Darenda Lewis
661-332-6442 · 661-332-6861
On Line Loan Application
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Loan Worksheet
I am looking for a property.
I have located a property. I need an approval as soon as possible.
Loan Information
Please, fill out the required fields marked with
Property Price/Value
LTV
Requested Loan
Seller to Carry
Property Address
City
State
Zip
Property Type:
Single Family - Detached
Single Family - Attached
Single Family - Detached - Under Development
Single Family - Attached - Under Development
Lo Rise Condo
Hi Rise Condo
2 - 4 Family Units
Occupancy:
Owner Occupied
Non Owner. Occ.
Loan Preference:
30 Years Fixed
15 Years Fixed
Intermediate Fixed
Adjustable
Neg-Am
Purpose of Loan:
Purchase
Refinance
Cash Out Refinance
2nd TD
Number of Units:
One (1)
Two (2)
Three (3)
Four (4)
Applicant / Co-Applicant Information
Applicant
First Name
Last Name
Social Security #
Age
Sex
Male
Female
Co-Applicant
First Name
Last Name
Social Security #
Age
Sex
Male
Female
Current Residence
Address
City
Years at this address:
State
Zip
Ownership:
Own
Rent
Current Monthly Mortgage or Rental Payments
Daytime Telephone
Evening Telephone
Fax
E-mail address
Income Information
Applicant
Self Employed?
No
Yes
Employer
Years
Monthly Income
Other Income
Co-Applicant
Self Employed?
No
Yes
Employer
Years
Monthly Income
Other Income
Rental Income
Total Rental Mortgage Payments
Total Rental Taxes and Insurance
Total Rental Income
Combined Assets
Savings
Stocks and Bonds
Retirement (IRA/401K)
Gift
Deposit in Escrow
Proceeds from Sale of Property.
Declarations
Applicant Citizenship Status
Co-Applicant Citizenship Status
US Citizen
Permanent Resident Alien
Non-Residence
US Citizen
Permanent Resident Alien
Non-Residence
App.
Co-App.
Bankruptcy in past 7 years?
No
Yes
No
Yes
Foreclosure in past 7 years?
No
Yes
No
Yes
Federal delinquency liens?
No
Yes
No
Yes
Darenda Lewis
661-332-6442