Swimming Pool and Home Improvement Loan EZApp

Privacy Policy     PHONE: 800-262-1655 FAX: 800-262-1656   Hit Tab to move from line to line (do not hit enter)   Loan Information: Product to finance: Select a product In-Ground Swimming Pool Landscaping Home Improvement Loan Include debt consolidation?: Select Yes No Amount for home improvement: Amount to Consolidate: Terms Requested: Select years 10 years 15 years 20 years Contractor: (IF KNOWN, PLEASE TELL US THE POOL or HOME IMPROVEMENT COMPANY YOU ARE CONSIDERING, SO WE CAN BETTER SERVER YOU.) Borrower Name: DOB: SS#: Address: City: State: ---------- Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:     County: Previous Residence: (IF CURRENT RESIDENCE IS LESS THAN 2 YEARS) Time at Previous Address: (IF CURRENT IS LESS THAN 2 YEARS) County of Previous Address: Home phone#: Work phone#: Email Address: Marital Status: Married    Unmarried Co-Borrower Name: DOB: SS#: Work phone#: Marital Status: Married    Unmarried   Income Information: Borrower's Employer: Position: Gross Mo.Income: $ Years on job: Previous Employer: Time at Previous Employer: (IF CURRENT EMPLOYER IS LESS THAN 3 YEARS) Additional Income Amount: Source: CO-borrowers Employer: Position: Gross mo. income: $ Years on job: Previous Employer: Time at Previous Employer: (IF CURRENT EMPLOYER IS LESS THAN 3 YEARS) Additional Income Amount: Source:   Residence Information: Purchase Date: Price Paid: $ Current Value: $ Mortgage balance: $ Payments: $ Lender: Second Mortgage or Equity line of credit Balance: $ Payments: $ Lender for Second Mortgage Would you like to pay off your equity line or second, and include it in your home improvement? Select Yes No Number of Acres   Is your home a mobile home? Select Yes No If so do you own the land? Select Yes No   Authorization: We hereby give our consent to Lyon Financial Service and any Credit Reporting Bureau which they may designate, to obtain any and all information concerning our employment, checking and savings accounts, mortgage payments and all credit matters which they may require in processing our application for a loan and/or extenstion of credit. I/we certify that the information given is honest and accurate and without omission. Borrower Date Co-Borrower Date   Page 2. (please include with application if faxing or mailing) 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 neither discriminate on the basis of this information nor on whether you chose to furnish it. However, if you choose not to furnish it, under Federal regulations this lender is required to note race and sex on the basis of visual observations or surname. If you do not wish to furnish the below information please check the box appropriately. (Lender must review the material to assure that the disclosures satisfy all requirements to which the Lender is subject under applicable state law for the particular type of loan applied for.)   Borrower Information  Ethnicity:  Hispanic or Latino  Not Hispanic or Latino  Race:  American Indian or Alaskan Native  Asian  Black or African American  Native Hawaiian or Other Pacific Islander  White  Gender:  Female  Male  Borrower: I do not wish to provide this information (initials):   Co-Borrower Information  Ethnicity:  Hispanic or Latino  Not Hispanic or Latino  Race:  American Indian or Alaskan Native  Asian  Black or African American  Native Hawaiian or Other Pacific Islander  White  Gender:  Female  Male  Borrower: I do not wish to provide this information (initials):   Additional Comments