I.. TYPE OF MORTGAGE AND TERMS OF LOAN
II.I. PROPERTY INFORMATION AND PURPOSE OF LOAN
III.II. BORROWER INFORMATION
Borrower Co-Borrower
IV.V. EMPLOYMENT INFORMATIONBorrower Co-Borrower
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Name & Address of Employer
Self Employed
Yrs. on this job
Yrs. employed in this
line of work/profession
Position/Title/Type of Business Business Phone (incl. area code)
Name & Address of Employer
Self Employed
Dates (from-to)
Monthly Income
$
Position/Title/Type of Business Business Phone (incl. area code)
Name & Address of Employer
Self Employed
Yrs. on this job
Yrs. employed in this
line of work/profession
Position/Title/Type of Business Business Phone (incl. area code)
Name & Address of Employer
Self Employed
Dates (from-to)
Monthly Income
$
Position/Title/Type of Business Business Phone (incl. area code)
Borrower's Name (include Jr. or Sr. if applicable)
Social Security Number Home Phone (incl. area code) DOB (mm/dd/yyyy) Yrs. School
Married (includes registered domestic partners)
Unmarried (includes single, divorced, widowed)
Separated
Dependents
(not listed by
Co-Borrower)
No.
Ages
Present Address (street, city, state, ZIP/ country) Own Rent No. Yrs.
Mailing Address, if different from Present Address
If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP) Own Rent No. Yrs.
Co-Borrower's Name (include Jr. or Sr. if applicable)
Social Security Number Home Phone (incl. area code) DOB (mm/dd/yyyy) Yrs. School
Married (includes registered domestic partners)
Unmarried (includes single, divorced, widowed)
Separated
Dependents
(not listed by
Borrower)
No.
Ages
Present Address (street, city, state, ZIP/ country) Own Rent No. Yrs.
Mailing Address, if different from Present Address
Former Address (street, city, state, ZIP) Own Rent No. Yrs.
/ United States / United States
VA Conventional
Agency Case Number
FHA USDA/Rural
Housing Service
Amount
$ %
Interest Rate No. of Months
Fixed Rate Other (explain):
GPM ARM (type):
Mortgage
Applied for:
Amortization Type:
Lender Case Number
Subject Property Address (street, city, state, & ZIP) No. of Units
Legal Description of Subject Property (attach description if necessary) Year Built
Purpose of Loan
Purchase
Property will be:
Refinance Primary Residence Secondary Residence Investment
9070 Irvine Center Dr #270,
Irvine CA 92618
Phone: (949)552-6060
Fax: (949)786-0705 License #: 01826073
Refinance Amount:
Former Address (street, city, state, ZIP) Own Rent No. Yrs. Former Address (street, city, state, ZIP) Own Rent No. Yrs.
Loan Application