Application is designed to be completed by the applicant(s). Applicants should complete this form as "Borrower" or "Co-Borrower" as applicable.

If you prefer you may also print out this page and fax it to:
(415) 381-0439

PROPERTY INFORMATION AND PURPOSE OF LOAN Street: No. of Units: City: Year Built: St.: CA Must be in CA Zip code: Year Acquired Original Cost Existing Liens Purpose of Refinance Describe Improvements Made To be made $ $ Title is held in what name(s): Manner in which title is held: Joint Tenancy Tenancy in Common Individual Ownership Tenancy by entirety Other... BORROWER INFORMATION Borrower Co-Borrower First Name First Name Last Name Last Name (include Jr. or Sr. if applicable) None Jr. Sr. III (include Jr. or Sr. if applicable) None Jr. Sr. III Email Email Social Sec. No. Home Phone Social Sec. No. Home Phone Date of Birth Yrs. of School Date of Birth Yrs. of School Marital Status Married Unmarried Separated Dependents No. Ages Marital Status Married Unmarried Separated Addl. Dependents No. Ages Present Address Present Address Street City Street City State Zip State Zip Own Rent No. Yrs. Own Rent No. Yrs. If at present address less than two years complete the following: Former Address Former Address Street City Street City State Zip State Zip Own Rent No. Yrs. Own Rent No. Yrs. EMPLOYMENT INFORMATION Borrower Co-Borrower Name of Employer..... Self Employed Name of Employer..... Self Employed Address: Address: City: City: Position/Title Position/Title State: Zip: State: Zip: Yrs. on Job: Years in this line of profession: Yrs. on Job: Years in this line of profession: Business Phone: (inc area code) Business Phone: (inc area code) If employed in current position for less than two years or if currently employed in more than one position, complete the following: Borrower Co-Borrower Name of Employer..... Self Employed Name of Employer..... Self Employed Address: Address: City: City: Position/Title Position/Title State: Zip: State: Zip: Name of Employer..... Self Employed Name of Employer..... Self Employed Address: Address: City: City: Position/Title Position/Title State: Zip: State: Zip: MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION Gross Monthly Income Borrower Co-Borrower Base Empl. Income 1 Other: Total 1 Self employed borrower(s) may be required to provide additional documentation such as tax returns & finacial statments. Describe other income: Notice: Alimony, Child Support, or seperate maintenance need not be revealed if the borrower (b) or co-borrower (c) does not choose to have it considered for repayment of this loan. Monthly Amount ASSETS This statement and any applicable supporting schedules may be completed jointly by both married and unmarried co-borrowers if their assets and liabilities are sufficiently joined so that the statement can be meaningfully and fairly presented on a combined basis; otherwise seperate statements and schedules are required. If the co-borrower section was completed about a spouse, this statement and supporting schedules must be completed about the spouse also. Completed: Jointly Not Jointly ASSETS Cash or Market Value Cash Deposit Purchase Held by: Title Co. Bank Seller Other... $ List checking and savings accounts including name, account number and address of Bank S&L or Credit Union. Name: Acct #: Address: $ Name: Acct #: Address: $ Name: Acct #: Address: $ Name: Acct #: Address: $ Schedule of Real Estate Owned: Property Address Type of Property Present Market Value Amount of Mtg & Leans Gross Rental Income Mtg Payments Insurance, Maint, Misc.. Net Rental Income SFR Rental Comm SFR Rental Comm SFR Rental Comm List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s): Alternate Name Creditor Name Account Number ACKNOWLEDGMENT AND AGREEMENT The undersigned specifically acknowledge(s) and agree(s) that:(1) The loan requested by this application will be secured by a first mortgage or deed of trust on the property. Described herein; (2) the property will not be used for any illegal or prohibited purpose or use; (3) all statements made in this application are made for the purpose of obtaining the loan indicated herein; (4) occupation of the property will be as indicated above; (5) verification or re-verification of any information contained in the application may be made at any time by the lender, it's agents, successors and assigns, either directly or through a credit reporting agent, from any source named in this application, and the original copy of this application will be retained by the lender, even if the loan is not approved; (6) the lender, it's agents, successors and assigns will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing; (7) in the event my/our payments on the loan indicated in this application become delinquent, the lender, it's agents, successors and assigns, may, in addition to all their other rights and remedies, report my/our name(s) and account information to a credit reporting agency; (8) ownership of the loan may be transferred to successor or assign of the lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assign of the lender with prior notice to me; (9) the lender, it's agents, successors and assigns make no representations or warranties, expressed or implied, to the borrower(s) regarding the property, the condition of the property, or the value of the property. Certification; I/we certify that the information provided in this application is true and correct as of the date set forth opposite my/our sygnature(s) on this application and acknowledge my/our understanding that my intentional or negligent misrepresentation(s) of the information contained in this application may result in cival liability and/or criminal penalties including, but not limited to, fine or imprisinment or both under the provisions of title 18, United States Code, Section 1001, et seq. and liability for monitary damages to the lender, it's agents, successors and assigns, insurers and any other person who may suffer any loss due to the reliance upon any misrepresentation which I/we have made on this application. Borrowers Name Date Co-Borrowers Name Date CONGRATULATIONS You are all done with the form Please click on "Submit form" to send us your information . (You should jump to the thank-you page after a few seconds.) We Value Your Privacy. 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