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Loan Application

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Click here to print and fax / mail your application.

Please fill out all information that is applicable so we can process your request.

First Applicant
 

Information

Full Name:
 
eMail Address:
 
Birth Date:
  
Social Security Number:
  
Current Address:
  
City, State, Zip Code:
  
Best Contact Phone Number:
 
Current monthly
mortgage/rent payment:
$
How Long at Present Address?
    
Residential Status
  Homeowner     Renter     Parents     Other  
 
Dependant Children
   Ages
Marital Status
   Married   Unmarried   Separated  
Previous Address:
(if less than 2 years at present address)
  
     

Employment

Employer Name:
 
Employer Address:
 
Employer City, State, Zip:
 
Work Phone Number:
  
Type of Company:
  
Job Title or Occupation:
  
Hire Date:
  
Current Salary
$
Weekly   Monthly   Yearly  

Previous Employer:

 
City and State:
 
Phone Number:
  
Dates of Employment:
 
   

Other Income

Note: Alimony, child support, or separate maintenance income do not have to be revealed unless the applicant wishes to have such sources considered as a basis for repayment.
Source of Other Income:
  
Monthly Amount:
$
     
     

Second Applicant
     

Information

Full Name:
 
eMail Address:
 
Birth Date:
  
Social Security Number:
  
Current Address:
  
City, State, Zip Code:
  
Best Contact Phone Number:
  
Current monthly mortgage/rent payment:
  
How Long at Present Address?
    
Residential Status
   Homeowner     Renter     Parents     Other
Dependant Children
   Ages
Marital Status
   Married   Unmarried   Separated  
Previous Address:
(if less than 2 years at present address)
  
   

Employment

Employer Name:
 
Employer Address:
 
Employer City, State, Zip:
  
Work Phone Number:
  
Type of Company:
  
Job Title or Occupation:
 
Hire Date:
 
Current Salary
   $ Weekly   Monthly   Yearly  
Previous Employer:
 
City and State:
 
Phone Number:
  
Dates of Employment:
 
   

-Other Income-

Note: Alimony, child support, or separate maintenance income do not have to be revealed unless the applicant wishes to have such sources considered as a basis for repayment.
Source of Other Income:
  
Monthly Amount:
$
     

Loan & property Information

 

Loan Information

Loan Type
   Purchase    Refinance
Sales Price or Estimated Value:
   $
Down Payment:
   $
     

Property Information

Name of Park:
  
Property
Address:
 
City, State and Zip:
 
Current Space Rent:
   $
# Bedrooms:
  
Number of Baths:
  
Year Built:
  
Manufacturer:
  
Size:
   (square feet)

 


FOR PURCHASES: Please FAX a copy of the signed purchase agreement.
FOR REFINANCE: Please FAX a copy of the most current registration from the California Department of Housing.

 

     By clicking "Apply Now" below, I/we certify that the above information is true and correct to the best of my/our knowledge. I/we give Mobile Brokers Acceptance permission to verify any information stated above (i.e. employment, income, etc.) and check my credit history as necessary to obtain financing.

For your own records, print a copy of this form BEFORE you click "Apply Now."

Do NOT submit this form unless you want your credit to be checked.

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