Design Loan Application as Editable PDF

We'd like someone with experience designing beautiful forms or applications to design a one page beautiful loan application. The deliverables should be a nicely designed editable PDF file along with a source file we can edit in the future if we want to modify the form fields. The deliverables should also include a placeholder option in the header for our brokers to white label the application with their logo, and address information instead of ours. Please include examples of your work. We have the form fields ready to go.