Property Address:
Date:
Date:City: State: CA Zip:
State: CA Zip:If Purchase How much do you plan to put down? What is Purchase price?
How much is a gift or credit from seller?Do you want a 1st & 2nd Loan?
Do you want a 1st & 2nd Loan?Current Mortgage payoff: Additional Cash Out: Current Value:
Additional Cash Out: Current Value:Will a 2nd mortgage remain after this refinance? If so what is the amount of the 2nd:
Will you document your income? Your assets?
Your assets? When was your current mortgage taken out?
Is this your primary residence? If not, is it a Second Home(vacation) or Rental(investment) Circle One
If not, is it a Second Home(vacation) or Rental(investment) Circle OneIs this a single famly residence, condominium or PUD? Other:
Current Interest Rate: Is it a fixed rate or adjustable rate?
Borrower: Co-Borrower:
Co-Borrower:Married / Single / Divorced (Circle One) Married / Single / Divorced (Circle One)
Married / Single / Divorced (Circle One)Citizen? Yes/No Age: Citizen? Yes/No Age:
Age: Citizen? Yes/No Age:Current Address Current Address:
Current Address:City: State: Zip: City: State: Zip:
City: State: Zip:How Long? Rent / Own How Long? Rent / Own Own How Long?
/ Own How Long? Rent / Own Own How Long?Previous Address: Previous Address:
Previous Address:Home Phone Home Phone
Home PhoneWork Phone Work Phone
Work PhoneIncome: $ Income: $
Income: $Salary/ Salary/
Salary/Commission/ Commission
Commission Bonus Bonus
Bonus Income Other $ Source: Income Other $ Source:
Income Other $ Source:How long with current primary employer? How long with current primary employer?
CombineAssetsCash in Banks $Mutual Funds $
Cash in Banks $Mutual Funds $ 401K/IRA $Stock: $ Sale of Home? $Life Ins. Value $Rental Real Estate Owned (If more than 1, add all together)
Mortgage Payments $Rent $Property Taxes $Insurance $ Homeowners Dues$
Insurance $ Homeowners Dues$Total of Debts (Minimum Monthly Payments) Credit cards $
Loans & Leases $
Rental Property Address:Market Value Rental Income Mortgage Payment Insurance Taxes
Market Value Rental Income Mortgage Payment Insurance TaxesI/we authorize LoanWorks.com to obtain a consumer credit report containing my/our credit history.
Borrower Social Security No. Co-Borrower Social Security No.
Co-Borrower Social Security No.Borrower Signature _________________ Co-Borrower Signature _____________
