Loan Application
Fill out this form then print the page and sign before sending.
Untitled Document

PACIFIC CREST HOME LOANS
866-305-1811
Fax APPLICATION

24 HOUR APPROVAL
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.

 

BORROWER NAME  
SOCIAL SECURITY NO. Date of Birth  
HOME PHONE WORK PHONE  
ADDRESS Own Rent Years Mo.  
City, State, Zip Pending Sale Sold  
PREVIOUS ADDRESS (IF LESS THAN 2YRS) Own Rent Years Mo.  
Employer Years Mo. Title Gross Monthly Income  
   
   
PREVIOUS EMPLOYER (IF LESS THAN 2 YEARS) From Year Mo. Day To Year Mo. Day  
Title Gross Monthly Income  
   
Co-BORROWER NAME  
SOCIAL SECURITY NO. Date of Birth  
HOME PHONE WORK PHONE  
ADDRESS Own Rent Years Mo.  
City, State, Zip Pending Sale Sold  
PREVIOUS ADDRESS (IF LESS THAN 2YRS) Own Rent Years Mo.  
Employer Years Mo. Title Gross Monthly Income  
   
   
PREVIOUS EMPLOYER (IF LESS THAN 2 YEARS) From Year Mo. Day To Year Mo. Day  
Title Gross Monthly Income  
   

 

Assets

*Account numbers are optional.

Checking Institution Account # Balance

Savings Institution Account # Balance

Stocks/Bonds Institution Account # Balance

Retirement Funds Institution Account# Balance

Other Institution Account# Balance

Other Information

Total Funds Available Towards Purchase: Gift Personal Funds: Seller Contribution

Desired Price Range to Are you a Vetran? Yes No

Preferred Loan Type: Conventional FHA VA

15Yr 20YR 30Yr

Fixed ARM Type

Best Daytime Contact: Borrower Co-Borrower

Best Daytime Phone: Work Home Other

CERTIFICATION AND AUTHORIZATION
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.

Borrower Co-Borrower
Date Date

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