TELL US WHAT YOU NEED
* Indicates required fields
* How much do you need to borrow for your pool or home improvement project?: $

Do you wish to defer payment?   ---------------------------------------------------

  

What type of home improvements are you planning to make?
* Primary Project  Other 


Personal Information
Request

Borrower

Co-Borrower
Salutation:
* First Name:
Middle Initial:
* Last Name:
* Birth Date:  /  /  MM/DD/YYYY  /  /  MM/DD/YYYY
* House #:
* Street Name:
Street Type:
* City:
* State:
* Zip:
* Years at Address:  years   months
 If less than two years, fill out previous address below.		  years  months
 If less than two years, fill out previous
address below.
Previous Address
House #:
Street Name:
Street Type:
City:
State:
Zip:
Years at Address:  years   months  years  months 
Employment Information
* Home Phone: (   )  - (  )  -
* Work Phone: (  )  - (  )  -
Best Time to contact:
* Social Security # :  -  -  -  -
Gross Income: $  $ 
* Employer:
* Position:
Self Employed:
* Years Employed: If less than two years, fill out previous employer below. If less than two years, fill out previous employer below.
Previous Employer:
Position:
Years Employed:
Other Income: $ $
Please Describe:

Previous Employment Information
* Home Phone: (   )  - (  )  -
* Work Phone: (  )  - (  )  -
Best Time to contact:
* Social Security # :  -  -  -  -
Gross Income: $  $ 
* Employer:
* Position:
Self Employed:
* Years Employed:
Previous Employer:
Position:
Years Employed:
Other Income: $ $
Please Describe:

Property Information
* Month/Year Purchased:   Year  
* Property value: $  
Original purchase price: $  
* Type of Property:  

Existing Mortgage Information

* First Mortgage

* Second Mortgage
Mortgage Company:
Balance: $ $
Payment: $ $
Interest Rate: % %
* First: Type of Interest Rate:
   Do you wish to pay off your First Mortgage?
* Second: Type of Interest Rate:
   Do you wish to pay off your Second Mortgage?
Comments: 
 
 

The following information is requested by the Federal Government for certain types of loans related to 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 the information, but are encouraged to do so. The law provides that a lender may not discriminate on the basis of their 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 observations or surname. If you do not wish to furnish the information, please check below.
Borrower Co-Borrower
 Male   Female  Male   Female
Race or National Origin:  Race or National Origin: 
If Other please specify   If Other please specify  
I do not wish to furnish this information  I do not wish to furnish this information 
Authorization: We hereby give our consent to Desert Springs Pools, and Paramount Capital (www.newpoolfinancing.com) and any other Investor which they may designate, to obtain and use all information concerning our employment, checking and savings accounts, mortgage payments and all other credit matters which they may require in processing our application for a loan.
By Submission of this electronic application Borrower acknowledges that loan approval notification does not guarantee a loan will be made to borrower. Borrower understands that any loan approval is conditional and subject to lender independently verifying the information contained in the loan application. After independent verification, Borrower understands Lender may decline to make Borrower a loan, or Lender may require Borrower to meet additional requirements before a loan is made.