Performance Funding Corp. - Home Mortgages, Home Loans, Refinancings, & more!

The point of this short form loan appliction is to help us get you where you want to be. All information is confidential and will used solely fot the purpose of preparing a home loan proposal(purchase & Refinance & Modification ) for your review.

If you would rather print out and fax us your application, click here for a printable version of this form. Our fax number is(818) 610-1041.

1 .

* Purpose of Loan:	Purchase	Refinance	Modification
* Purchase Sales Price $:
* Refinance Loan Amount $:

2 . Complete section 2 for borrower and co-borrower information

Borrower :

* Borrower's Name:
* Social Security Number:
Married Separated Unmarried (include single, divorced, widowed)
* Current Address:
* How Long ?
* Home Phone:
* Work Phone:
* Cell Phone:
If less than 2 years in current address:
* Previous Address:
* City:
* State:
* Zip:

Co-Borrower :

Co-Borrower's Name:
Social Security Number:
Married Separated Unmarried (include single, divorced, widowed)
Current Address:
How Long ?
Home Phone:
Work Phone:
Cell Phone:
If less than 2 years in current address:
Previous Address:
City:
State:
Zip:

3 . Current Employment :

Borrower :

* Borrower's Employer:

* Are you self employed?

* How Long?

Co-Borrower :

* Co-Borrower's Employer:

* Are you self employed?

* How Long?

4 . Gross Monthly Income :

	Borrower	Co-Borrower
* Base $:
Overtime $:
Commissions $:
Other :
Total :

5 . About Your Debt :

Creditor	Minimum Payment	Balance

6 . Liquid Assets :

Savings	Checking	Other	Gift

* Borrower's Email Address	Co_Borrower's Email Address

Consent: I/We hereby give my/our conent to have Performance Funding Corp., or any credit reporting bureau which it my designate, obtain any and all information concerning my/our employment, checking and or savings account, obligations, and all other credit matters which they may require in connection with my/our application for a loan.

Borrower

Co-Borrower

Date

Image Verification: