Request an Application

Request an Application

Please provide the following information and we will send your application immediately.

Would you like to apply now?
Use the

Online Application

for a quick, secure,
one-time application process.

Download the full version of the
Uniform Residential Loan Application
Form 1003

Please Click Here

Where would you like your application to be sent?

Name:

Street:

City, State, Zip:

Will you have a co-borrower?

Is the co-borrower your spouse?

So that we may provide you with a list of documents needed for loan approval, please include the following information.

Are you:

Is the co-borrower:

Do either you or the co-borrower receive rental income?

We would like to contact you to make sure that you have received your application and to answer any questions that you may have.
How may we contact you?

Telephone: Type:

Best time to call:

Email (Required):

If you would like to receive a rate quote with your application,
please compete the customized rate quote form.

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Ridgecrest Mortgage
630 N. Mt. Shasta Blvd., Mount Shasta, CA 96067
888.446.0476

530.926.6961

Fax: 530.926.0941
info@makemyloan.com

Ridgecrest Mortgage is licensed as a real estate broker in California,
by the California Department of Real Estate, license #01275862.