BUYER'S FINANCIAL INFORMATION |
BFI |
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This form recommended and approved for, but not restricted to use by, the members of the Pennsylvania Association of REALTORS® (PAR).
1 BUYER 1
2ADDRESS
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4 BUYER 2
5 ADDRESS
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9 The following information is requested to determine the buyer’s financial ability to purchase the property.
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111. Will you occupy the premises?
Yes
No
122. Have you in the last 7 years declared bankruptcy, suffered foreclosure, had an account for collection action, had a history of late
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payments, or had any legal action affecting ability to finance? |
Yes |
No |
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If yes, explain. |
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3. Is any part of purchase price or settlement costs being obtained from a source other than shown below? |
Yes |
No |
16If yes, explain.
174. Have you at any time on or since January 1, 1998, been obligated to pay support under an order that is on record in any
18Pennsylvania county?
Yes
No
19If yes, list the county and the Domestic Relations File or Docket Number:
20 5. Are there any arrearages for alimony or child/spousal support due in this, or any other, jurisdiction? |
Yes |
No |
21If yes, explain.
23For a purchase involving mortgage financing, disclose at least a minimum net worth of liquid assets in the amount of the
24down payment plus settlement costs. For cash sales, disclose at least a minimum amount equal to the purchase price plus
25settlement costs.
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ASSETS (Bank accounts, stocks, etc.) |
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BUYER 1 |
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BUYER 2 |
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TOTAL $ |
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36The information in this section must be provided if Buyer(s) require a mortgage loan.
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LIABILITIES (list all liabilities, |
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BUYER 1 |
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BUYER 2 |
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including alimony or child/spousal support, if any) |
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Per Month |
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Balance |
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Per Month |
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TOTAL $ |
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Real Estate Currently Owned (First Property) |
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Real Estate Currently Owned (Second Property) |
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Value $ |
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Mo. Payment $ |
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Value $ |
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Mo. Payment $ |
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Mortgage/Equity Loan Balance $ |
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Mortgage/Equity Loan Balance $ |
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Buyer Initials: |
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BFI Page 1 of 2 |
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COPYRIGHT PENNSYLVANIA ASSOCIATION OF REALTORS® 2006 |
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06/06 |
Addison Real Estate 266 S 23rd St Ste 16A Philadelphia, PA 19103 |
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Phone: 215.735.3020 202 |
Fax: 215-735-1467 |
Jonathan Tori |
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RESIDENTIALLE |
Produced with ZipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com
55The information in this section must be provided if Buyer(s) require a mortgage loan, but only to the extent necessary to
56prove the ability to qualify for the mortgage loan.
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58 |
EMPLOYMENT INFORMATION -- BUYER 1 |
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EMPLOYMENT INFORMATION -- BUYER 2 |
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Current Employer: |
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Current Employer: |
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Address: |
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Address: |
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Occupation: |
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Occupation: |
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Years at job: |
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Years at job: |
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Prior Employer: |
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Prior Employer: |
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Address: |
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Address: |
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Occupation: |
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Occupation: |
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Years at job: |
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Years at job: |
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72 |
ANNUAL INCOME |
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BUYER 1 |
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ANNUAL INCOME |
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BUYER 2 |
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Basic Salary |
$ |
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Basic Salary |
$ |
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Overtime |
$ |
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Overtime |
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Bonuses |
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Bonuses |
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Commissions |
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Commissions |
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Dividends |
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Dividends |
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Interest |
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Interest |
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$ |
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$ |
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82 |
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TOTAL $ |
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0 |
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TOTAL $ |
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COMBINED TOTAL INCOME $ |
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84 |
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85ADDITIONAL INFORMATION:
90Buyer(s) affirm that the above information is true and correct. Buyer(s) understand that the information may be used as a basis for
91the acceptance or rejection of an offer by the seller. Buyer(s) further understand that the information may be provided to a lender
92in conjunction with the placement of a mortgage loan. Buyer(s) acknowledge that failure to provide truthful and correct information
93may result in the forfeiture of any deposits made by Buyer(s) and may subject Buyer(s) to other financial loss or penalties.
If checked, Buyer(s) expressly authorize and direct |
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(Broker) acting as |
Broker for Seller Broker for Buyer |
Transaction Licensee, to obtain any information or |
reports from a credit reporting agency including, but not limited to consumer reports, credit reports, criminal history reports, judgments of record and verification of employment and salary history deemed necessary for furthering the completion of this and any related transactions, and for the evaluation of the information provided by Buyer(s). Upon signing this form, Buyer(s) agree to provide their social security number(s) to the broker identified above for the purposes of obtaining such reports and information.
101Buyer(s) expressly authorize Broker to provide the information contained in this form and any reports or information obtained by
102Broker for the purposes stated above, to the seller(s), cooperating broker(s), mortgage broker(s) and lender(s) involved in this trans-
103action or any related transaction. BUYER(S) UNDERSTAND THAT BROKER HAS NO CONTROL OVER THE USE OF ANY
104INFORMATION AFTER IT IS DISCLOSED TO A THIRD PARTY; BUYER(S) AGREE TO RELEASE AND HOLD BROKER
105HARMLESS FROM ANY AND ALL LIABILITY FOR ANY MISUSE OR SUBSEQUENT DISCLOSURE BY ANY THIRD PARTY
106OF THE INFORMATION OR REPORTS DISCLOSED BY BROKER PURSUANT TO THE TERMS OF THIS AUTHORIZATION.
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108Buyers’ signatures serve as an acknowledgement of receipt of a copy of this financial information sheet.
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BUYER |
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BUYER |
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BUYER |
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DATE |
BFI Page 2 of 2
Produced with ZipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com |
RESIDENTIALLE |