On-Line Home Equity Loan Application Simply fill in the blanks, and click Send. Your application will be quickly processed to give you complete loan details. Please include your e-mail address to receive your reply on-line. If you prefer, print the completed application and fax to (949) 837-2541. The minimum loan amount is $15,000. There is no cost or obligation to apply. *See Bottom of This Page for State & Other Restrictions.

What Would You Like to Do With the Money? Consolidate Debts Home Improvement Cash Advance Other (Please state the purpose under comments) Comments

How Much Money Would You Like?

Is there a Co-borrower? YES NO If Your Spouse, or Another Person is on Title, the Co-Borrower Section Must be Completed, Even if They Do Not Have an Income. Please Include Each Social Security Number, as the Rates and Guidelines are Based on Your Credit Score.

Primary Applicant Information Your First Name Your Last Name Street Address City State Zip Code E-Mail Address Home Phone Work Phone When Did You First Purchase This Home? Was Previous Home Owned or Rented? How Long? Your Social Security Number? Your Marital Status? Married Unmarried Are You Self Employed? YES NO What Is Your Job Title or Type of Work? Name of Your Employer? Employer's Address How Long on This Job? Monthly Income Before Taxes? Other Income Source & Amount?

Co-Borrower Applicant Information Your First Name Your Last Name Live at the Same Address? Home Phone Work Phone     Your Social Security Number? Your Marital Status? Married Unmarried Are You Self Employed? YES NO What is Your Job Title or Type of Work? Name of Your Employer? Employer's Address? How Long on this Job? Monthly Income Before Taxes? Other Income Source & Amount?

Property Information Is This a House, Condo, Townhouse, 2-4 Units, or Modular Home? (Cannot Do Mobilehomes) What was the Original Purchase Price? What is a Conservative Estimate of Value? What is the Approximate Balance of the 1st Mortgage? What is the Monthly Payment for the First Mortgage? Does the Monthly Payment Include Taxes & Insurance? YES NO If You Have a Second Mortgage, What is the Approximate Balance, and the Payment? (Must Be Paid Off with the New Loan.) Do You Have Rental Property? YES NO

* The Following States Are Not Eligible For Loans: New Jersey, Washington, Maryland, Missouri, Ohio, Hawaii, Vermont, Texas, Kansas, North Carolina, & Washington DC. * The following states have a minimum loan amount of $30,000: Iowa, Wisconsin, Michigan, Alaska, Pennsylvania, Illinois & Tennessee. All other states have a $15,000 minimum loan amount. Owner occupied homes only. No mobilehomes, or Co-ops. Minimum 3 year history for self employment income. If you currently have a second mortgage, it must be included in the pay offs with the new loan. Capital Resource Mortgage