Bonita Irene Wagner

Borrower Name: _________________________________________ *** If married you must include spouse information as co-borrower ***

545-92-6937 Date of Birth _____________

Social Security #:______________________
03/19/1952 Co-Borrower Name: _________________________________________

Nataliasmommy10@gmail.com
Email______________________________________________________ Social Security #:______________________ Date of Birth _____________

323)606-2417
Phone_____________________ Are you married? Yes ✔ No Email______________________________________________________

Phone______________________ Are you married? Yes No

*** If married you must include spouse information as co-borrower 
Complete 2 year address history: Own Rent
Complete 2 year address history: Own ✔ Rent
Street:_____________________________________________________
2035 reedy st apt a
Street:_____________________________________________________
City / State /Zip: ____________________________________________
Highland California 92346
City / State /Zip: ____________________________________________
Date range lived here- From : _____________________ To : current
2018
Date range lived here- From : _____________________ To : current
Street:_____________________________________________________
27255 main st apt 4
Street:_____________________________________________________
City / State /Zip: ____________________________________________
Highland ca 92346
City / State /Zip: ____________________________________________
Date range - From : _____________________ To : ________________
2014 2018
Date range - From : _____________________ To : ________________
Additional housing history within the last 2 years please add to text
Additional housing history within the last 2 years please add to text overflow on next page:
overflow on next page:
Employment: (must include 2 year history - all jobs)
Employment: (must include 2 year history - all jobs)
Employer:________________________________________________
Ihss
Employer:________________________________________________
Address:____________________________________________________
Home
Address:____________________________________________________
City / State /Zip: ____________________________________________
Highland ca 92346
City / State /Zip: ____________________________________________
Position: ___________________________________________________
Home Healthcare worker
Position: ___________________________________________________
Date hired: __________________ Phone:_________________________
2012
Date hired: __________________ Na
Phone:_________________________
Additional employment -OR- former employment (If less than 2 yr at
Additional employment -OR- former employment (If less than 2 yr at
current job): ________________________________________________
Wells Fargo home mortgage
current job): _______________________________________________
Address:____________________________________________________
Address:____________________________________________________
City / State /Zip: ____________________________________________
San Bernardino ca 92410
City / State /Zip: ____________________________________________
Position: ___________________________________________________
Collections
Position: ___________________________________________________
Date hired: _____________________ Date left:___________________
2009 2011
Date hired: _____________________ Date left:___________________
Phone:____________________________________________________
Phone:____________________________________________________
Additional employment in last 2 years must be added on text overflow
Additional employment in last 2 years must be added on text overflow

Continued >>>>
Borrower continued… Co-borrower continued…
Please breakdown your various sources of income: Please breakdown your various sources of income:
1270
Current monthly gross income (1st job): ___________________________ Current monthly gross income (1st job): ___________________________

Current monthly gross income (2nd job): __________________________ Current monthly gross income (2nd job): __________________________
1270
Retirement income monthly: ___________________________________ Retirement income monthly: ___________________________________
1270
Social security income:_________________________________________ Social security income:_________________________________________
0
VA compensation:_____________________________________________ VA compensation:_____________________________________________

Please explain any other income in text overflow:___________________ Please explain any other income in text overflow:___________________

Additional application questions:

15000
What purchase price you are considering? ______________________________ Is this a refinance request? Yes ✔ No
1250
What is your rent payment? ______________ 0
How many dependents do you have?______ Ages?_____________________

San Bernardino co
What county in California are you purchasing in?_____________________________________________________________

Do you own any other real estate? Yes ✔ No If yes, please provide short explanation in text overflow.

Have you had a VA loan before? Yes ✔ No. If yes, did it result in a foreclosure, short-sale, or deed-in-lieu? Yes ✔ No

2
How many people in household (including children):__________________________________________________________

0
If you pay child support enter monthly amount:____________ 0
__ If you pay alimony enter monthly amount:______________

Do you pay monthly child care expenses? Yes ✔ No If so, how much monthly?______________________________

No
Do you have any judgments or liens? ______________________________________________________________________

Are you behind on federal taxes? Yes ✔ No Are you behind on state taxes? Yes ✔ No
If behind on taxes, what is the monthly amount for payment plan?____________________ Use text overflow for explanation

If you or your spouse are not receiving VA Disability compensation, have either of you applied for it yet? Yes ✔ No

Text overflow : Any additional information? Special circumstances?

I am the widow of a Vietnam War time veteran PATRICK LEE WAGNER

Continued >>>>
 ***Form can be digitally signed by opening in Adobe Reader***

03/22/2023
Signature of Veteran Applicant Date Signature of Spouse/Domestic Partner Date

All applications are subject to underwriting guidelines and approval based upon the credit, assets, value of
subject property and borrower’s ability to repay. Not all applicants are eligible for or qualify for all loan
products offered. Loan programs are subject to change without notice. This is not a commitment to lend.