Equity Funding Source

P.O. Box 421327

Los Angeles, CA 90042

LOAN APPLICATION

 

BORROWER

CO-BORROWER

 

________________________________________________________

Name

 

Home Phone����� (________)_______________________________

 

Business Phone________________________________ (________)���������������������������

 

 

________________________________________________________

Property Address

 

________________________________________________________

Mailing Address

 

________________________________________________________

City, State, Zip

 

________________________________________________________

Occupation or Profession if Self Employed

 

________________________________________________________

Current Employer

 

________________________________________________________

Employment Address

 

Years on Job ______Age _______ SS#._________________________

 

Marital Status: qMarried�� qSeparatedqUnmarried (includes single, divorced and widowed)

 

I (we) live in the property being pledged for the subject loan. qYqN

 

Have you filed for bankruptcy in the past 12 months?�� qYqN

 

If yes, what type of bankruptcy was filed? Chapter�� q7�� q11�� q13

 

Approximate date of filing _________________________________

 

County where filed?_______________________________________

 

 

________________________________________________________

Name

 

Home Phone����� (________)_______________________________

 

Business Phone________________________________ (________)���������������������������

 

 

________________________________________________________

Property Address

 

________________________________________________________

Mailing Address

 

________________________________________________________

City, State, Zip

 

________________________________________________________

Occupation or Profession if Self Employed

 

________________________________________________________

Current Employer

 

________________________________________________________

Employment Address

 

Years on Job ______Age _______ SS#._________________________

 

Marital Status: qMarried�� qSeparatedqUnmarried (includes single, divorced and widowed)

 

I (we) live in the property being pledged for the subject loan. qYqN

 

Have you filed for bankruptcy in the past 12 months?�� qYqN

 

If yes, what type of bankruptcy was filed? Chapter�� q7�� q11�� q13

 

Approximate date of filing _________________________________

 

County where filed?_______________________________________

 

 

SOURCES OF INCOME�������������������������� Monthly Amt

(List and identify each source separately)

SOURCES OF INCOME�������������������������� Monthly Amt

(List and identify each source separately)

 

______________________________________ ��� _________________

 

______________________________________ ��� _________________

 

______________________________________ ��� _________________

 

______________________________________ ��� _________________

 

Total income Per Month�������������������������������������� $________________

 

 

______________________________________ ��� _________________

 

______________________________________ ��� _________________

 

______________________________________ ��� _________________

 

______________________________________ ��� _________________

 

Total income Per Month�������������������������������������� $________________

 

 


 

MONTHLY EXPENSES/ALL OBLIGORS

 

 

This Loan������������������������������������������������ ________________________

Rent��������������������������������������������������������� ________________________

Charge Account Payments�������������������� ________________________

Credit Card Payments���������������������������� ________________________

Mortgage Pmts. (Incl. taxes & insurance)______________________ �����������������������������������������������������������������

 

Spousal and/or Child Support��������������� _______________________

Unsecured Loan Payments�������������������� _______________________

Life Insurance Payments������������������������� _______________________

Car Payments������������������������������������������� _______________________

Other��������������������������������������������������������� _______________________

 

Total of all Monthly Expenses��������������� $______________________

 

 

AUTHORIZATION TO OBTAIN CREDIT REPORT

 

In connection with the loan for which I am applying through Equity Funding Source (�COMPANY�), I do hereby authorize COMPANY to obtain a credit report from any credit reporting agency of its choice. Copies of the report may be given to the intended lender or lenders for the purpose of lender�s or lenders� reliance when making the decision to fund the loan. Further credit reports may be obtained by COMPANY at any time during the loan term.

 

 

________________________________________________________ ��������������� ________________________________________________________

Borrower/Applicant Signature��������������������������������������������������� Date����������������� Borrower/Applicant Signature��������������������������������������������������� Date