LenderDave.com :: Dave Simmons - Diablo Funding Group



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Loan Programs

Loan Application

1. Loan Preferences

What is the purpose of your loan?

Select your preferred mortgage product:

What is the approximate loan amount you wish to borrow?
$

What is the purchase price of home or approximate value for a refinance?
$

If purchasing a new home you have identified, when is the closing date?

2. Credit

Please rate your credit:

Have you ever had a bankruptcy?

3. Assets & Liabilities

If you are purchasing a new home, please tell us your source of down payment.

Assets

Approximate total liquid assets:
$

Total gift funds you will be receiving (if applicable):
$

Total proceeds from sale of home (if applicable):
$

Liabilities

Minimum monthly credit card payment:
$

Total monthly installment debts (car loans, student loans, personal loans):
$

Balance of current mortgage (primary residence):
$

Current mortgage payment:
$

Alimony/Child Support/Maintenance:
$

4. Employment & Income

Borrower	Co-Borrower

Are you willing to document your income?	Are you willing to document your income?


Employer's name:	Employer's name:


Yearly income:	Yearly income:


Length of current employment:	Length of current employment:
years	years

Self employed:	Self employed:


Other income:	Other income:
$	$

5. Property

Where is the subject property located (if known):

Street address:

City:

State:

Zip:

Property type:

Occupancy:

6. Borrower Information

First name:	MI:	Last name:

Social Security #: ( numbers only please)

Date of Birth:
/
Email address:

Street address:

City:


State:

Zip:

Do you own or rent?

Home phone (with area code):
( ) -
Business phone (with area code):
( ) -
Marital status:


Co-Borrower Information

First name:	MI:	Last name:

Social Security #:( numbers only )

Date of Birth:
/
Email address:

Street address:

City:

State:

Zip:

Do you own or rent?

Home phone (with area code):
( ) -
Business phone (with area code):
( ) -
Marital status:

7. Comments

Questions and comments:

I authorize my credit and employment history to be verified?

(Erase all fields and start over)

Submit loan application for processing after answering as many questions as possible.
If you cannot answer all questions, submit a partially completed form and we will assist
you once we receive your information.

You are not obligated to accept this loan even if your application is approved.