate:		%	OR	Annual Property Tax Amount:	$
Property Insurance Rate:		%	OR	Annual Premium:	$
Condo. Association Fee:	$			Miscellaneous Expenses:	$

Rental Property Information
Please enter total income and expenses for all rental property owned.
Rental Income per month:	$			Miscellaneous Expenses:	$
Total Mortgage payments:	$			Insurance per month:	$
Property Tax per month:	$

¹ Do not include any loans that will be paid off within 10 months.

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ERA REALTY PROs
170 Flanders Road
Niantic, CT 06357
Office (860) 886-7000 x 140
Direct (860) 705-4433
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RobinC@RealtyPros.com

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