US Lending Company (NMLS# 0244004)

12846 HawthroneBlvd
Hawthrone, California 90250

Lissett Acuna T: 310-263-1331 x 307 F: 310-469-0160

Loan Pre-Qualification and Search

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Please fill in/check to best ability:-

Single Family Residence

Condo/Town-home

High-Rise

Attached Detached Villa

Owner Occupied

Not Owner Occupied

2nd Home (if 2nd home primary residence)

Investment

When do you want to buy?

What price range are you looking to buy?

What monthly payment can you afford?

Do you have a down payment?

Brokerage: Stanford Raffles Realty,Inc Broker: Jin Lee CA LIC # 01787408

Tel #:1-888-863-2820 Fax: 323-301-4353

Purchase Contract: Y / N TBD: Purchase Contract Recv’d:

Loan Type: I want:- (please check)

Minimum payment interest only

Principal and Interest

15 30 40 year loan

Fixed interest rate Variable interest rate

Borrower: Co-Borrower:

Name: Name:

D.O.B. Phone: D.O.B.Phone:

S.S.N S.S.N.

Address: Address:

Yrs. At this residence: Yrs. At this residence:

Married Single Unmarried Married Single Unmarried

Previous 2 Years History

Prev. Address: Prev. Address:

Renting: Own: Renting: Own:

Mo. Pyment: Mo. Pyment:

Landlord: Landlord:

Prop.Mngmt: Prop.Mngmt:

Phone: Phone:

Fax: Fax:

Employment: Employment:

Hire date: Income: Hire date:Income:

Position: Position:

Phone Phone:

Yrs on job: Yrs on job:

Yrs in line of work: Yrs in line of work:

W-2 1099 SE Sched. W-2 1099 SE Sched.

If SE, % of business owned: If SE, % of business owned:

Articles of Incorp: Y N Articles of Incorp: Y N

Taxes from Business: Y N Taxes from Business: Y N

P/L Statement: Y N P/L Statement: Y N

Business License: Y N Business License: Y N

Previous Employment: Previous Employment:

Phone: Phone:

Employment dates: Employment dates:

Income: Income:

Position: Position:

Dependents: (not included by Co-Borrower) Dependents: (not listed by Borrower)

No. Ages No.Ages:

Present Housing Payment: Present Housing Payment:

2nd mtg: 2nd mtg:

Haz. Ins. Taxes: Haz. Ins. Taxes:

MI: HOA: MI: HOA:

Assets: Assets:

Checking: Amt: Checking: Amt:

Savings: Amt: Savings: Amt:

MM: Amt: MM: Amt:

CD: Amt: CD: Amt:

Stocks: Stocks:

Bonds: Bonds:

Life Ins. Value: Face: Life Ins. Value: Face:

Other Liquid Assets: Other Liquid Assets:

Vested Amt in Retirement Fund: Vested Amt in Retirement Fund:

Net worth of business owned: Net worth of business owned:

Automobiles: Automobiles:

Other Assets: Other Assets:

Liabilities: Liabilities:

Rev. trade: Rev. trade:

Rev. trade: Rev. trade:

Rev. trade: Rev. trade:

Rev. trade: Rev. trade:

Auto: Auto:

Other: Other:

Other: Other:

Alimony: Alimony:

Child Support: Child Support:

Permission to pull credit?: Y N

How has your credit been over the last two years? Any bank foreclosure, NOD, collections, public record, charge off, judgments, law suits? Please indicate, N/A for not applicable.

I hereby give permission to pull my credit to obtain initial loan preapproval.

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Signature of applicant Signature of applicant