Online Loan Application

NOTE: If you are using Netscape 3.0 or higher, or Internet Explorer 3.0 or Higher, the table (below) will be color coordinated. The Applicant should fill in all of the areas highlighted in YELLOW, and the Co-Applicant should fill in all of the areas highlighted in GREEN.

Please fill out as much or as little information as you wish. Name and Phone number a must, or refer to the Guest Book.

Please keep in mind, that the more facts we have to work with the faster we may be able to provide you a pre-approval.

Email Address  *Required
Applicant Name
Social Security #
Address
City/State/Zip
Home Phone
Applicant Work Phone
Co-Applicant Name
Social Security #
Co-Applicant Work Phone
Property Address
City/State/Zip
Purchase Date
Purchase Price

Employment Data
APPLICANT
Employer #1
Occupation
Years On Job
Monthly Salary
Additional Monthly Income
CO-APPLICANT
Employer #1
Occupation
Years On Job
Monthly Salary
Additional Monthly Income
LOAN INFORMATION
Loan Amount
Requested
Purpose Of
Loan
Balance On
1st Mortgage
Lender For
1st Mortgage
Monthly Payment
1st Mortgage
Balance On
2nd Mortgage
Lender For
2nd Mortgage
Monthly Payment
2nd Mortgage
PROPERTY DESCRIPTION
Rooms Please Input The Appropriate Information:
Bedrms Bathrms
Sq Ft Age

Check only that which applies:
Garage : 1 Car 2 Cars 3 Cars

Check All That Apply:
Living Rm: Dining Rm:
Family Rm:

Lot Description
Condition Of Property
Estimated Value
How Was Estimated Value Determined
All Debts Current? YES NO
If No,
Briefly Explain
Number Of Late Charges On Real Estate Debt in Last 12 Months?
Bankruptcy, Liens, etc.?
Convenient Hours For A Phone Call

Thank you for completing the on-line application. Please press the submit button below or print this page and fax the application to us at (209) 951-7058 or mail it to Cal State Mortgage, 149 West Yokuts, Stockton, CA 95207

calstate@calstatemortgage.com

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Stockton 209.957.1934
Modesto 209.575.4593
Sacramento 916.442.9013
Toll Free 800.443.4363

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