Loan Application

Borrower Information
 Title
 First*
 Middle
 Last*
Present Address
 Street
 City
 State*  
 Zip
 SSN#* Age
Contact Numbers
 Home*
 Work
  Cell
  E-mail
Co-Borrower Information (If any)
 Title
 First
 Middle
 Last
Present Address
 Street
 City
 State  
 Zip
 SSN#  Age
Contact Numbers
 Home
 Work
 Cell
  E-mail
Employment (Borrower)
 Self Employed?
 Employer:
 How Long (Yrs/Mths):   /
 Monthly Income: $
 Overtime: $
 Bonuses: $
 Commissions: $
 Other: $
Employment (Co-Borrower)
 Self Employed?
 Employer:
 How Long (Yrs/Mths):   /
 Monthly Income: $
 Overtime: $
 Bonuses: $
 Commissions: $
 Other $
Assets (Borrower)
 Checking: $
 Savings: $
 CD's/Stocks/Bonds $
 401K's/IRA's $
Assets (Co-Borrower)
 Checking: $
 Savings: $
 CD's/Stocks/Bonds $
 401K's/IRA's $
Liabilities (Combined for both Borrower & Co-Borrower)
 Type Monthly Payment  Unpaid Balance 
 Credit Cards:
 Auto Loans:
 Other Loans:
 Child Support:
Subject Property Information
 Street:
 City:
 State:
 Zip:

 Number of units:    
 Occupancy type:    
 Estate Held:    
 Property Value:  $

 Desired Loan Type
What is the type of mortgage loan?
What is the purpose of this loan?
 If you selected "Refinance", what is the purpose?
 If you selected "Other", please explain.


What is the desired loan amount?
What is the estimated purchase price?
What is the estimated down payment amount?
If refinance, what is the total owed on home?
What is the length of your requested loan in months?      
Amortization Type:      
 Miscellaneous
 Which describes your situation?
  I have found a realtor.    Additional Comments:
 Agents Name:
 Company:
 Phone Number:
  I need a realtor, please have one contact me.  
 


 * I/We (borrower[s] named herein) understand that this form is for pre-qualification
only and is not an application.

Authorization to check credit verification
YES NO
By selecting "YES" to this radio button, I/WE hereby authorize Pacific Inland Financial to order a consumer credit report to verify credit and other information pertaining to pre-qualification. The information that The Tom Bass Team obtains is only to be used for mortgage pre-qualification purposes.
 
 Email Address:
 
 
 
 


Dominic Boulter
Real Estate Loans
(831) 475-2600
loans@dboulter.com
5161 Soquel Drive
Soquel, CA 95073

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