Form - Apply NOW!

Pac First Mortgage
Phone: (877) 998-3480
Fax: (541) 998-3490
Email: carterr@PacFirstMortgage.net

Loan Approval Application

I. Borrower Information

Borrower

Co-Borrower

	First	Last
Name
S.S. #		DOB
H. Phone		Married
W. Phone		Cell
E-mail

	First	Last
Name
S.S. #		DOB

W. Phone		Cell
E-mail


Present Address

Address
City
State		Zip

II. Credit Information

Self Score (if FICO score unknown)

Middle FICO Score (if known)

Credit Self Rating

Middle - FICO Score

III. Property and Purpose of Loan

Address
City
State		Zip

Property Type
Appraised Value
Property Will Be

IV. Type of Mortgage and Terms of Loans


Loan Purpose
Loan Type
Lien Position


Type Loan Documentation

Loan Amortization

Purchase Information

Refinance Information

Purchase Price	$
Down Payment	$
Loan Amount	$
Estimated Closing Date
Combined Monthly Income	$
Current Rental Payment	$
Combined Other Expenses	$
Est. Max. Monthly Payment	$
Est. Max. Down Payment	$

Year Acquired Property
Original Purchase Price	$
Current 1st Lien Balance	$
Current 2nd Lien Balance	$
Present Haz. Insurance	$
Present Property Taxes	$
Present Mtg. Insurance	$
Present HOA Dues	$
Present Other Housing Expense	$

V. Communication Preference and Referral Source

Preferred Communication

Best Time To Contact You

Referral Name

Security Notice

We are vitally concerned with security and your privacy on the internet. Your data will be sent securely and directly to our secure server, and I will be notified of your application.