American Mutual Mortgage

Borrower's Application

Loan Submission Form
Please complete all fields as best as you can. Once you submit this form you can expect to hear something from us within 24 hours. Fields marked as "(Required)" must be completed.

Your Name: (Required)

Email address: (Required)

Daytime phone:

Eve phone:

Property Information

Type of property: (Required)

Single Family Residence	1-4 Units
Commercial	Mixed use
Multi-family	Industrial
Single Use	Other

Estimated property value:

Loan amount desired: (Required)

Address of property: (Required)

Loans currently against the property
(check all that apply): (Required)

None
1st TD 2nd TD 3rd TD
Other:

Borrower Information

Employment status:

Employed	Retired
Self-Employed	Unemployed

Credit status:

Good	Bad
Fair	Non-existent

Recent bankruptcy?

Yes No

Mailing address:

Same as Property Address, or...

Additional Information

Are there any special conditions
to the requested loan? Please explain:

American Mutual Mortgage
19510 Ventura Blvd. Suite 214
Tarzana, CA 91356 USA

Office: (818) 654-9790
Fax: (818) 961-0041

Email: info@AmericanMutualMortgage.com

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American Mutual Mortgage is licensed by the California Department of Real Estate, License #00882327
DRE Licensee Information Telephone Number (916) 227-0931