Loan Application

PLEASE NOTE: There are several items of information which are necessary to the completion of your application which, for reasons of YOUR security, we will not ask for on this online form. Those items include, but are not limited to:
- Your Social Security Number;
- Your bank account numbers;
- Your credt account numbers.
- A photocopy of your driver's license
Upon receipt of your submitted information, one of our representatives will telephone you as soon as possible during business hours (8am-5pm, M-F, Central Time) and ask for the missing information over the phone. Your application is not complete without this information, and it will not be processed until the missing information is provided.

All fields marked with an asterisk (*) are required, including your name, phone number, and email address. Our website software will not allow you to submit the form without the required fields filled out.

All information provided must be complete and current to the best of your knowledge.

First, we will begin with your contact information.
Your Full Name*

This means your FULL legal name, including your middle name, as it appears on your ID.
Your Personal Phone No.*

Please use format 123-456-7890
Type of Phone*
- Home Phone
- Cell Phone
What type of phone is the above phone number?
Your Email Address*

Please provide a valid email address
Do you have any other loans with other lenders that may not show up on a credit report?*
- Yes
- No
Do you agree to maintain all applicable insurance on the collateral property which can cover hazards such as fire, flood, theft, etc.?*
- Yes
- No

Now, please provide your CURRENT address information.
Street Address*
Suite/Apartment No.
City*
Your State*
Please pick your state of residence from the pulldown.
Zip Code*
No. of Years*
Tell us how many years have you lived at this address.
Own or Rent?*
- Own
- Rent
Do you own or rent this home?
Monthly Payment*
Please tell us how much your monthly payment is.
If you have lived at your current residence for less than 2 years, please fill out the information below:
Street Address
Suite/Apartment No.
City
Your State
Please pick your state of residence from the pulldown.
Zip Code
Please enter a number from 10000 to 99999.
No. of Years
Tell us how many years have you lived at this address.
Own or Rent?
- Own
- Rent
Do you own or rent this home?
Monthly Payment
Please tell us how much your monthly payment is.

Now, please tell us about your family.
Marital Status*
- Married
- Single
Are you married or single?
Divorced*
- yes
- no
Have you ever been divorced?
No. of Years Divorced

Now, please tell us about your recent employment history.
Employer Name*

The name of your business or your employer's business.
Type of Company*

What kind of company do you own/work for?
Your Position*

What is your job title?
Employer Street Address*

Your employer's street address
Suite No.

Employer's suite number
Employer's City*

City where you employer is located.
Employer's State*
Please choose the state your employer is located in.
Employer's Zip Code*
Employer's Phone No.*

Please use format 123-456-7890
Employer's Fax No.*

Please use format 123-456-7890
No. of Years Employed*
Self-Employed?*
- Yes
- No
Are you self-employed?
Salary*
If you do not have a fixed salary or hourly income, tell us your average monthly income from this job.
If you have been employed at the above position for less than 2 years, please fill out the information below:
Employer Name

The name of your business or your employer's business.
Type of Company

What kind of company do you own/work for?
Your Position

What is your job title?
Employer Street Address

Your employer's street address
Suite No.

Employer's suite number
Employer's City

City where your employer is located.
Employer's State
Please choose the state your employer is located in.
Employer's Zip Code
Employer's Phone No.

Please use format 123-456-7890
Employer's Fax No.

Please use format 123-456-7890
No. of Years Employed
Tell us how many years you have been employed by THIS employer.
Self-Employed?
- Yes
- No
Are you self-employed?
Salary
If you do not have a fixed salary or hourly income, tell us your average monthly income from this job.

Now, please tell us about your gross (not net) monthly income.
BaseSalary*
Tell us your base monthly salary or hourly wage. Numbers only. Do not use "$" "," or other special or alphabetic characters.
Overtime
Monthly Overtime Income. Numbers only. Do not use "$" "," or other special or alphabetic characters.
Commission/Bonus
Numbers only. Do not use "$" "," or other special or alphabetic characters.
Rental Income
Numbers only. Do not use "$" "," or other special or alphabetic characters
Other Income
Numbers only. Do not use "$" "," or other special or alphabetic characters.
Total Income
- I have a minimum of $17000 in liquid assets
Tell me about these assets*

Now, please tell us about your asset balances.

BORROWER ASSETS
Your Checking Balance*
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have a checking account, type "0"
Your Savings Balance*
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have a savings account, type "0"
Your Money Market Balance*
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have a Money Market account, type "0"
401K*
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have a 401K account, type "0"
IRA*
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have an IRA account, type "0"
Other Assets*
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have another asset account, type "0"
CO-BORROWER ASSETS
Do you have a Co-Borrower?*
- Yes
- No
Co-Borrower Full Name
First Last
This means your FULL legal name, including your middle name, as it appears on your ID.
Co-Borrower Checking Balance
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have a checking account, type "0"
Co-Borrower Savings Balance
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have a savings account, type "0"
Co-Borrower Money Market Balance
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have a Money Market account, type "0"
Co-Borrower's 401K
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have a 401K account, type "0"
Co-Borrower's IRA
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have an IRA account, type "0"
Co-Borrower's Other Assets
Numbers only. You can use "$", "," and "." if you wish to. If your balance is zero or you do not have another asset account, type "0"

LAST ITEM!!! Please tell us about your rental properties.
Rental Properties*
- Yes
- No
Do you own any rental properties?
How Many?*
If you answered "Yes" to the previous question, tell us how many rentals you own.
Properties you own?*
What are the addresses of properties you own? Type N/A if none
Which own free and clear?*
Which properties do you own free and clear? Type N/A if none.
Callback Verification*
- Yes, I understand that someone will phone me back to complete this application.
Verification*
- Yes, I verify that all information provided is true and complete to the best of my knowledge.
Authorization*
- Yes, I authorize First Funding to verify the above information and all asset balances needed to process the loan application. I further authorize the lender to order a consumer credit report and verify all past and current information and references.
Co-Borrower Authorization*
- Yes, as Co-borrower, I authorize First Funding to verify the above information and all asset balances needed to process the loan application. I further authorize the lender to order a consumer credit report and verify all past and current information and references.
How did you hear about us?*
Name
This field is for validation purposes and should be left unchanged.

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