SANKOFA GLOBAL FUNDING GROUP DBA SGF GROUP

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Pacific Bank Credit Application

Individual’s Name*

Marital Status
MarriedUnmarriedSeparated

Primary Residence Address*

City*

State*

Zip Code*

Do you own or rent your primary residence
OwnRent

Number of years at primary residence?*

Mailing Address (if different from primary residence)

Est. Credit Score*

Annual Income($)*

Liquid Assets($)*

Primary Phone Number*

Secondary Phone Number*

Email Address*

Date of Birth*

Social Security Number (or ITIN)*

Self-Employed
YesNo

Employer Name*

Position & Title*

Employer Phone Number*

Employer Address

Individual’s Name*

Marital Status
MarriedUnmarriedSeparated

Married to Borrower?
YesNo

Primary Residence Address

City

State

Zip Code

Do you own or rent your primary residence
OwnRent

Number of years at primary residence?

Mailing Address (if different from primary residence)

Est. Credit Score*

Annual Income($)*

Liquid Assets($)*

Primary Phone Number

Secondary Phone Number

Email Address

Date of Birth

Social Security Number (or ITIN)

Self-Employed
YesNo

Employer Name

Position & Title

Employer Phone Number

Employer Address

Are there any outstanding judgements against you?

BorrowerYesNo

Co-BorrowerYesNo

Have you been declared bankrupt within the last seven (7) years?

Borrower:YesNo

Co-Borrower:YesNo

Have you or any other entity of which you were/are a principal been in foreclosure or had any property that
was foreclosed upon?

Borrower:YesNo

Co-Borrower:YesNo

Are you party to lawsuit?

Borrower:YesNo

Co-Borrower:YesNo

Are you presently delinquent on any federal debt or any other loan, mortgage, financial obligation, bond, or
loan guarantee?

Borrower:YesNo

Co-Borrower:YesNo

Have you ever been convicted of a felony?

Borrower:YesNo

Co-Borrower:YesNo

Are you in a Civil Union or a Domestic Partnership, or do you have a non-borrowing spouse, or are you a
party to a Designated Beneficiary Agreement?

Borrower:YesNo

Co-Borrower:YesNo

Are you a US citizen?

Borrower:YesNo

Co-Borrower:YesNo

Are you a permanent resident alien?

Borrower:YesNo

Co-Borrower:YesNo

Do you intend to occupy the property as your primary residence?

Borrower:YesNo

Co-Borrower:YesNo

Pacific Bank Credit Application

LOAN APPLICATION – BORROWER DETAILS

BORROWER / AUTHORIZED SIGNER INFORMATION

CO-BORROWER / AUTHORIZED SIGNER INFORMATION (if applicable)

DECLARATIONS / QUESTIONNAIRE

Pacific Bank Credit Application

LOAN APPLICATION – BORROWER DETAILS

BORROWER / AUTHORIZED SIGNER INFORMATION

CO-BORROWER / AUTHORIZED SIGNER INFORMATION (if applicable)

DECLARATIONS / QUESTIONNAIRE

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