Ken Hall - Online Application Form

Online Application

Note: This is a secure page.

How did you learn about Kenneth Hall?:

The things I most want Kenneth Hall to do for me are:

1.
2.
3.
4.
5.

I am in "credit counseling."

Name:

Homeowner 1 Full Name: SSN:

Date of Birth:

Homeowner 2 Full Name: SSN:

Date of Birth:

Person to contact is:

E-mail address:

Home phone number: I'm at home:

Work phone number: I'm at work

Home address:

Street: City: ZIP:

I have rental income property

Address of rental income property 1:
Street: City: ZIP:

I have more rental income properties

Purchased:

I bought the owner-occupied property in (year):
Purchase price: $

I bought rental income property 1 in (year):
Purchase price: $

Value of my property(ies):

Owner-occupied: $

Rental property 1: $

Owner-occupied:
Have any properties been listed for sale with a Realtor in the last 12 months?:
Has been listed within the last 12 months
Has NOT been listed within the last 12 months.

Rental income property 1:
Has been listed/has not been listed within the last 12 months.
Has been listed within the last 12 months
Has NOT been listed within the last 12 months.

Property Descriptions:

Owner-occupied:
Brick Frame

Total number of bedrooms in house:
Total number of FULL bathrooms in house:
Total number of HALF bathrooms in house:

Rental property 1:
Brick Frame

Total number of bedrooms in house:
Total number of FULL bathrooms in house:
Total number of HALF bathrooms in house:

Mortgages:

Owner-occupied:
Number of loans on property?:
Dollar amount of debt on 1st loan?: $
Dollar amount of debt on 2nd loan?: $
Dollar amount of all OTHER loans on property? (combined): $

Rental property 1:
Number of loans on property?:
Dollar amount of debt on 1st loan?: $
Dollar amount of debt on 2nd loan?: $
Dollar amount of all OTHER loans on property? (combined): $

Property Taxes:

Owner-occupied:
ANNUAL amount of property taxes?: $

Taxes are:
Included in mortgage
Not included in mortgage

Taxes are:
Paid up.
I owe number of installments.

Rental property 1:
ANNUAL amount of property taxes?: $

Taxes are:
Included in mortgage.
Not included in mortgage.

Taxes are:
Paid up.
I owe number of installments.

Homeowners' Insurance:

Condo owners: check "condo" and skip remainder of insurance section.

Owner-occupied:
Condo?
Insurance is Included in mortgage. Not included in mortgage.

Insurance is $ per YEAR.

I am behind on my insurance

Rental property 1: Condo?
Insurance is Included in mortgage. Not included in mortgage.

Insurance is $ per YEAR.
I am behind on my insurance .

Condo assessments:

Owner-occupied: $/month.

Current Delinquent

I am months behind.

Rental property 1: $/month.

Current Delinquent

I am months behind.

Income:

Homeowner 1:
Main Employment:

My income is :

Income before taxes: $

Time on job: years, months

Job title:

Employer name:

Part-time/secondary Employment:

Main Employment:

My income is :

Income before taxes: $

Time on job: years, months

Job title:

Employer name:

I have additional income $ /month

Type of income:

Homeowner 2:

Main Employment:

My income is :

Income before taxes: $

Time on job: years, months

Job title:

Employer name:

Part-time/secondary Employment:

Main Employment:
My income is :

Income before taxes: $

Time on job: years, months

Job title:

Employer name:

I have additional income $ /month

Type of income:

There are additional people on title to the owner-occupied property

There are additional people on title to rental income property 1

I will contact you within 24 business hours of submission. I will have already pre-qualified you! Thank you!

Sincerely,

Ken Hall
Temecula�s Debt Reduction & Credit Specialist