Mojave Blue Pools

Las Vegas, NV

Please complete the following
pre-application as completely as possible.

Our services offered exclusively to our licensed
Paramount pool dealer's customers only.

We will have one of our representatives contact you as soon as possible. If you would prefer to fill out our pre-application form by hand and mail or fax to us, please use our Printable Pre-application.
Thank you!

FIRST APPLICANT

* First Name:

Middle Initial:

* Last Name:

* Application Type:

* Marriage Status:

Rate Borrower's Credit:

Do any of the following apply to the borrower? Bankruptcy Foreclosure
Short Sale None

* Preferred Phone:

* Home Phone:

* Preferred Email:

HOUSING INFORMATION

* Present Address: (Number, Street, Apt. P.O. Box)

* City:

* County:

* State:

* Zip:

* Do you own or rent?

* How Long?
years months

Previous Address (if less than 2 years) Yes / No

Previous Address: (If less than 2 years)	(Number, Street, Apt. P.O. Box)
City:
County:
State:
Zip:
How Long?	years months

EMPLOYMENT INFORMATION
*Employer:
* How Long?	years months
* Employer Phone:
* Position:
* Gross Monthly Income:
Additional Income? Yes / No

Additional Income Source:
Gross Additional Income: (monthly)

Previous Employer (if less than 2 years) Yes / No

Previous Employer: (If less than 2 years @ current)
How Long?	years months

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. 'You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate on this information , or on whether you choose to furnish it. However, if you choose not to furnish this information, under federal regulations,, the lender is required to note ethnicity and sex on the basis of visual observation or surname. If you do not which to furnish this information please select that option.
Ethnicity: Race or National Origin:
Sex:
Co-Applicant? Yes / No

SECOND APPLICANT
First Name:
Middle Initial:
Last Name:
Please Rate Co-Borrower's Credit:
Do any of the following apply to the co-borrower?	Bankruptcy Foreclosure Short Sale None
SECOND APPLICANT EMPLOYMENT INFORMATION
Employer:
How Long?	years months
Employer Phone:
Position:
Gross Monthly Income:
Previous Employer: (If less than 2 years @ current)
How Long?	years months
Additional Income Source:
Gross Additional Income: (monthly)
The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. 'You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate on this information , or on whether you choose to furnish it. However, if you choose not to furnish this information, under federal regulations,, the lender is required to note ethnicity and sex on the basis of visual observation or surname. If you do not which to furnish this information please select that option.
Ethnicity: Race/National Origin:
Sex:

Mojave Blue Pools

PROPERTY TO BE IMPROVED

* Current Home Value:

* Purchase Date
(ex. mm/dd/yy):

* Purchase Price:

* First Lender:

* Balance:

* Monthly Payment:

Second Lender (if any):

Second Balance:

Second Monthly Payment:

Last Appraisal Amount:

Last Refinance Date:
(if applicable)

* County:

OTHER REAL ESTATE OWNED

Address:

BANKING REFERENCE

Average Balance:

Checking Account

Savings Account

OTHER ASSETS (such as 401K, 403B, CD, IRA, Money Market, Brokerage Accts)

Average Balance

WE ARE REQUESTING FUNDS FOR: (select one)

	Swimming Pool		Debt Consolidation
	Other Home Improvements		Cash Out

* Authorized pool builder

* SalesPerson Name:

* Contract Price:

* Down Payment:

* Amount Requested:

***By electronically signing below, the applicant(s) state that the information provided on this pre-application is true and correct. The applicant(s) authorizes Paramount and any Lender as assigned, to obtain my/our credit information and to verify employment and income. I/we consent and authorize information regarding this loan transaction to be communicated between Paramount, the selected approved Paramount pool builder and any Lender as assigned.

Applicant Sign Name
Co-Applicant Sign Name
I certify that I have read the information below.
Change Image Please type the numbers above in the box below for verification before clicking Submit Form.

I consent to receive the information and follow-up communications related to this online loan inquiry application electronically.
• My consent is limited to the information related to this online loan inquiry application only and none other.
• I can withdraw my consent at any time during the online loan inquiry application process, as well as before I click the "SUBMIT" button, by clicking on my browser's "BACK" button.
• I understand that my online loan inquiry application cannot be processed electronically if I withdraw my consent.
• Rates and terms subject to credit approval and may change without notice. Loan programs vary by state. All lender programs subject to customer qualification per lenders’ guidelines and parameters. Paramount and Paramount Capital do not provide any direct lending or finance services.
• Paramount and Paramount Capital does not represent any of the lenders as a broker or in any other capacity other than a referral source. Paramount Lending does not charge you a fee for the services that we provide. Paramount can receive a marketing fee in certain cases as compensation from the Lenders and/or Credit Sources and/or providers for the goods and services provided by Paramount, and such compensation varies by product.
• Paramount and Paramount Capital is not acting as a credit services agent for the consumer.
• Any credit product for which the consumer applies and/or qualifies solely is the product of the lender.


	295 East Corporate Place, Suite 100 Chandler, AZ 85225 \| Toll Free 1.877.289.3866 \| Fax: 877.766.5729 Copyright 2011 Paramount Leisure Industries, Inc. All rights reserved