Online Loan Application

HOME IMPROVEMENT LOAN APPLICATION

EVEN IF MARRIED YOU MAY APPLY FOR A SEPARATE ACCOUNT.

LOAN REQUEST

Amount Requested:
Purpose:
Today's Date:
Your Contractor's Name:

THIS APPLICATION COVERS A REQUEST FOR (CHECK ONE)

Joint Credit Yes/No:

ABOUT MY HOUSE (SUBJECT PROPERTY)

Year Home Built:
Date Home Purchased:
Home Purchase Price:
Present Value of Home:

ABOUT MYSELF

*Name:
*Email:
Phone:
*Street Address:
*City, State, Zip:
Previous Address (if curr less then 2 years):
Time at Previous Address:
Rent or Own Previous Address:
Social Security Number:
Date of Birth:
Married Yes/No:
Number of Dependents:
Current Employer:
Phone Number:
Street Address:
City, State, Zip:
Position:
How long with this employer:
How long in this line of work:
Gross monthly employment income:
Other monthly income - Amount:
Other Monthly Income - Describe:

CO-APPLICANT

Name:
Phone:
Street Address:
City, State, Zip:
Previous Address - If different than Borrower:
Time at Previous Address:
Rent or Own Previous Address:
Social Security Number:
Date of Birth:
Married Yes/No:
Number of Dependents:
Current Employer:
Phone Number:
Street Address:
City, State, Zip:
Position:
How long with this employer:
How long in this line of work:
Gross monthly employment income:
Other Monthly Income - Amount:
Other Monthly Income - Describe:

EXISTING 1ST MORTGAGE

Current Balance:
Monthly Payment:
Does payment include taxes & insurance - Yes or No:
Is the interest rate Fixed or Adjustable?:

EXISTING 2ND MORTGAGE

Current Balance:
Monthly Payment:
Is the interest rate Fixed or Adjustable?:

VOLUNTARY INFORMATION FOR GOV'T MONITORING PURPOSE

APPLICANT::
I do not wish to furnish this information:
ETHNICITY::
RACE::
SEX::
CO-APPLICANT:
I do not wish to furnish this information:
ETHNICITY::
RACE::
SEX::

Note: Fields with an * are required

The information requested in the section title "VOLUNTARY INFORMATION FOR
GOVERNMENT MONITORING PURPOSES" below, is requested by the Federal
Government for certain types of loans related to a dwelling in order to monitor the
lender's compliance with equal credit opportunity, fair housing and home mortgage
disclosure laws. You are not required to furnish this information, but are encouraged
to do so. The law provides that a Lender may discriminate neither on the basis of
this information, nor on whether you choose to furnish it. If you furnish the
information, please provide both ethnicity and race. For race, you may enter more
than one designation. If you do not furnish ethnicity, race, or sex. under Federal
regulations, this lender is required to note the information on the basis of visual
observation or surname. If you do not wish to furnish the information, please type
YES in the appropriate box above. (Lender must review the above material to
assure that the disclosures satisfy all requirements to which the lender is subject
under applicable state law for the particular type of loan applied for.)

For ETHNICITY enter either Hispanic or Latino or Not Hispanic or Latino.
For RACE enter either American Indian or Alaska Native. or Asian, or
Black or African American, or Native Hawaiian or Other Pacific Islander,
or White.
For SEX enter either Female or Male.

1st California Funding Group is a Real Estate Broker licensed by the California Department of Real Estate. License #01176680

1st California Funding Group
510 E. Lincoln Ave.
Orange, CA 92865

Phone: (714) 998-3988
Fax: (714) 998-3966

Toll Free
Phone: (800) 864-7070
Fax: (800) 811-1010

Email: loans@firstcalfund.com