Nelmstar Financial Application

On-line Loan Application

Please fill out the following information and press the SUBMIT button

Please complete the application below. If you are not able to complete a question, skip it and answer the ones you can. We may contact you for additional information if needed.

Print this application and fax it to (951) 816-3327 or you can give us your application by phone at (877) 635-6782.

Borrower's Information
Full Name:
Home Address:
City:
State:
Zip:
Social Security Number:	- -
Date of Birth:	/ /
Length of Residence Yr/Mo:	/
Rent or Own Current Home?
Telephone Number:	- -
Email Address:
Employment History
Company Name:
Address:
City/State/Zip:
Self Employed?:	Yes No
Job Position:
Work Telephone:	- -
Start Date:	/ /
Gross Monthly Income:	$.
Other Monthly Income (Amount):	$.
Source of other income:
Co-Applicant Information
Full Name:
Social Security No.:	- -
Date of Birth:	/ /
Home Address:
City:
State:
Zip:
Co-applicant to occupy requested home?	Yes No
Employer Name
Address:
City/State/Zip:
Job Position:
Gross Monthly Income:	$.
Date of Hire:	/ /
Property Information
Finance Type
Property Type:
Year Purchased:
Occupancy:
Location:
Credit Grade:
Refinance Questions
Who is your current lender?
Current Balance?	$ .
What is your monthly payment?	$ .
What is the approx. value of your home?	$ .

By submitting this application, I hereby declare all of the statements made in this application are true and correct made for the purpose of obtaining credit. Nelmstar LLC and/or its investors is authorized to investigate my credit record, verify my credit, employment, income, and personal references, to obtain such information as Nelmstar LLC deems necessary and to give credit reporting agencies and others information Nelmstar and/or its investors credit experience with me.

You may also print this application and upon completion, fax it to (951) 816-3327.

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