1. Basic Loan Information
|
 |
 |
| Mortgage Applied for: |
|
| Loan Amount: |
|
| Interest Rate: |
% |
| No. of Months: |
|
| Amortization Type: |
|
2. Property Information and Purpose of Loan
|
| Subject Property Address: (if known) |
|
| City: |
|
| State: |
|
| ZIP Code: |
|
| County: |
|
| Number of Units: |
|
| Purpose of Loan: |
|
| Property Will Be: |
|
| Purchase Price or Estimated Value: |
|
| Source of Down Payment, Settlement Charges, and/or Subordinate Financing: |
|
| Estate Will Be Held in: |
|
Only Complete the three items below if this is a Construction, Construction-Permanent Loan (Purpose of Loan Section 2 above) |
| Amount of Existing Liens: |
|
| Present Value: |
|
| Cost of Improvements: |
|
Only Complete the two items below if this is a Refinance Loan
(Purpose of Loan Section 2 above) |
| Amount of Existing Liens: |
|
| Purpose of Refinance: |
|
3. Borrower Information
|
|
First Name: * |
|
| Middle Name: |
|
| Last Name: * |
|
|
Suffix: |
(Sr., Jr., III, etc.) |
| You may check my credit report at this time |
| Date of Birth: |
(MM/DD/YYYY) |
| Years of School Completed: |
years |
| Home Phone: * |
(Example:5555555555) |
| Marital Status: |
|
| Number of Dependents: |
(Not listed by Co-Borrower) |
| Email Address: * |
|
| Present Address |
| Street: |
|
| City: |
|
| State: |
|
|
ZIP Code: |
|
|
Rent or Own? |
|
|
How Long at Address: |
years |
Mailing Address
Check here if same as Present Address |
|
Street or PO: |
|
|
City: |
|
|
State: |
|
|
ZIP Code: |
|
|
Former Address (Complete the following if at present address less than two years)
|
|
Street: |
|
|
City: |
|
|
State: |
|
|
ZIP Code: |
|
|
Rent or Own? |
|
|
How Long at Address: |
years |
3b. Co-Borrower Information
|
|
First Name: * |
|
|
Middle Name: |
|
|
Last Name: * |
|
|
Suffix: |
(Sr., Jr., III, etc.) |
| You may check my credit report at this time |
|
Date of Birth: |
(MM/DD/YYYY) |
|
Years of School Completed: |
years |
|
Home Phone: * |
(Example:5555555555) |
|
Marital Status: |
|
|
Number of Dependents: |
(Not listed by Borrower) |
|
Email Address: * |
|
|
Present Address |
|
Street: |
|
|
City: |
|
|
State: |
|
|
ZIP Code: |
|
|
Rent or Own? |
|
|
How Long at Address: |
years |
Mailing Address
Check here if same as Present Address |
|
Street or PO: |
|
|
City: |
|
|
State: |
|
|
ZIP Code: |
|
|
Former Address (Complete the following if at present address less than two years) |
|
Street: |
|
|
City: |
|
|
State: |
|
|
ZIP Code: |
|
|
Rent or Own? |
|
|
How Long at Address: |
years |
4. Employment Information
|
Current Employer
|
|
Borrower |
|
Employer Information: |
|
Name: |
|
|
Address: |
|
|
City: |
|
|
State: |
|
| ZIP Code: |
|
|
Phone: |
|
|
Self-employed: |
|
|
Time on Job: |
|
|
Time in Profession: |
|
|
Position / Title: |
|
|
Co-Borrower |
|
Employer Information: |
|
Name: |
|
|
Address: |
|
|
City: |
|
|
State: |
|
| ZIP Code: |
|
|
Phone: |
|
|
Self-employed: |
|
|
Time on Job: |
|
|
Time in Profession: |
|
|
Position / Title: |
|
Previous Employment
|
If employed in current position less than two years or if currently employed in more than one position, please complete the following: |
|
Borrower |
|
Employer Information: |
|
Name: |
|
|
Address: |
|
|
City: |
|
|
State: |
|
| ZIP Code: |
|
|
Phone: |
|
|
Self-employed: |
|
|
Time on Job: |
|
|
Time in Profession: |
|
|
Position / Title: |
|
|
Co-BorrowerFormer |
|
Employer Information: |
|
Name: |
|
|
Address: |
|
|
City: |
|
|
State: |
|
|
ZIP Code: |
|
|
Phone: |
|
|
Self-employed: |
|
|
Time on Job: |
|
|
Time in Profession: |
|
|
Position / Title: |
|
7. Declarations
|
 |
 |
 |
| Items |
Borrower |
Co-Borrower |
| a. Are there any outstanding judgments against you? |
|
|
| b. Have you been declared bankrupt within the last seven years? |
|
|
| c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last seven years? |
|
|
| d. Are you a party to a lawsuit? |
|
|
| e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee.) |
|
|
| f. Are you presently delinquent or in default on any federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? |
|
|
| g. Are you obligated to pay alimony, child support, or separate maintenance? |
|
|
| h. Is any part of the down payment borrowed? |
|
|
| i. Are you a co-maker or endorser on a note? |
|
|
| j. Are you a U.S. citizen? |
|
|
| k. Are you a permanent resident alien? |
|
|
| l. Do you intend to occupy the property as your primary residence? (If "Yes," complete section 'm' below.) |
|
|
| m. Have you had an ownership interest in a property in the last three years? (If "Yes," complete questions 1 and 2 below.) |
|
|