BORROWER:

LOAN #:

All Items in the applicable section must be completed.

SALARIED BORROWER

Employer:

Phone #:

Phone # Determination:          

Yellow Pages / Directory Assistance / Web-Site / Other   (circle one)

Hire Date:

Currently Employed?

Yes  /  No   (circle one)

Possibility of Continued Employment?

Excellent  /  Good  /  Fair  /  Poor  /  None (circle one…if "None", see mgr)

Borrower's Position:

Person verified with:

Title:

SELF EMPLOYED BORROWER

Accountant:

Company:

Phone #:

Phone # Determination:

Yellow Pages / Directory Assistance / Web-Site / Other     (circle one)

Currently Employed?

Yes  /  No (circle one)

Years Self Employed:

Was Phone Number Answered in a Business-Like Manner?

Yes  /  No   (circle one -- If "No", inform your ops manager)

Type of Business:

Person verified with:

Title:

VERIFIED BY Gateway Mortgage Group LLC

Representative:

Title:

Date Completed: