Mobile Home w/o Land - Refinance
     
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Please fill out completely.  Missing data will delay processing. All Applications submitted by individuals must include a copy of their credit report (only the pages containing the score(s)). These may be faxed to 707-924-7367 or 435-518-9784

Dealers, Loan Originators, Brokers, etc.: please include your Company Name, Address, Phone, Fax, Contact Person & Email Address in the Comments Box. Be sure to list the credit score(s), DTI and that you have a signature on file as well.

We believe in Equal Housing to All Applicants!
 

.Comments:
*** NOTE - Please explain the nature of your Loan Request and include any information that you would like considered in the box below.
..• Will the home be your Primary Residence?
My Primary Residence
A Second or Vacation Home
 
..• Where is the home located?
In a Park
On Land I own
On Land I do not own
 
  Home Information  
 
  Year Make Model Size (WxL) Serial Number
         
  Address of the Home City, State Zip County
       
  Name of Park or Land Owner Space Rent (Monthly)    or     Land Owner Phone
                        
  ..• If the home is not in a park, enter the Name and Phone number of Land Owner
 
  Current Lender Information  
 
  Name of Current Lender Balance of Loan Mo. Payment Interest Rate
         
  Account Number Original Term of Loan Remaining Term Value of Home
         
     
 
  Applicant Information  
 
  Full Name (F/M/L) Date of Birth Soc Sec No. Dependents Dependents Ages
         
  Home Phone Email Address (Required)
Do you Currently
Rent or Own
     
 
Mailing Address (if different from home address)
Years at
Current Residence
 
 
 
Previous Address
Years at
Previous Residence
 
 
 
  Employment Information (3 Years Required)
 
Current Employer
 Employer City & State
Years at Years in this
Current Employer Line of Work
 
 
     
 
Phone
 Position/Job Title Monthly Salary (Gross)  
 
 
    Self Employed .... Retired
 
Former Employer (or 2nd Job)
 Former Employer City & State Years at Former Employer
 
 
Phone
 Position/Job Title Monthly Salary (Gross)  
 
 
 
Former Employer 2
 Former Employer City & State Years at Former Employer
 
 
Phone
 Position/Job Title Monthly Salary (Gross)  
 
 
Other Monthly Income
Source of Other Income Amount (Monthly)
NOTICE: Alimony, child support or separate maintenance income need not be revealed if the Applicant or Co-Applicant does not choose to have it considered for repaying this loan.
Voluntary Information For Government Monitoring Purposes

Sex

Marital Status

Race/National Origin

  Relative Name Relationship Phone City& State
         
         
  Bank Name      
  Checking Savings  
  Checking Savings  
  Co-Applicant Information  
 
  Co-Applicant Full Name (F/M/L) Date of Birth Soc Sec No. Dependents Dependents Ages
 
  Home Phone Email Address (Required)
 
 
Mailing Address
City, State Zip
Years at
Current Residence
 
 
Previous Address
City, State Zip
Years at
Prev. Residence
 
 
  Employment Information (3 Years Required)
 
Current Employer
 Employer City & State
Years at Years in this
Current Employer Line of Work
 
 
 
Phone
 Position/Job Title Monthly Salary (Gross)  
 
Self Employed .... Retired
 
Former Employer (or 2nd Job)
 Former Employer City & State Years at Former Employer
 
 
Phone
 Position/Job Title Monthly Salary (Gross)  
 
 
 
Former Employer 2
 Former Employer City & State Years at Former Employer
 
 
Phone
 Position/Job Title Monthly Salary (Gross)  
 
 
Other Monthly Income
Source of Other Income Amount (Monthly)
NOTICE: Alimony, child support or separate maintenance income need not be revealed if the Applicant or Co-Applicant does not choose to have it considered for repaying this loan.
Voluntary Information For Government Monitoring Purposes

Sex

Marital Status

Race/National Origin

I/we am authorizing you to retrieve the my/our credit reports.
 
I/we realize that you are unable to ensure that the data being submitted will not be intercepted by third parties. I/we agree that you have taken every possible security precaution and will not be held liable should such an interception occur.
 

 

One of our employees may contact you within 48 hours (excluding weekends) to discuss the application submitted.
Fill in the above "COMMENT" box giving a detailed explanation of what the applicant(s) wants to accomplish.