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(530) 432- 8333 Cell            (866) 790- 0022   24-Hour Voice Mail
 

LOANS R WE can help you find the answers to your mortgage questions or concerns.

Simply f
ill in the form below or call me to get Pre-Qualified so you can take advantage of low market rates. 

The following form is sent to my private email and will NOT be sent to any lender until after we discuss your options.

Loan Application

Enter some text here about the loan and what will happen after the user fills in this information and submits it. You may also want to give a telephone number where the user can call someone if they do not want to fill out this form through email.

Applicant Information
Security Code: *  
First Name:
Last Name:
Birthdate::
Social Security #:
Address Street 1:
Address Street 2:
City:
Zip Code:  
State:
Co-Applicant Information
First Name:
Last Name:
Birthdate:
Social Security #:
Contact Information
Work Phone:
Cell::
Home Phone:
Email:
Email:
Financial Information
Loan Type:
Loan Amount Applying for: (USD)
Banking/Credit Card Information
Loan Balance: (USD)
Loan Balance: (USD)
Credit Card Balance Totals: (USD)
Auto Loan Owed~ Montly Pymt: (USD)
Mortgage Balance Owed: (USD if applicable)
Property Information
Property Type for Loan Application:

Occupancy:
PropertyValue: (USD)
Employment Information
Occupation/Title:
Employment Date
Years/mos. in field
CompanyName,
Address,City,Zip:
Manager's Name/Phone::
Other Information
Prev.Employ to cover 5 yrs:
Comments:
By Checking box at left, I am authorizing LOANS R WE to verify my employment history and to run a credit check.

Privacy Statement:  We do not share or solicit your information to any 3rd other party

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