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Online Application
541-957-7777
Please take the time to fill out all of the fields in this application.
Personal Information

Name:

Address:

City: State: Zip:

H. Phone: W. Phone: C. Phone:

Email:

Place of Employment:

Total household income:

Comments:

Loan Information

Are You Currently a Homeowner? Yes: No:

Are You a First Time Home Buyer? Yes: No:

Are You Interested In? (all that apply) Purchase | Refinance | Construction | Commercial

Purchase Price: $

Loan Amount Desired: $

Do You Have a Down Payment? Yes: No:

Amount of Down Payment: $

Credit Information

Credit History:

Comments:

Realtor Information

Are You Currently Working with a Realtor? Yes: No:

Name:

Office:

When is the Best Time to Call? AM: PM: