Name:
Email:

Park Loan Funding, LLC

10515 Noddle Mtn. Littleton, CO 80127

roryman@parkloan.net

877.641.6646

877.272.4672 fax

 

 

 

Part I - Applicant Information

 

First Name     M.I.           Last Name

 

Date of Birth             Present Address

 

City     State     Zip     Length of Res

 

Prev. Address (provide 3 Years Total)

 

City                State     Zip        Length of Res.

 

Social Security Number             Home Phone Number

 

Employer         Position

 

Years on Job Years in Line of Work Monthly Income $

 

Bus. Phone #             Prev. Employer

 

Prev. Position             Prev. Years on Job

 

Bus. Phone #             Additional Income

 

Source of Additional Income

 

Number of Dependents                   County You Live In

 

Credit Score

 

Prior Bankruptcy

 

Email Address

 

Part II - Co Applicant Information

 

First Name     M.I.     Last Name

 

Date of Birth             Present Address

 

City         State     Zip     Length of Res

 

Prev. Address (provide 3 Years Total)

 

City                State         Zip        Length of Res.

 

Social Security Number         Home Phone Number

 

Employer        Position

 

Years on Job Years in Line of Work Monthly Income $

 

Bus. Phone #             Prev. Employer

 

Prev. Position         Prev. Years on Job

 

Bus. Phone #             Additional Income

 

Source of Additional Income

 

Credit Score 

 

Prior Bankruptcy

 

 

Email Address

 

Part III - Financial Information

 

Checking / Savings Bank

 

Source of Down Payment

 

Complete this section for purchases

 

Purchase Price $             Down Payment $

 

Seller / Retailer Name         Seller Phone

 

Complete this section for refinances

 

Estimated Value of Home             Payoff Balance

 

Current Interest Rate %         Current Payment $

 

Original Loan Term (# months)         Remaining Term (# months)

 

Cash Out Requested  $         Cash out Purpose

 

Part IV Collateral and Location

 

Manufacturer         Model

 

Serial Number

 

Year         Width    Length

 

Type of Land             Park Name

 

Park Phone Number Lot Rent $

 

Property Address (Address, City, State, Zip)      Subject Property County

 

Park Manager /Owner Name

 

Please provide any additional information that will help us process your loan.

 

 

 

Part V Information for Government Monitoring Purposes

 

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the Lender’s compliance with Equal Credit Opportunity, Fair Housing and Home Mortgage Disclosure laws.  You are not required to furnish this information, but are encouraged to do so.  The law provides that a Lender may not discriminate on the basis of this information, or on whether you choose to furnish it.  However, if you choose not to furnish the information and you have made this application in person, under federal regulations the Lender is required to note race or national origin and sex on the basis of visual observation or surname.  If you do not wish to furnish the information, please check below.

 

Applicant

 

Race or National Origin

 

Marital Status          Sex

 

Co-Applicant

 

Race or National Origin

 

Marital Status      Sex

 

By submitting this electronic application, you give your permission to any financial institution listed above to investigate your credit and employment history and you authorize release of all credit-related information to those institutions.  You also agree to inquire about the status of your credit application by contacting the financial institution named above and understand that this application may be considered withdrawn if you do not inquire about its status within 30 days of the date of this notice.  If your application is declined you will be notified within 30 days.

 

 

 

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