Denay Trinidad: La Jolla Real Estate Agent

Whether you are Buying or Refinancing, fill out this form below to get going on your Mortgage Loans. I will help you take the first step in buying a home or saving money.

Loan Information

Loan Type:

Debt Consolidation

Home Equity

New Home Purchase

Refinance

Amount Desired*:

Term Desired*:

Agent Name*:

Product Type:

Are You Filing Jointly?:

Borrower Information

First Name*:

MiddleInitial*:

Last Name*:

Address*:

City*:

State*:

Zip*:

Home Phone*:
()

Cell Phone*:
()

Social Security Number*:
- -

Best Time To Call:

Email Address*:

Employment Information (optional)

Current Employer:

Are You Self Employed?:

Position:

Time at current employer:
Years, Months

Annual Salary:

Other Income:

Source of Other Income:

Business Phone Number:
( )

Co-Borrower Information (Optional)

First Name:

MiddleInitial:

Last Name:

Address:

City:

State:

Zip:

Home Phone:
( )

Cell Phone:
( )

Social Security Number:
- -

Best Time To Call:

Email Address:

Co-Borrower Employment Information (optional)

Current Employer:

Is your Co-Borrower Self Employed?:

Position:

Time at current employer:
Years, Months

Annual Salary:

Other Income:

Source of Co-Borrower's Other Income:

Business Phone Number:
( )

Property Information

Purchase Price*:

Time owned:
Years, Months

Estimated Value*:

Property Type:

First Mortgage Balance*:

Payment Amount*:

2nd Mortgage Balance (optional):

2nd Payment Amount (optional):

Property Address:

City Where Property is Located*:

State Where Property is Located*:

Property Zip Code*:

Additional Information

Please use this space below to describe your debt or credit problems in detail: