Applicant Marital Status:
Single    
Married    
Separated    
Unmarried (divorced, widowed)    

Co-Applicant Marital Status:
Single    
Married    
Separated    
Unmarried (divorced, widowed) 

Applicant Condition of Credit:
Excellent   Good    Fair   Poor

Co-Applicant Condition of Credit:
Excellent   Good    Fair   Poor

Indicate Contact Preference:
Call Applicant at Work        Call Co- Applicant at Work   
Call Applicant at Home        Call Co-Applicant at Home
  

Time frame for obtaining financing:
Immediate     30-60 days     60-90 days     90-120 days     120 + days

Are there any contingencies which must be satisfied before you can proceed with financing? (e.g. job transfer, sell existing home, save additional down payment, obtain gift funds, liquidate 401K, finalize divorce, salary raise, etc.)
Applicant: Yes     No
Co-Applicant: Yes     No

If yes, please specify contingency:

Do you currently have a loan application pending with another lender(s)? Yes     No

Applicant Annual Income:
$

Co-Applicant Annual Income:
$

Applicant Monthly Debt Obligations:
$
(include car payments, installment loans, credit cards, alimony/child support, student loans, etc. Do not include rent, if applicable.)

Co-Applicant Monthly Debt Obligations:
$
(enter only if separate debts from Applicant)

-The undersigned solemnly declares and certifies that the above gives full, true and correct statement of the finance condition of the undersigned as of the date above stated, and that I (we) understand the meaning of the Item of the financial statement. We hereby authorize PMC FUNDING to transfer the above information to any other Credit Application at their discretion and also authorize any officer of same to review credit file for obtaining loan commitments.

-The Information contained on this application can only be used to qualify the borrowers for a transaction with Stimson Contracting.