Financial Information Form

OCH Financial - a Division of Oakwood Custom Homes, Inc

Questions or concerns about filling out this form? Please email us at info@ochfinancial.com

Before beginning, please tell us how you were directed to this site:			* Required field
What property or area are you interested in?			* Required field
Adult #1: * = Required fields
*First Name:		MI:		*Last Name:
By providing your Birthdate and Social Security Number below, you are giving us permission to pull your Credit Report so we can fully evaluate if this program will work for you.
Birth Date:	(mm-dd-yyyy)		Social Security Number:
Home Phone:		Work Phone:		Click here if it's ok to call you at work
Cell Phone:		Other Phone:		*Email:
Adult #2: * = Required fields
First Name:		MI:		Last Name:
By providing your Birthdate and Social Security Number below, you are giving us permission to pull your Credit Report so we can fully evaluate if this program will work for you.
Birth Date:	(mm-dd-yyyy)		Social Security Number:
Home Phone:		Work Phone:		Click here if it's ok to call you at work.
Cell Phone:		Other Phone:		*Email:	(only required if name is filled)
Current Residence:
Address:
City:		State:		ZIP:
Since:		Rent Amount:	$ (per month)
Number of People in Household:			How Many Under 12?
Previous Residency Info:
Adult #1 Employment Info:
Current Employer & Job Type:				How Long?
Previous Employer & Job Type:
Please select ONLY ONE ROW of the following options for how you are paid — HOURLY (including # of hrs worked) -or- MONTHLY -or- SALARY:
Hourly	Hourly Wage, If Paid Hourly:	$	Number of Regular Hours Worked Per Week: Number of Overtime Hours Per Week:		(numbers only - no text) (numbers only - no text)
Monthly	GROSS Monthly Earnings, If Paid Monthly:	$
Salary	GROSS Annual Salary, If Salaried:	$
	Other Income? Describe:			Monthly Amount:	$
Notes:
Adult #2 Employment Info:
Current Employer & Job Type:				How Long?
Previous Employer & Job Type:
Please select ONLY ONE ROW of the following options for how you are paid — HOURLY (including # of hrs worked) -or- MONTHLY -or- SALARY:
Hourly	Hourly Wage, If Paid Hourly:	$	Number of Regular Hours Worked Per Week: Number of Overtime Hours Per Week:		(numbers only - no text) (numbers only - no text)
Monthly	GROSS Monthly Earnings, If Paid Monthly:	$
Salary	GROSS Annual Salary, If Salaried:	$
	Other Income? Describe:			Monthly Amount:	$
Notes:
Assets & Credit:
What is the total value of your Liquid Funds — this would include Cash, Checking & Savings Accounts:					$
What is the total value of other funds you may have such as 401Ks, IRAs, Cash Value of Life Insurance Policies, CDs, etc.:					$
Assets Notes:
Do you own Real Estate?	Yes No	Current Value:	$	Amount Owed:	$
Do you have excellent credit?	Yes No	Explain. Would you describe your credit as Excellent, Fair, Poor? Excellent credit is nice, but not required. Please explain below if your credit is not excellent, or you are unsure:
Currently Late?	Yes No	Explain:
	Do you have a co-signer available if you should need one?	Yes No
Credit Notes:
If You Own a Trailer Home, Please Provide the Following Information:
Year:		Make & Model:		Size:
Condition:		Amount Owed:	$	Value:	$
Payment:	$	Lot Rent:	$
Debt Information:
	Creditor Name:	Balance Owed	Monthly Payment	What For
1:		$	$
2:		$	$
3:		$	$
4:		$	$
5:		$	$
6:		$	$
7:		$	$
8:		$	$
9:		$	$
10:		$	$
Child Support/Alimony your household pays MONTHLY:			$	Court Ordered?	Yes No
Final Notes:
Are you eligible for Veterans benefits?	Yes No
Final Notes:	Please provide any additional information you would like us to know.
PLEASE REVIEW YOUR INFORMATION. IF IT IS COMPLETE, CLICK "SUBMIT"