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:

 If there is no home on the property, and you are seeking a construction loan, describe construction plans briefly:

Ranch and Country Loan Group now offers commercial lending throughout the US and even in Mexico and Costa Rica in addition to residential loans for homes on acreage. Please describe briefly if your property contains any commercial venture such as a small hobby farm, vineyard, gentleman's ranch, equestrian center or other commercial property here:

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.