Loan Application

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" colspan=2 height=165 BGCOLOR="#99CC66" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#009900" FACE="Times New Roman" ><A HREF="index.htm" TARGET="_top" TITLE="Mortgage Finance and Home Loans"><I><B><IMG SRC="109dc5b0.png" border=0 width="220" height="91" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></A><I><B>Mortgage Finance and Home Loans</B></I></FONT><I><B>    </B></I><I><B> |     </B></I><A HREF="index.htm" TARGET="_top" TITLE="Mortgage Finance and Home Loans"><I><B>home</B></I></A></div> <div> <A HREF="id15.htm" TARGET="_top" TITLE="Loan Information"><I><B>Loan Information</B></I></A><I><B>   |   </B></I><A HREF="id60.htm" TARGET="_top" TITLE="Purchase"><I><B>Purchase</B></I></A><I><B>   |   </B></I><A HREF="id16.htm" TARGET="_top" TITLE="Refinance"><I><B>Refinance</B></I></A><I><B>   |   </B></I><A HREF="id59.htm" TARGET="_top" TITLE="Loan Options"><I><B>Loan Options</B></I></A><I><B>   |   </B></I><A HREF="id21.htm" TARGET="_top" TITLE="Loans 101"><I><B>Loans 101</B></I></A><I><B>   |   </B></I><A HREF="id19.htm" TARGET="_top" TITLE="Construction Loans"><I><B>Construction Loans</B></I></A><I><B>   |   </B></I><A HREF="id61.htm" TARGET="_top" TITLE="Income Property"><I><B>Income Property</B></I></A><I><B>   |   </B></I><A HREF="id17.htm" TARGET="_top" TITLE="Commercial Loans"><I><B>Commercial Loans</B></I></A><I><B>   |   </B></I><A HREF="id18.htm" TARGET="_top" TITLE="Self Employed"><I><B>Self Employed</B></I></A><I><B>   |   </B></I><A HREF="id38.htm" TARGET="_top" TITLE="Quick Quote"><I><B>Quick Quote</B></I></A><I><B>   |   </B></I><I><B>Loan Application</B></I><I><B>   |   </B></I><A HREF="id39.htm" TARGET="_top" TITLE="Fax Application"><I><B>Fax Application</B></I></A><I><B>   |   </B></I><A HREF="id29.htm" TARGET="_top" TITLE="Current Rates"><I><B>Current Rates</B></I></A><I><B>   |   </B></I><A HREF="id31.htm" TARGET="_top" TITLE="Prequalify"><I><B>Pre-qualify</B></I></A><I><B>   |   </B></I><A HREF="id20.htm" TARGET="_top" TITLE="Selling Your Home"><I><B>Selling Your Home</B></I></A><I><B>   |   </B></I><A HREF="id56.htm" TARGET="_top" TITLE="About Us"><I><B>About Us</B></I></A><I><B>   |   </B></I><A HREF="id2.htm" TARGET="_top" TITLE="Meet the Staff"><I><B>Meet the Staff</B></I></A><I><B>   |   </B></I><A HREF="id4.htm" TARGET="_top" TITLE="Location"><I><B>Location</B></I></A><I><B>   |   </B></I><A HREF="id6.htm" TARGET="_top" TITLE="Contact Us"><I><B>Contact Us</B></I></A><I><B>   |   </B></I><A HREF="id22.htm" TARGET="_top" TITLE="Loan Calculator"><I><B>Loan Calculator</B></I></A><I><B>   |   </B></I><A HREF="id28.htm" TARGET="_top" TITLE="Closing Cost"><I><B>Closing Cost</B></I></A><I><B>   |   </B></I><A HREF="id62.htm" TARGET="_top" TITLE="Apply Now"><I><B>Apply Now</B></I></A><I><B>   |   </B></I><A HREF="id63.htm" TARGET="_top" TITLE="How do I get started? "><I><B>How do I get started? </B></I></A></div> <bR> <div> </div> </td> </tr><tr> <td valign="top" width=165 BGCOLOR="#FFFFCC" TEXT="#080000"> <div> <I><B><IMG SRC="0ec925f0.jpg" border=0 width="146" height="95" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></div> <div> <A HREF="id60.htm" TARGET="_top" TITLE="Purchase"><I><B><IMG SRC="0cf92290.jpg" border=0 width="146" height="41" ALIGN="BOTTOM" HSPACE="0" VSPACE="3"></B></I></A><A HREF="id35.htm" TARGET="_top" TITLE="Second Mortgage"><I><B><IMG SRC="0d492290.jpg" border=0 width="146" height="41" ALIGN="BOTTOM" HSPACE="0" VSPACE="2"></B></I></A></div> <div> <A HREF="id30.htm" TARGET="_top" TITLE="Line of Credit"><I><B><IMG SRC="0d992290.jpg" border=0 width="146" height="41" ALIGN="BOTTOM" HSPACE="0" VSPACE="2"></B></I></A></div> <div> <A HREF="id16.htm" TARGET="_top" TITLE="Refinance"><I><B><IMG SRC="0d792290.jpg" border=0 width="146" height="41" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></A></div> <div> <I><B><IMG SRC="0dd92290.jpg" border=0 width="146" height="41" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></div> <div> <I><B><IMG SRC="0e092290.jpg" border=0 width="146" height="41" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="Commercial Loans"><I><B><IMG SRC="0db92280.jpg" border=0 width="146" height="40" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></A></div> <div> <A HREF="id55.htm" TARGET="_top" TITLE="VA"><I><B><IMG SRC="0e292290.jpg" border=0 width="146" height="41" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></A></div> <bR> </td> <td valign="top" height=315 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><B>Loan Application</B></I></div> <div> <IMG SRC="168f29d0.jpg" border=0 width="242" height="157" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <I><B>Fill out this form then print the page and sign before sending.</B></I></div> <div>  <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> <html> <head> <title>Untitled Document</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> </head> <body> <table width="98%"> <tr> <td><p>PACIFIC CREST HOME LOANS<br> 866-305-1811<br> Fax APPLICATION</p> <p>24 HOUR APPROVAL</p> <p><br> </p></td> </tr> <tr> <td>This short-form application is for the explicit use of Pacific Crest Home Loans. This application is not a commitment to lend. The information contained herein is strictly confidential and is intended to allow Pacific Crest Home Loans. to obtain credit approval for a residential mortgage loan.</td> </tr> </table> <p> </p> <form name="form1" method="post" action=""> <table width="96%"> <tr> <td width="98%">BORROWER NAME <input type="text" name="textfield48"> </td> <td width="2%"> </td> </tr> <tr> <td>SOCIAL SECURITY NO. <input type="text" name="textfield210"> Date of Birth <input type="text" name="textfield310"> </td> <td> </td> </tr> <tr> <td>HOME PHONE <input type="text" name="textfield48"> WORK PHONE <input type="text" name="textfield52"> </td> <td> </td> </tr> <tr> <td>ADDRESS <input type="text" name="textfield62"> Own <input type="radio" name="radiobutton" value="radiobutton"> Rent <input type="radio" name="radiobutton" value="radiobutton"> Years <input name="textfield72" type="text" size="2"> Mo. <input name="textfield82" type="text" size="3"> </td> <td> </td> </tr> <tr> <td>City, State, Zip <input name="textfield92" type="text" size="40"> Pending Sale <input type="radio" name="radiobutton" value="radiobutton"> Sold <input type="radio" name="radiobutton" value="radiobutton"> </td> <td> </td> </tr> <tr> <td>PREVIOUS ADDRESS <font size="1">(IF LESS THAN 2YRS</font>) Own <input type="radio" name="radiobutton" value="radiobutton"> Rent <input type="radio" name="radiobutton" value="radiobutton"> Years <input name="textfield10" type="text" size="4"> Mo. <input name="textfield11" type="text" size="4"> </td> <td> </td> </tr> <tr> <td>Employer <input type="text" name="textfield12"> Years <input name="textfield13" type="text" size="3"> Mo. <input name="textfield14" type="text" size="4"> Title <input type="text" name="textfield15"> Gross Monthly Income <input type="text" name="textfield16"> </td> <td> </td> </tr> <tr> <td> </td> <td> </td> </tr> <tr> <td> </td> <td> </td> </tr> <tr> <td>PREVIOUS EMPLOYER <font size="1">(IF LESS THAN 2 YEARS</font>) <input type="text" name="textfield17"> From Year <input name="textfield18" type="text" size="4"> Mo. <input name="textfield19" type="text" size="4"> Day <input name="textfield20" type="text" size="4"> To Year <input name="textfield21" type="text" size="4"> Mo. <input name="textfield22" type="text" size="2"> Day <input name="textfield23" type="text" size="4"></td> <td> </td> </tr> <tr> <td>Title <input type="text" name="textfield24"> Gross Monthly Income <input name="textfield25" type="text" size="10"></td> <td> </td> </tr> <tr> <td> </td> <td> </td> </tr> </table> <table width="96%"> <tr> <td width="98%">Co-BORROWER NAME <input type="text" name="textfield482"> </td> <td width="2%"> </td> </tr> <tr> <td>SOCIAL SECURITY NO. <input type="text" name="textfield2102"> Date of Birth <input type="text" name="textfield3102"> </td> <td> </td> </tr> <tr> <td>HOME PHONE <input type="text" name="textfield482"> WORK PHONE <input type="text" name="textfield522"> </td> <td> </td> </tr> <tr> <td>ADDRESS <input type="text" name="textfield622"> Own <input type="radio" name="radiobutton" value="radiobutton"> Rent <input type="radio" name="radiobutton" value="radiobutton"> Years <input name="textfield722" type="text" size="2"> Mo. <input name="textfield822" type="text" size="3"> </td> <td> </td> </tr> <tr> <td>City, State, Zip <input name="textfield922" type="text" size="40"> Pending Sale <input type="radio" name="radiobutton" value="radiobutton"> Sold <input type="radio" name="radiobutton" value="radiobutton"> </td> <td> </td> </tr> <tr> <td>PREVIOUS ADDRESS <font size="1">(IF LESS THAN 2YRS</font>) Own <input type="radio" name="radiobutton" value="radiobutton"> Rent <input type="radio" name="radiobutton" value="radiobutton"> Years <input name="textfield102" type="text" size="4"> Mo. <input name="textfield112" type="text" size="4"> </td> <td> </td> </tr> <tr> <td>Employer <input type="text" name="textfield122"> Years <input name="textfield132" type="text" size="3"> Mo. <input name="textfield142" type="text" size="4"> Title <input type="text" name="textfield152"> Gross Monthly Income <input type="text" name="textfield162"> </td> <td> </td> </tr> <tr> <td> </td> <td> </td> </tr> <tr> <td> </td> <td> </td> </tr> <tr> <td>PREVIOUS EMPLOYER <font size="1">(IF LESS THAN 2 YEARS</font>) <input type="text" name="textfield172"> From Year <input name="textfield182" type="text" size="4"> Mo. <input name="textfield192" type="text" size="4"> Day <input name="textfield202" type="text" size="4"> To Year <input name="textfield212" type="text" size="4"> Mo. <input name="textfield222" type="text" size="2"> Day <input name="textfield232" type="text" size="4"> </td> <td> </td> </tr> <tr> <td>Title <input type="text" name="textfield242"> Gross Monthly Income <input name="textfield252" type="text" size="10"> </td> <td> </td> </tr> <tr> <td> </td> <td> </td> </tr> </table> <p> </p> <p><font size="5">Assets</font></p> <p><font size="3">*Account numbers are optional.</font></p> <p>Checking Institution <input name="textfield26" type="text" size="12"> Account # <input name="textfield27" type="text" size="12"> Balance <input name="textfield28" type="text" size="10"> </p> <p>Savings Institution <input name="textfield29" type="text" size="12"> Account # <input name="textfield30" type="text" size="12"> Balance <input name="textfield31" type="text" size="10"> </p> <p>Stocks/Bonds Institution <input name="textfield32" type="text" size="10"> Account # <input name="textfield33" type="text" size="12"> Balance <input name="textfield34" type="text" size="10"> </p> <p>Retirement Funds Institution <input name="textfield35" type="text" size="10"> Account# <input name="textfield36" type="text" size="12"> Balance <input name="textfield37" type="text" size="10"> </p> <p>Other Institution <input name="textfield38" type="text" size="10"> Account# <input name="textfield39" type="text" size="12"> Balance <input name="textfield40" type="text" size="10"> </p> <p><font size="5">Other Information</font></p> <p>Total Funds Available Towards Purchase: Gift <input name="textfield41" type="text" size="6"> Personal Funds: <input name="textfield42" type="text" size="6"> Seller Contribution <input name="textfield43" type="text" size="6"> </p> <p>Desired Price Range <input name="textfield44" type="text" size="10"> to <input name="textfield45" type="text" size="10"> Are you a Vetran? Yes <input type="radio" name="radiobutton" value="radiobutton"> No <input type="radio" name="radiobutton" value="radiobutton"> </p> <p>Preferred Loan Type: Conventional <input type="radio" name="radiobutton" value="radiobutton"> FHA <input type="radio" name="radiobutton" value="radiobutton"> VA <input type="radio" name="radiobutton" value="radiobutton"> </p> <p>15Yr <input type="radio" name="radiobutton" value="radiobutton"> 20YR <input type="radio" name="radiobutton" value="radiobutton"> 30Yr <input type="radio" name="radiobutton" value="radiobutton"> </p> <p>Fixed <input type="radio" name="radiobutton" value="radiobutton"> ARM <input type="radio" name="radiobutton" value="radiobutton"> Type <input type="text" name="textfield46"> </p> <p>Best Daytime Contact: Borrower <input type="radio" name="radiobutton" value="radiobutton"> Co-Borrower</p> <p>Best Daytime Phone: Work <input type="radio" name="radiobutton" value="radiobutton"> Home <input type="radio" name="radiobutton" value="radiobutton"> Other <input name="textfield47" type="text" size="15"> </p> <p>CERTIFICATION AND AUTHORIZATION<br> I/We certify that the information provided in this application is true and correct as of the date set forth opposite my/our signature(s) on this application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the of the information contained in this application my result in civil liability and/or criminal penalties. I/We also acknowledge that by signing below we authorize Pacific Crest Home Loans to obtain a credit report and to verify any of the information contained therein.</p> <table width="99%" border="1"> <tr> <td width="50%" height="34"><font size="4">Borrower </font></td> <td width="50%"><font size="4">Co-Borrower</font></td> </tr> <tr> <td><font size="4">Date</font></td> <td><font size="4">Date</font></td> </tr> </table> <p>When Complete Please Fax or Send to: Pacific Crest Home Loans attn: Internet App. Fax: 541-868-1859, Mail: Pacific Crest Home Loans,44 Club Road, Suite 330, Eugene, OR 97401</p> <p> </p> <p> </p> </form> <p> </p> <p> </p> </body> </html>  </div> <bR> <bR> <bR> <bR> <bR> </td> </tr></table></body>