Please fill out this form then print it out.
Fax it to:
(310) 587-1159
OR
Mail it to:
Magna Financial
415 Montana Ave. Suite 204
Santa Monica, CA 90403
Borrower Info:
First Name
M.I.
Last Name
Co-borrower name
(if applicable)
:
First Name
M.I.
Last Name
Mailing Address
City
State
--
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
DC
WV
WI
WY
GU
PR
VI
Zip Code
Home Phone
-
Business Phone
-
Fax
-
Cellular/Pager/Alternate
-
Email Address
Loan Info:
How can Magna Financial help you?
Select one
Purchase
Refinance
Pulling Cash Out
Investment Property
Loan Type
Full Documentation
Stated Income
Don't know yet
Select one
Term
10 Year
15 Year
20 Year
30 Year
Adjustable
Loan Amount
$
Purchase Price or Estimated Appraised Value
$
Objective
Lowest rate w/ minimal points
Zero points loan
Additional comments
(be sure your comments are short enough to be completely seen when printed out)