Loan Purpose:
Apply Online
Please complete the information below to start your loan process. A West Sierra loan office will be in contact with you within 3 business days.
Loan Amount Requested   $


Purchase
Single Family Home
Mobile/Manufactured
Townhouse
Condominium
Refinance
Refinance & change rates/terms
Refinance & get cash back
Refinance & make home improvements
Refinance & pay off other loan(s)/bills
Borrower Information
Name
Prefix First M.I. Last Suffix
Mailing Address
Address
City State Zip
Own Rent Years at this address:
If residing at the current address for less than two years,
please complete the following :
Previous Address
Address
City State Zip
Own Rent Years at this address:
Home Phone Work Phone
Email Address
Social Security Number
Marital Status Dependants (not listed with co-borrower)
Married
Separated
Single
Co-Borrower Information
I am not applying with a co-borrower.
Name
Prefix First M.I. Last Suffix
Mailing Address
Address
City State Zip
Own Rent Years at this address:
If residing at the current address for less than two years,
please complete the following :
Previous Address
Address
City State Zip
Own Rent Years at this address:
Home Phone Work Phone
Email Address
Social Security Number
Marital Status Dependants (not listed with borrower)
Married
Separated
Single
Borrower Employment Info
Employer Name self-employed
Employer Address
Gross Monthly Income
$
Years on this job Years in this line of work
Co-Borrower Employment Info
Employer Name self-employed
Employer Address
Gross Monthly Income
$
Years on this job Years in this line of work
Assets
Cash deposit toward purchase held by: Cash or Market Value
$
Name and address of Bank, S&L, or Credit Union (#1):
Name: Account number:
Address: Cash or Market Value:
$
Name and address of Bank, S&L, or Credit Union (#2):
Name: Account number:
Address: Cash or Market Value:
$
Name and address of Bank, S&L, or Credit Union (#3):
Name: Account number:
Address: Cash or Market Value:
$
Name and address of Bank, S&L, or Credit Union (#4):
Name: Account number:
Address: Cash or Market Value:
$
Stocks & Bonds
Company Name/Number & Description (#1):
Name:
 No:
 Cash or Market Value:
$
Company Name/Number & Description (#2):
Name:
 No:
 Cash or Market Value:
$
Company Name/Number & Description (#3):
Name:
 No:
 Cash or Market Value:
$
Life Insurance Face Amount: Cash or Market Value:
$ $
Subtotal Liquid Assets: $
Type of Asset Cash or Market Value:
 Real Estate owned(Market value of real estate): $
 Vested interest in retirement fund:  $
 Net worth of business(es) owned:  $
 Auto #1:  Year: Make: Model: $
 Auto #2:  Year: Make: Model: $
 Auto #3:  Year: Make: Model: $
TOTAL AUTO VALUE =  $
 Other #1: Description: $
 Other #2: Description: $
 Other #3: Description: $
TOTAL OF OTHER ASSETS =  $
TOTAL OF ALL ASSETS =  $
Liabilities
Name and Address of Company (#1):
Liability Type:
Name:
Address :
Monthly Payment:
$
Unpaid Balance:
$
Account Number:
Mos. left:
Paid off:
Name and Address of Company (#2):
Liability Type:
Name:
Address :
Monthly Payment:
$
Unpaid Balance:
$
Account Number:
Mos. left:
Paid off:
Name and Address of Company (#3):
Liability Type:
Name:
Address :
Monthly Payment:
$
Unpaid Balance:
$
Account Number:
Mos. left:
Paid off:
Name and Address of Company (#4):
Liability Type:
Name:
Address :
Monthly Payment:
$
Unpaid Balance:
$
Account Number:
Mos. left:
Paid off:
Name and Address of Company (#5):
Liability Type:
Name:
Address :
Monthly Payment:
$
Unpaid Balance:
$
Account Number:
Mos. left:
Paid off:
Name and Address of Company (#6):
Liability Type:
Name:
Address :
Monthly Payment:
$
Unpaid Balance:
$
Account Number:
Mos. left:
Paid off:
Name and Address of Company (#7):
Liability Type:
Name:
Address :
Monthly Payment:
$
Unpaid Balance:
$
Account Number:
Mos. left:
Paid off:
Alimony/Child Support/Separate Maintenance
Payments Owed To: Amount:
$
Job Related Expenses
Child Care, Union Dues, etc. Amount:
$
TOTAL MONTHLY PAYMENTS TOTAL LIABILITIES
$ $
Total Net Worth
$
Declarations
 
Answer the questions below to the best of your knowledge
for the Borrower and Co-Borrower (if any).
  Borrower Co-Borrower
a. Are there any outstanding judgments against you?
Yes No
Yes No
b.
 Have you been bankrupt within the last 7 years? 
Yes No
Yes No
c.
 Have you had property foreclosed upon or given
title or deed in lieu thereof in the last 7 years? 
Yes No
Yes No
d.
 Are you a party to a lawsuit?
Yes No
Yes No
e.
 Have you directly or indirectly been obligated on
a loan which resulted in foreclosure, transfer of
title in lieu of foreclosure, or judgment? 
Yes No
Yes No
f.
 Are you presently delinquent or in default on any
Federal debt or any other loan, mortgage,
financial obligation, bond or loan guarantee?
Yes No
Yes No
g.
 Are you obligated to pay alimony, child support
or separate maintenance? 
Yes No
Yes No
h.
 Is any part of the down payment borrowed? 
Yes No
Yes No
i.
 Are you a co-maker or endorser on a note?
Yes No
Yes No
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j.
 Are you a U.S. citizen?
Yes No
Yes No
k.
 Are you a permanent resident alien?
Yes No
Yes No
l.
 Do you intend to occupy the property as
your primary residence? 
If yes, complete question m below.
Yes No
Yes No
m.
 Have you had an ownership interest in a
property in the last three years?
Yes No
Yes No
(1)  What type of property did you own?
principal residence (PR), second home (SH),
or investment property (IP).
2)  How did you hold title to the home?
solely by yourself (S), jointly with your
spouse (SP), or jointly with another person (O).