Lighthouse Home Loans

If you would like to find out if you qualify to purchase a home or refinance your current loan, complete the following form. If you cannot complete one of the questions for any reason, please move on to the questions you can answer.

Loan type


Property Type

Primary Residence Second Home Investment Property
Property Street Address
City, State, Zip

Loan Amount Requested
Purchase Price Down PaymentProperty Value (If refi)
Current Mortgage Balance (if refi)

Are you a Veteran?



Borrower complete column 1, Co-borrower complete column 2

First Name, MI, Last Name

Current Residence Address
City, State, Zip
Home Telephone Number
Work Telephone Number
May I contact you by phone?

If Yes,


Present Employer
Start Date
Gross Monthly Income

Complete following information if current employment is less than 2 years.

Previous Employer
Dates Employed
Gross Monthly Income

Other Income (if any)

Do you own rental property?YesNo
Rental Monthly Income
Source of other income
Monthly Income
Received income since?

Asset Information
Amount of Savings
Other Property Value

Subj. Mnthly pymt, Mtg. Balance
Rent. Prop. Mthly Pymt, Mtg Balance
Total Balances on Credit Cards
Mthly Pymts on Car Loans (if any)
Other Monthly Payments

Credit information

Credit GradeExcellentGoodFairPoor

Have you had any mortgage lates?

If yes, when?
Do you have any late payments on credit cards?YesNo

Have you declared bankruptcy in the past?YesNo
If yes, when?

What type of loan are your interested in?

FHAVA LoanConventionalAlternative Paper Loans (credit problems)

Where did you hear about our site?

For purpose of pre-qualifying, is there anything else we should know or do you have any questions? Please include which person (borrower or co-borrower) to contact and the the best time to reach you (At work, home or E-mail). If you stated "poor" credit above, please state what kind of credit problems are showing on your credit report and how long ago they were. If you cannot be reached during business hours, it may take longer for a response. You may also call me at 818-920-1600 between 10-6 to discuss your application.:

We will contact you within 72 hours. If you have any questions, please E-mail or call us at 818-920-1600.

Lighthouse Home Loans

Your Mortgage Lender!!!

Real estate broker licensed by the California Department of Real Estate.

License #01178482, DRE 916-227-0931