Mortgage Refinance Application

Please answer as completely as you are able, and note that required fields are preceded by a red asterisk. If you know what your current credit scores are, (i.e. from Transunion, Equifax, or Experian), include these in the comments section near the bottom. Thank you for your time in completing our

Secure mortgage request form. If you have any questions about this form, please call us at (949) 440-3225.

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How did you find this Web site?
Property will be
No. of Units
Year Built
Subject Property Address
Street^*
City, State, Zip ^*
County^*
Purpose of Loan
Current property value^* $
New Loan Amount $
Existing 1st Loan Amount $
1st Monthly Payment $
Monthly pmt on First includes
Existing 2nd Loan Amount $
2nd Monthly Payment $
Existing 3rd Loan Amount $
3rd Monthly Payment $
Annual Property Taxes $
Annual Hazard Insurance (Fire) $
Private Mortgage Insurance (MI) $
Do you wish to consolidate the above into one new loan?
New loan term
Loan Type
Current Interest Rate	%

	Borrower	Co-Borrower
^*Years employed at current job position
^*Years employed in current profession
Are you self employed?
How would you rate your credit?^*
Do you currently have open collection accounts?
Total dollar amount of unpaid collection accounts including charge offs not included in a bankrupcty
Are you able to pay off these accounts?

Have you ever filed for bankruptcy? If so, give month/year of discharge
Have you ever had a foreclosure? If so, give month/year?
If you had a bankruptcy, how many credit lines have you reestablished? (Include joint accounts in your total)
Have you been on time with these accounts after your bankruptcy?

What types of accounts have you reestablished? (auto, credit cards, etc)
Select one of the following: (Borrower)
Select one of the following: (Co-Borrower)

Please complete the information below for the borrower and co-borrower. (if any)
	Borrower	Co-borrower
First Name Middle Initial
Last Name
Social Security Number
Home Phone^*
Business Phone (incl. area code)
E-mail address^*
Co-Borrower's e-mail address

Total Monthly Payments on Non-Housing debts
(Auto loans, credit cards, etc., not utilities) $

**Monthly Income Information**
Gross Monthly Income	Borrower	Co-Borrower
Base Empl. Income*
Overtime
Bonuses
Commissions
Dividends/Interest
Net Rental Income on currently owned properties
Other**

*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and year to date financial statements, although lite doc and no doc loans are available.
**Note: Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan.

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