ONLINE APPLICATION

Borrower Name:
Social Security Number:
Home Phone Number:
Work Phone Number:
Email Address:
Cellular Phone Number:
Monthly Income:
Best Time to Call:
Best Place to Call:
Subject Property Address:
City:
State:
Zip:
Property Type:
Occupancy Type:
Purchase Amount:
Estimated Property Value:
Loan Type Requested:
Purpose of Loan:
Loan Amount Requested:
Existing 1st Mortgage Amount:
Existing 2nd Mortgage Amount:
Amount of Other Liens:
Total Monthly Mortgage Payments:
Total Monthly Credit Card Payments:

Co-Borrower Name:
Co-Borrower Social Security Number:
Co-Borrower Monthly Income:

Name of Loan Officer Spoken With: (if any)

Offices:
J & J Lending Corporation 4630 Campus Drive, Suite 111 Newport Beach, CA 92660 (949) 468-0108 Fax: (949) 271-3798	Vertical Lending 800 N. Rainbow Blvd., Ste. 208, Office 11 Las Vegas, NV 89107 Phone: 702.799.9059 Fax: 702.974.1659
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