Online Submission
Loan Subbmission Form
Phone: (310) 204-5714
scott@pacificafirst.com
Broker Contact Information.
COMPANY NAME :

ADDRESS :

LOAN CONTACT :

EMAIL :

TEL :

FAX :

ARE YOU APPROVED BROKER WITH PFN

A VALID BROKER NUMBER IS REQUIRED TO DRAW DOCS.

PACIFICA FIRST NATONAL WHOLE SALE REP :
BORROWER INFORMATION
BORROWER :

COBORROWER :

PROPERTY ADDRESS :
LOAN AMOUNT :

APPRAISED VALUE :

IS THIS A COVERED LOAN :

PROGRAM :

POSITION :





PROPERTY TYPE :

OCCUPANCY :

LOAN PURPOSE :















BROKER SPECIAL REQUEST :
BROKER FEES
DESCRIPTION :






AMOUNT :
PLEASE EMAIL SUBMISSION TO TIM@PACIFICAFIRSTNATIONAL.COM
OR SEND TO 11155 W WASHINGTON BLVD, CULVER CITY, CA 90232
FAX SUBMISSION TO (310) 842-9211
HELOC
COMMERCIAL
1 YEAR BRIDGE
1ST T.D.
2ND T.D.
CONSTRUCTION COMPLETEION
PROBATE
NOD/NOS
OPEN BK
QST IS A NEG AM
SFR 1 - 4
COMMERCIAL
QST IS A NEG AM
O/O
N/O
PAY OFF DEBTS (NON-MORTGAGE) $
IMPROVE PROPERTY $
IVESTMENT TYPE
$
RESREVES $
FAMILY RELATED TYPE
$
COMPLETED SUBMISSION FORM
DETAILED, ITEMIZED CASH OUT LETTER
1003 .FNM FORMAT
MORTGAGE STATEMENT
CREDIT REPORT
GOOD FAITH ESTIMATE
SUBMISSION CHECKLIST
11155 W. Washington Blvd  |  Culver City, CA 90232  |  Copyright 2010 Pacifica First National, Inc.:  Hard Money Loans.  All Rights Reserved.
YESNO
YESNO