subject_line
Home Improvement Loan Application
Purpose of Loan
*
Swimming Pool
Other Home Improvement
Requested Loan Amount
*
Is there a Co-Borrower?
Yes
No
Co-Borrower Relationship to Borrower
*
Spouse
Parent
Friend
Relative
Borrower Information
First Name
*
Last Name
*
Email Address
*
Home Number (###-###-####)
*
Cell Phone (###-###-####)
*
Date of Birth (MM/DD/YYYY)
*
+
Social Security Number - (###-##-####)
*
Citizenship
*
US Citizen
Permanent Resident
Non-US Citizen
Driver's License Number
*
Driver's License Issuing State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
License Expiration Date (MM/DD/YYYY)
*
+
Employment Type
*
Employed
Self Employed
Retired
Not Employed
Borrower Gross Annual Income (all sources)
*
Current Employer
*
Occupation / Job Title
*
Name of Company
*
Years and months at this job
Years
*
Months
*
Military Affiliation
*
Family Member serves or has served in Military
Active Duty
Military Retiree
Reservist
Veteran
No Military Affiliation
Co-Borrower Information
Co-Borrower First Name
*
Co-Borrower Last Name
*
Co-Borrower Email Address
*
Co-Borrower Phone Number (###-###-####)
*
Co-Borrower Date of Birth (MM/DD/YYYY)
*
+
Co-Borrower Social Security Number - (###-##-####)
*
Co-Borrower Driver's License Number
*
Co-Borrower Driver's License Issuing State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Co-Borrower License Expiration Date (MM/DD/YYYY)
*
+
Co-Borrower Employment Type
*
Employed
Self Employed
Retired
Not Employed
Co-Borrower Gross Annual Income (all sources)
*
Co-Borrower Current Employer
*
CB - Name of Company
*
Co-Borrower Occupation / Job Title
*
Co-Borrower Years and months at this job
Years
*
Months
*
Co-Borrower Military Affiliation?
*
Family Member serves or has served in Military
Active Duty
Military Retiree
Reservist
Veteran
No Military Affiliation
Property Information
Is Property Your Primary Residence?
*
Yes
No
Is Property a Single-Family Residence?
*
Yes
No
Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
ZIP
*
Month and Year Home was Purchased
Month
*
01 - JAN
02 - FEB
03 - MAR
04 - APR
05 - MAY
06 - JUN
07 - JUL
08 - AUG
09 - SEP
10 - OCT
11 - NOV
12 - DEC
Year
*
1st Mortgage Balance
*
Monthly Mortgage Payment $
*
Mortgage Type
*
Conventional
FHA
VA
Other
Project Information
Pool Builder Name (or list TBD)
*
Pool Designer Name / Contact Name
How did you hear about us?
*
My Pool Builder
Internet Search
Facebook/Social Media
Family Member or Friend
YouTube
Other
Other
Have you spoken with a Viking Capital Loan Consultant?
*
Yes
No
Please select your Loan Consultant
*
David Clark
Brook Steiner
Robert Friedman
Ryan Harris
Ed DeMonte
Alan Breecker
Jay Hutchins
Matthew Gill
Not Sure
Comments
CREDIT REPORT AUTHORIZATION AGREEMENT
Authorization is hereby granted to Viking Capital, Inc., or it's designated Lender to obtain a consumer credit report through a credit reporting agency chosen by Viking Capital, Inc. or its designated Lender. I understand and agree that Viking Capital, Inc. and the designated Lender intend to use the consumer credit report for the purposes of evaluating my financial readiness to obtain a loan.
I understand that this credit report will be retained on file at the Viking Capital, Inc. or Lender office for use only by Viking Capital, Inc. or Lender staff. This information will not be disclosed to anyone by Viking Capital, Inc. or the Lender without my written consent.
My acknowledgement below authorizes the release to the credit reporting agency of financial information which I have supplied to Viking Capital, Inc. in connection with such an evaluation. Authorization is further granted to the credit reporting agency to use photostatic reproduction of this form if required to obtain any information necessary to complete my consumer credit report.
BY CHECKING THE BOX BELOW, (1) I have read and agree to the E-Sign Disclosure and Consent, and acknowledge that I can open PDFs; (2) I am authorizing the lender or lender's agent to notify the contractor about the lender's decision to approve or deny the loan I am applying for, which may include my unique loan ID and information I provide during the application process; and (3) I am authorizing lender or lender's agent to notify Viking Capital, Inc. about the status of my loan application and any applicable loan terms.
BY CHECKING THE BOX BELOW, I acknowledge that Viking Capital's responsibilities in the loan process vary with each lender and with each loan I may select. I understand that Viking Capital may receive compensation from the lender for some services performed and I may be charged a reasonable consulting fee for other services provided. The exact amount of that fee will be disclosed to me upon loan approval and I agree to pay the fee for this service prior to accessing the funds. I understand that Viking Capital will not request compensation if I am not approved for a loan. If I gain access to the funds prior to paying the fee, I understand that does not release me from my obligation to pay Viking Capital for their services. Non-payment of the fee may result in collection activity that can affect my credit negatively.
Credit Union Membership Disclosure:
Your loan may be approved by a credit union. Only credit union members are allowed to receive a loan from a credit union. If you are conditionally approved for this loan, you will be able to join the credit union that you select below. If you choose to cancel your loan request, there is no further obligation or requirement to remain a member of the credit union. Credit unions have varying membership criteria and may require a small deposit (usually $5.00) into an account that you open with the credit union and/or an association fee to join the credit union as a new member.
CHECKING THE "I AGREE" BOX BELOW GRANTS PERMISSION FOR THE RELEASE OF FINANCIAL INFORMATION TO THE CREDIT REPORTING AGENCY AND GRANTS PERMISSION FOR Viking Capital, Inc. TO OBTAIN A COPY OF YOUR CREDIT REPORT.
Check Box
*
I Agree
A Borrower Credit Pull is requested for:
*
A Joint Credit Pull is requested for:
*
NOTICE
! All calls to and from Viking Capital are recorded for quality assurance and training purposes. By submitting your loan application, you consent to Viking Capital recording calls made and received pertaining to your application for a home improvement loan.