Online Loan Application
Borrower Information
 
First Name:*
 MI:*
 Last Name:*
 SSN:*
 Date of Birth:*
 
Current Address
Street Address:*
City:*
 State:*
 Zipcode:*
 Years:*
 Months:*
Home Phone:*
Purchase Price:*
 Present Value:*
 
Current Mailing Address
Same as Current Address:
Street Address:*
City:*
 State:*
 Zipcode:*
 
Subject Property Address
Same as Current Address:
Street Address:*
City:*
 State:*
 Zipcode:*
 
Current Employer
Employer:*
 Job Title:*
Street Address:*
City:*
 State:*
 Zipcode:*
 Work Phone:*
Years Employed:*
 Gross Monthly Income:*
Other Gross Monthly Income:*
 
Employment History
Second Employer:
Years Employed:
 Income:
 
Co-Borrower Information
 
First Name:
 MI:
 Last Name:
 SSN:
 Date of Birth:
 
Current Address
Borrower and Co-Borrower live at same address:
Street Address:
City:
 State:
 Zipcode:
 Years:
 Months:
Home Phone:
Purchase Price:
 Present Value:
 
Current Mailing Address
Same as Current Address:
Street Address:
City:
 State:
 Zipcode:
 
Subject Property Address
Same as Current Address:
Street Address:
City:
 State:
 Zipcode:
 
Current Employer
Employer:
 Job Title:
Street Address:
City:
 State:
 Zipcode:
 Work Phone:
Years Employed:
 Gross Monthly Income:
Other Gross Monthly Income:
 
Employment History
Second Employer:
Years Employed:
 Income:
 
 
Authorization to Release Information: As part of the application process, I/We authorize Roseville Home Loans/Investor to verify any information contained in my application or other documents in connection with the loan. Such information includes but is not limited to to employment history and income, bank, money market, and similar account balances, credit history and income tax returns. Copy signatures will serve as originals......Sq#2788