APPLY NOW:

If you are ready to apply for a loan and utilize our services, please a take a moment to fill out the below online form. This form will be sent to our company and one of our representatives will contact you in a timely manner. You may be asked to complete additional forms to receive the most accurate rates and availabilities.

* 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. If you have not located a property yet, please leave property info empty.
Purpose of Loan:
Property will be:
Loan Type:
Interest Rate Requested (%):
Number of units:
Property Address; Street:
City:
State:
Zip:
Property Value $:
Loan Amount $:

2. Complete section 2 for borrower and co-borrower information (if applicable):
Borrower Co-Borrower (if applicable)
First Name
Middle Initial
Last Name:
Social Security Number:
Home Phone (with area code):  
Business Phone (with area code):
E-Mail Address:
Present Address: Street
City:
State:
Zip:
Rent or Own?
Number of years:
Years of Employment in current job:
Are you self employed?
Funds available for down payment:
 
(estimated)

3. Income information for borrower and co-borrower (if applicable):
Borrower Co-Borrower (if applicable)
Monthly Income
Other Income
Please enter any final comments you may have:

I authorize Performance Funding Corporation to conduct a credit check for all applicants: 
Yes
     No
I am willfully sending my personal information via an online form and will not hold Performance Funding Corporation responsible for any and all lost information or damages: 
Yes
     No

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