Loan Application

Applicant

First Name:
Middle Name:
Last Name:

Telephone Number:
Email Address:


Social Sec No:

Date of Birth:




# of Dependents:

Marital Status:


Current Street Address:

Type:
Years at Address:

City:
State:
Zip Code:

Monthly Cost:


Previous Street Address (if less than 2 years at current address):

Type:
Years at Address:

City:
State:
Zip Code:

Monthly Cost:

Applicant Employment

Current Employer:
Phone Number:
Gross Monthly Income:

Street Address:
Job Title:
Years on Job:

City:
State:
Zip Code:

Previous Employer (if less than 2 years at current employer):
Phone Number:

Street Address:
Job Title:
Years on Job:

City:
State:
Zip Code:

Applicant Credit

Please mark all that apply to you:







Current Creditor Type:
Monthly Payment:

Current Creditor Type:
Monthly Payment:

Current Creditor Type:
Monthly Payment:

Co-Applicant (Leave blank if no Co-Applicant)

First Name:
Middle Name:
Last Name:

Telephone Number:
Email Address:


Social Sec No:

Date of Birth:




# of Dependents:

Marital Status:


Current Street Address:

Type:
Years at Address:

City:
State:
Zip Code:

Monthly Cost:


Previous Street Address (if less than 2 years at current address):

Type:
Years at Address:

City:
State:
Zip Code:

Monthly Cost:

Co-Applicant Employment (Leave blank if no Co-Applicant)

Current Employer:
Phone Number:
Gross Monthly Income:

Street Address:
Job Title:
Years on Job:

City:
State:
Zip Code:

Previous Employer (if less than 2 years at current employer):
Phone Number:

Street Address:
Job Title:
Years on Job:

City:
State:
Zip Code:

Co-Applicant Credit (Leave blank if no Co-Applicant)

Please mark all that apply to you:







Current Creditor Type:
Monthly Payment:

Current Creditor Type:
Monthly Payment:

Current Creditor Type:
Monthly Payment:

Loan Information

Realtor Name:

Realtor Phone:

I authorize my realtor to know the current details
of this loan application::

 Yes   No


Loan Purpose:

Purchase Price: Down Payment: Is Down Payment Borrowed?

Home Address: Park Name: Down Payment Source:

City:
State:
Zip Code:

Make of Home: Year of Home: Size (WxL): Space Rent:

Government Monitoring

The following information is requested by the Federal Government for certain types of loans related to a dwelling, in order to monitor the Lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a Lender may discriminate neither on the basis of this information, nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you choose not to furnish it, under Federal regulations this Lender is required to note ethnicity, race and sex on the basis of visual observation or surname. If you do not wish to furnish the above information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the Lender is subject under applicable state law for the particular type of loan applied for.)

Applicant: Leave Blank if you do not want to furnish this information

Ethnicity: Race: Sex:

Co-Applicant: Leave Blank if you do not want to furnish this information

Ethnicity: Race: Sex:

Important Information

NOTICE to California Applicants: A married applicant may apply for credit individually. By clicking submit, You warrant that the information you are furnishing above is true, accurate, supplied voluntarily, and not misleading.  You authorize us, at our option: to check your credit and employment histories and credit references; to discuss this application and related information with your retailer/broker, if any; to answer questions about your credit history with us; and to keep this application whether or not it is approved. We may obtain consumer credit reports periodically from one or more consumer reporting agencies (credit bureaus) in connection with your application and any update, renewal, refinancing, modification or extension of the credit. We or any affiliate of ours may obtain one or more consumer credit reports on you from time to time for any legitimate business. If you ask, you will be told whether a credit report was requested, and if so, the name and address of any credit bureau from which we or our affiliate obtained your credit report. We may also verify your employment, pay, assets and debts. You agree that anyone receiving a copy of this is authorized to provide us with such information. Should this application result in an account with us, we may report information about your account to credit bureaus.  Late Payments, missed payments, or other defaults on your account may be reflected in your credit report. You understand that Lenders extend credit at different rates and credit terms and agree that you are applying for an extension of credit and not for a particular rate or particular credit terms. This application may be submitted to multiple lending institutions.

"Important Information about the procedures for opening new accounts: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you apply for a new loan account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents."