Please fill out the following form, print it, and fax it to one of the numbers on our Contact Us page.


Loan Application
If you would like a Loan Consultant to contact you personally, please enter your Name and Telephone number
Name:
Daytime: Evening:
Please check the applicable box to indicate the type of loan requested.
If you would like to apply for a First Mortgage, please check the applicable box:
Purchase Refinance
The property will be used as a:
Primary Residence Second Home Investment Property
Our goal is to match your particular loans needs and qualifications with the many programs we have available and provide you with your best possible options.
The purchase price of the property will be between $and $
I am eligible for VA benefits.
Down Payment
I have available for a down payment $
Please check the applicable box
*The funds will be used for the following purpose:
Debt Consolidation & Cash out Debt Consolidation & Home Improvement Home Improvement
Line of Credit Debt Consolidation Home Improvement and Cash out
Construction Cash out with Home Improvement and Debt Consolidation
Amount of Loan Requested:
BORROWER'S INFORMATION
* Name (Last Name, First, M.I.):
 Age: Date of Birth
Marriage Status:
 No. of Dependants:
 Ages:
* Address:
 Years there:
* City:
 State:
* Zipcode:
Address : (if at current address less than 2 years)
 Years there:
City:
 State:
Zipcode:
EMPLOYER
Name of Employer:
Occupation:
 Years at this company:
Monthly Gross Income:
 SSN:
Previous Employer's Name (if less than 2 yrs.):
Occupation:
 Years at this company:
SPOUSE'S INFORMATION
Name (Last Name, First, M.I.):
 Age: Date of Birth
Marriage Status:
 No. of Dependants:
 Ages:
Address:
 Years there:
City:
 State:
Zipcode:
Address : (if at current address less than 2 years)
 Years there:
City:
 State:
Zipcode:
EMPLOYER
Name of Employer:
Occupation:
 Years at this company:
Monthly Gross Income:
 SSN:
Previous Employer's Name (if less than 2 yrs.):
Occupation:
 Years at this company:
OTHER INCOME
Source of Income:
 How Long Received?
 Amount:
 Borrower
Spouse
Subject Property Address:
 Date Purchase:
Down Payment$: (purchase only)
 Purchase Price$:
 Market Value:
Liens:
1st $: 2nd $: Other $:
Owner Occupied Residential Rental Units Other
Who is your current first mortgage with?
Your Balance? (approximate)
Check box if your rate is fixed Are your Insurance & Taxes included "PITI"? Y N
Please list the Home Improvements that you wish to complete:
Total amount of debt you want to payoff:

What is the best time to contact you:
 * home phone number:

    fax number:

* required fields

 
I (We) Authorize Par Mortgage Inc to Verify any of the above information directly or through a credit agency. The information provided here is true and correct to the best of our knowledge. I (We) understand that additional information and documentation may be needed to complete this loan. We do understand that any approval granted is conditional, subject to the verification of the income and credit items provided.

  

___________________________________ Date __________________
Borrower's Signature

___________________________________ Date __________________
Borrower's Signature

Par Mortgage Inc.
Oregon

 

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