Manufactured Home Pre-Approval Application
for Mobile Home Land/Home Loans

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.

This application is for a New Loan or for Refinancing existing loan

APPLICANT

CO-APPLICANT
Borrowers Name  Co-Borrowers Name 
Social Security #    Age  Social Security #    Age 
Home A/C Phone    Home A/C Phone   
Home Address Home Address
City St Zip City St Zip
Own   Rent     How long?  Own   Rent     How long? 
Employer   Employer  
Work A/C Phone   Work A/C Phone  
Hire Date   Hire Date  
Gross Wages Mo Wk Gross Wages Mo Wk
Other Income    From? Other Income    From?
Child support, alimony, or maintenance income need not be revealed if you do not wish to have it considered for repayment of this loan.
Do you own the land?  Yes  No   When did you buy it?    Value $
# of Acres    What is the balance owed on the land? 
Address where the home will be installed    City St Zip
Email Address &
Best time to reach you by phone  
Assets                                             Name of Institution                                        Balance
Checking Acct                                          
Savings Acct                                            
Retirement/401K/Maintenance              
Liabilities / Debts                    Name                                        Payment                    Balance
Rent or Mortgage                                   
Child Support/Maintenance                  
Other (explain in comments box)                
                                                                                                     Borrower                    Co-Borrower
Have you had a foreclosure or a Bankruptcy in the last three years?   Yes  No                 Yes  No
Are you obligated to pay Alimony, Child Support, or Maintenance?     Yes  No                 Yes  No
May we order your credit report(s)?                                                  Yes  No                 Yes  No
(note - current credit report required for loan approval)          
Borrower's Signature (Type in box above) Date Co-Borrowers Signature (Type in box above)


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