Name
Co-Borrower (if applicable)
Phone:
Email:
Borrower is an: Individual Corporation Partnership LLC Other
Name(s) in which the title will be held:
If refinance, who is CURRENTLY on title?
Address
City:
State:
Property type and use: Home Condo Town Home Rental (is this the same as below???) Apartments
Does borrower live on property? Yes No
Purpose: Purchase Refinance
Purchase price (value if refinance):
Original purcahse date (if refinance):
Original purchase price (if refinance):
Value of your home:
Are you in foreclosure? Yes No
Are you in Bankruptcy? Yes No
HOW MUCH EXTRA MONEY WOULD YOU LIKE? $
Equity Loan Funding is a subsidiary of Mission Valley Realty and Loan DRE # 461026
