Loan Application Intake

Let's prepare your loan application

This form collects the information Folk Capital needs to prepare your full loan application (Form 1003) and required disclosures. It is not itself the official application — we will review everything with you before anything is submitted to a lender.

Prefer to just talk it through?

Skip the paperwork for now — leave your info and we'll call you back.

1. Borrower Information

Legal First Name

Middle Name

Legal Last Name

Also Known As (if applicable)

Date of Birth

Citizenship / Residency Status

U.S. Citizen Permanent Resident Alien Non-Permanent Resident Alien Foreign National

Country of Citizenship

Marital Status

Social Security Number

ITIN (if no SSN)

Number of Dependents

Cell Phone

Email Address

Preferred Language

Current Street Address

City

State / Province

ZIP / Postal Code

Country

Current Housing

This application includes a co-borrower

2. Foreign National & Visa Information

Complete this section if you are not a U.S. citizen or permanent resident. If it doesn't apply to you, skip to Section 3.

Visa Type

Visa Expiration Date

Do you have a U.S. credit history?

Yes No

Country of Current Residence

International Mailing Address (if different from above)

3. Employment & Income

Employment Status

Employed Self-Employed Retired Not Employed

Employer / Business Name

Position / Title

Employer Address

Employer Phone

Start Date

Years in This Line of Work

Monthly Base Income ($)

Monthly Overtime / Bonus ($)

Monthly Commission ($)

Other Monthly Income (rental, investment, etc. — describe and amount)

You do not need to disclose alimony, child support, or separate maintenance income unless you want it considered in qualifying for this loan.

Additional Employment (if any)

4. Assets

Bank / Institution Name

Account Type

Balance ($)

Bank / Institution Name

Account Type

Balance ($)

Retirement Accounts Balance ($)

Other Assets (stocks, bonds, gift funds — describe and amount)

Source of Funds for Down Payment

5. Liabilities

Creditor Name

Monthly Payment ($)

Balance Owed ($)

Creditor Name

Monthly Payment ($)

Balance Owed ($)

Other Liabilities (describe)

6. Real Estate You Currently Own

Leave blank if not applicable.

Property Address

Estimated Value ($)

Mortgage Balance ($)

Monthly Rental Income ($, if any)

Status

7. Loan & Subject Property Information

Loan Purpose

Purchase Refinance Cash-Out Refinance Construction

Subject Property Address

Property Type

Occupancy

Estimated Property Value ($)

Loan Amount Requested ($)

8. Declarations

Answer yes or no to each question. A "yes" answer does not automatically disqualify you — it just helps us prepare your file accurately.

If you answered "yes" to any question above, please explain

9. Demographic Information

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities are being fulfilled. Federal law requires that lenders ask applicants for this information to monitor compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. If you do not wish to provide it, information may be collected on the basis of visual observation or surname if you have made this application in person or by telephone. If you do not wish to provide some or all of this information, please check "I do not wish to provide this information."

Ethnicity

Hispanic or Latino Not Hispanic or Latino I do not wish to provide this information

Race (select all that apply)

American Indian / Alaska Native Asian Black or African American Native Hawaiian / Pacific Islander White I do not wish to provide this information

Sex

Male Female I do not wish to provide this information

10. Required Disclosures & Consents

Equal Credit Opportunity Act Notice

The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law is the Consumer Financial Protection Bureau.

Right to Receive a Copy of Appraisal

You have the right to receive a copy of any appraisal obtained in connection with your loan application, provided you request it. We will notify you of your right to receive a copy at the time of application.

Privacy Notice

Folk Capital collects nonpublic personal information about you to process your loan request. We do not sell your personal information. We may share information as necessary to service your request, verify your identity, or as required by law. You will receive a full privacy policy detailing your rights before any information is submitted to a lender.

USA PATRIOT Act / Customer Identification Notice

To help the government fight the funding of terrorism and money laundering activities, federal law requires financial institutions to obtain, verify, and record information that identifies each person who opens an account or requests a loan. This means we will ask for your name, address, date of birth, and other identifying information, and we may ask to see your passport, visa, or other identifying documents.

Electronic Records and Signatures Consent

By proceeding, you consent to receive disclosures and to sign this intake form electronically. You may withdraw this consent at any time and request paper copies by contacting us at the phone number or email below. Electronic signatures are legally binding under the U.S. Electronic Signatures in Global and National Commerce Act (E-SIGN Act).

Licensing

Folk Capital — Company NMLS #2863896. Geoffrey Folkerth, NMLS #311820. Licensed in California, CA DRE License #01357085. NMLS Consumer Access.

Not a Commitment to Lend

Submitting this form is not an application for credit and does not constitute a commitment to lend, a pre-qualification, or a pre-approval. Your official loan application, all required Truth in Lending and RESPA disclosures, and final terms will be provided separately once your full application is submitted to a lender.

11. Electronic Signature

Type Your Full Legal Name

Date

By typing your name above, you agree this constitutes your electronic signature and that you intend to sign this intake form.