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Pacific Loanworks Inc.
229 E Badillo St.
Covina, CA 91723
REFI:(877) 573-7334
P: (626) 332-9020
f: (626) 332-7343
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Pacific Loanworks Inc.
229 E Badillo St.
Covina, CA 91723
REFI:(877) 573-7334
P: (626) 332-9020
f: (626) 332-7343




III. BORROWER INFORMATION

Email address: 
Name:
Amount: $ 
Purpose of Loan: 

OWNER INFORMATION

Borrower

  Name (include Jr. or Sr. if applicable)

 Social Security Numbe
 
Home Phone

Age  Yrs. of School 

Dependents No. Ages

Marital Status : Married Unmarried Separated

Co-Borrower

  Name (include Jr. or Sr. if applicable)

 Social Security Numbe
 
Home Phone

Age  Yrs. of School 

Dependents No. Ages

Marital Status : Married Unmarried Separated

Present Address:

Street

City

State 

Own Rent
Present Address:
Street
City
State

Own Rent

IF AT PRESENT ADDRESS LESS THAN TWO YEARS ...
Former Address:

Street 

City 

State 

Zip 

Own Rent

No. Yrs.

Former Address:

Street 

City 

State 

Zip 

Own Rent

No. Yrs.


IV. EMPLOYMENT INFORMATION

Borrower

Name of Employer: 

Address:   

City:         

State:

Zip:

Self-employed
Yes
No

Years on this job:

Yrs. in current profession:

Position/Title/Type of Bus:

Business Phone:


Co-Borrower

Name of Employer: 

Address:   

City:         

State:

Zip:

Self-employed
Yes No

Years on this job:

Yrs. in current profession:

Position/Title/Type of Bus:

Business Phone:

Name of Employer:

Attn:

Address:

City:

State:

Zip:

Self-employed
 Yes No

From:  Yr: 

To:      Yr: 

Monthly Income:$

Position/Title/Type of Bus:

Business Phone:


IF EMPLOYED IN CURRENT POSITION FOR LESS THAN TWO YEARS...

Name of Employer:

Attn:

Address:

City:

State:

Zip:

Self-employed
 Yes No

From:  Yr: 

To:      Yr: 

Monthly Income:$

Position/Title/Type of Bus:

Business Phone:

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Gross Mo. Income

Borrower

Co-Borrower

Base Empl. Income*

$

$

Overtime

$

$

Bonuses

$

$

Commissions

$

$

Dividends/Interest

$

$

Net Rental Income

$

$

Other**

$

$

Total

$

$

.

* Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements

Combined Monthly Housing Expenses

Present

Proposed

Rent

$

$

First Mortgage (P&I)

$

$

Other Financing (P&I)

$

$

Hazard Insurance

$

$

Real Estate Taxes

$

$

Mortgage Insurance

$

$

Homeowner Assoc. Dues

$

$

Other

$

$

Total

$

$


VI. ASSETS AND LIABILITIES
This statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise separate Statements and Schedules are required. If the Co-Borrower section was completed about a spouse, this Statement and supporting schedules must be completes about that spouse also.
Completed: Jointly Not Jointly
ASSETS
Name & Address of Bank, S&L, or Credit Union:
Acct. no.
Cash or Market Value: $
LIABILITIES
TotalMonthly Payments $

VI. ASSETS AND LIABILITIES
Completed: Jointly Not Jointly
ASSETS
Name & Address of Bank, S&L, or Credit Union:
Acct. no.
Cash or Market Value: $
LIABILITIES
TotalMonthly Payments $
 
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