California Residential Loan Consutants

12411 Rancho Bernardo Road * Rancho Bernardo, CA 92128 * (858) 487-9000

Loan Application

We look forward to working with you and your real estate agent.You can call us, we'll call you or you can complete the on-line application. Call 1-858-487-9000 or 1 800-756-6790 Monday - Friday 9am-5pm Pacific Time and a friendly loan officer will answer all your questions. Click on the Contact Us button below and complete the information request and one of our friendly loan officers will contact you. Our application is simple and short but if you need help filling it out, just give us a call at 1-858-487-9000 or 1 800-756-6790 anytime during the hours listed above.

* = Reqired Field

LOAN INFORMATION

Amount

Interest Rate
%

No. of Years

Amort. Type

Fixed Rate

ARM (type):

Purpose of Loan:

Purchase

Refinance

Construction

PROPERTY INFORMATION

Subject Property Address (street, city, state & zip)

Year Built

No. of Units

Property will be:

Primary Residence

Secondary Residence

Investment

BORROWER'S INFORMATION

CO-BORROWER'S INFORMATION

Name (include Jr. or Sr. if applicable): *

Name (include Jr. or Sr. if applicable):

Any additional names:

Social Security Number:
- -

Age:

Social Security Number:
- -

Age:

E-Mail Address: *

Home Phone:
- -

Married

Unmarried (includes single, divorced, widowed)

Separated

Married

Unmarried (includes single, divorced, widowed)

Separated

Present Address (street, city, state & zip):

Own

Rent (No. Years )

Own

Rent (No. Years )

Name of Employer:

Self-Employed

Name of Employer:

Self-Employed

Yrs. at this job

Yrs. in line of work

Yrs. at this job

Yrs. in line of work

Position/Title/Type of Business

Business Phone
- -

BORROWER'S LIQUID ASSETS

CO-BORROWER'S LIQUID ASSETS

Company 1

Account #

Amount
$

Company 2

Account #

Amount
$

Company 3

Account #

Amount
$

BORROWER'S GROSS MONTHLY INCOME

CO-BORROWER'S GROSS MONTHLY INCOME

Alimony, child support, separate maintenance iNcome need not be revealed in the Borrower does not choose to have it considered for repaying this loan.

Alimony, child support, separate maintenance iNcome need not be revealed in the Co-Borrower does not choose to have it considered for repaying this loan.

Base Income	$
Overtime	$
Bonuses	$
Commissions	$
Other:	$
Other:	$

Base Income	$
Overtime	$
Bonuses	$
Commissions	$
Other:	$
Other:	$

BORROWER - ADDITIONAL QUESTIONS

CO-BORROWER - ADDITIONAL QUESTIONS

Please answer the following. If you answer yes to any question, please explain it below.

	Yes	No
a. Do you own any real estate?
b. Are you obligated to pay alimony, child support, or separate maintenance?
c. Is any part of the down payment borrowed?
d. Are you a co-maker or endorser on a note?
e. Are you a U.S. citizen?
f. If no to "e", are you a permanent resident alien?
Please explain any "yes" answers below:

	Yes	No
a. Do you own any real estate?
b. Are you obligated to pay alimony, child support, or separate maintenance?
c. Is any part of the down payment borrowed?
d. Are you a co-maker or endorser on a note?
e. Are you a U.S. citizen?
f. If no to "e", are you a permanent resident alien?
Please explain any "yes" answers below:

ACKNOWLEDGEMENT AND AGREEMENT

The undersigned specifically acknowledge(s) and agree(s) that: (1) the loan requested by this application will be secured by a first mortgage or deed of trust on the property described herein; (2) the property will not be used for any illegal or prohibited purpose or use; (3) all statements made in this application are made for the purpose of obtaining the loan indicated herein; (4) occupation of the property will be as indicated above; (5) verification or reverification of any information contained in the application may be made at any time by the Lender, its agents, successors and assigns, either directly or though a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the lender, even if the loan is not approved; (6) the Lender, its agents, successors and assigns will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing; (7) in the event my/our payments on the loan indicated in this application become delinquent, the Lender, its agents, successors and assigns, may, in addition to all their other rights and remedies, report my/our name(s) and account information to a credit reporting agency; (8) ownership of the loan may be transferred to successor or assign of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assign of the Lender with prior notice to me; (9) the Lender, its agents, successors and assigns make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property.

Certification: I/We certify that the information provided in this application is true and correct as of the date set forth with the submission of this application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq and liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.

BORROWER'S VERIFICATION	CO-BORROWER'S VERIFICATION
Yes, I verify the information submitted on this form is correct. I have read the terms set forth on this form, and agree to abide by them.	Yes, I verify the information submitted on this form is correct. I have read the terms set forth on this form, and agree to abide by them.