About
Homeowners
Contractors
Apply Now
California
About
Homeowners
Contractors
Apply Now
California
LOAN APPLICATION
Applicant Personal Information
Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
SSN
*
Marital Status
Married
Separated
Unmarried
Driver License #
*
State
*
CA
AK
AL
AR
AZ
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Expiration Date
*
MM
DD
YYYY
Applicant Property Address
Address 1
*
Address 2
City
*
State
*
CA
AK
AL
AR
AZ
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
*
How long at residence? (in years)
*
Monthly Housing Payment
*
$
Lender
Residence Status
*
Buying
Military
Other
Own
Parents
Renting
Applicant Contact Information
Home Phone
*
(###)
###
####
Cell Phone
(###)
###
####
Email Address
Applicant Employment Information
Current Employer
*
Type
*
Contract
Full Time
Part Time
Retired
Self Employed
Temporary
Job Title
*
How long at current job? (in years)
*
Gross Monthly Income
*
$
Work Phone
(###)
###
####
Co-Applicant Personal Information (if one)
Name
First Name
Last Name
Date of Birth
MM
DD
YYYY
SSN
Marital Status
Married
Separated
Unmarried
Driver License #
State
CA
AK
AL
AR
AZ
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Expiration Date
MM
DD
YYYY
Co-applicant Property Address
Address 1
Address 2
City
State
CA
AK
AL
AR
AZ
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip
Co-Applicant Contact Information
Home Phone
(###)
###
####
Cell Phone
(###)
###
####
Email Address
Co-Applicant Employment Information
Current Employer
Type
Contract
Full Time
Part Time
Retired
Self Employed
Temporary
Job Title
How long at current job? (in years)
Gross Monthly Income
$
Work Phone
(###)
###
####
OTHER INCOME
Other Income Source
Alimony
Bonuses
Child Support
Commissions
Dividends
Individual Account (relying on anothers income)
Interest
Other
Rental Property
Retirement/Disability
Salary
Social Security
Spouse
Monthly Amount
$
Other Income Source
Alimony
Bonuses
Child Support
Commissions
Dividends
Individual Account (relying on anothers income)
Interest
Other
Rental Property
Retirement/Disability
Salary
Social Security
Spouse
Monthly Amount
$
Other Income Source
Alimony
Bonuses
Child Support
Commissions
Dividends
Individual Account (relying on anothers income)
Interest
Other
Rental Property
Retirement/Disability
Salary
Social Security
Spouse
Monthly Amount
$
Loan Details
Purpose of Loan
*
HVAC
Roof
Roof and Solar
Solar
Windows/Doors
Contractor Company Name
*
Name of the Sales Agent
Loan Amount
*
$
Loan Terms
96
120
180
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