Contact Information

First  Name          Last Name

Phone Number    Best time to call

Email Address (Note: any information including email addresses is held in the strictest privacy)

 Property Address   City 

State                         

 Zip 

Mailing Street Address   City   ( If differs from property )

Mailing State                            Mailing Zip 

Property Information 

Number of Acres of Property:   

Approximate square footage of home on property:

Ranch and Country Loan Group only finances homes. If there is no home on the property, and you are seeking a construction loan, describe construction plans briefly:

Ranch and Country Loan Group is not a commercial lender. However, if you have a small commercial venture on the property such as a hobby farm, gentleman's ranch or winery, please describe briefly:

Loan Information 

Reason for a New Loan? (Please highlight and double click choice from window): Purchase Refinance Construction Cash Out Other

Loan Amount Requested:    Estimated Value of Property:

Current Loan Amount (1st Trust Deed): (2nd Trust Deed):

Current Interest Rate (1st Trust Deed):   (2nd Trust Deed):

Have you been turned down by another lender?

Credit Information

Household income: Total Current Debt:

How would you summarize your personal credit?

What is your current credit score (if known):

Please list approximate value of current assets such as bank accounts, stocks, IRAs, 401k etc....

Assets  $

How did you hear about us?

Thank you for taking the time to reach us. We will make every attempt to reach you within 3 business days. If we can help you, we look forward to a developing a strong and long term relationship with you.