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LOAN APPLICATION
Please be assured that the information you provide below will
NOT
be shared with anyone for the purpose of advertising or email spamming (putting you on a list).
Also, there is NO-OBLIGATION and NO COST in filling out this loan application.
You will be contacted by
email
or
telephone
after submitting your application. Read our
security/ privacy
statement for more info.
This is a
TIPS:
Hit the
'tab'
key after completing each box to move down.
Don't hit 'enter' until you complete all boxes.
Step 1: Contact Information
Your Full Name*:
Co-borrower's Full Name:
Home Telephone Number*:
Work Telephone Number:
Best time to be reached:
Email address*:
Step 2: Residence Information
Current home address:
City:
State:
<--select-->
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Colorado
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Minnesota
Mississippi
Michigan
Missouri
Montana
Nebraska
New York
Nevada
New Hampshire
New Jersey
New Mexico
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
other
Zip Code:
Residence status:
<--select-->
Owner
Renter
Balance of Your Current Mortgage:
Estimated Value of Your Home:
Years at Your Current Address:
Step 3: Loan Information
Loan Purpose:
<--select type-->
Home Purchase Loan
Refinance Existing Loan(s)
Refinance with Cash Out
Home Equity Loan
Debt Consolidation Loan
Home Improvement Loan
No Equity Loan
Other
Specific Type of Loan:
<--select type-->
Fixed Rate
Adjustable or Variable Rate
Interest Only
Cal-Vet
VA
Other
Loan Amount You Need:
Money Available for Down Payment:
Step 4: Employment Information
Your Current Place of Employment:
Are You Self-Employed?
<-select one->
Yes
No
Your Approximate Annual Income:
Years at Current Place of Employment:
Co-Borrowers Place of Employment:
Is Co-Borrower Self-Employed?
<-select one->
Yes
No
Co-Borrowers Approximate Annual Income:
Co-Borrowers Years at Place of Employment:
Step 5: Credit Information
Describe Your Credit Rating:
<--Choose Credit Rating-->
1. Excellent
2. Good
3. Late Bill Payments
4. Late Mortgage Payments
5. Collection Accounts
6. Bankruptcy/Foreclosure
7. Just Plain 'Bad Credit'
8. I Don't Know
Describe Co-Borrowers Credit Rating:
<--Choose Credit Rating-->
1. Excellent
2. Good
3. Late Bill Payments
4. Late Mortgage Payments
5. Collection Accounts
6. Bankruptcy/Foreclosure
7. Just Plain 'Bad Credit'
8. I Don't Know
Do you give LoanAction.com permission to run a credit check after you talk with a Loan Consultant?:
<--select one-->
Yes
No
Social Security Number:
Social Security Number:
Comments or questions:
Questions? Need Assistance? Want to talk to someone?
Call us TOLL FREE at 1.800.734.3772
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