Property Information and Purpose of Loan
|
Agent Name *
Loan Amount * $
* Required Fields |
Subject Property Address*
City*
State*
Zip*
|
Purpose of Loan:
Purchase
Refinance
Construction
Construction-Permanent
Other |
| Purchase Price $
|
Down Payment $
|
| Property will be:
Primary Residence
Secondary Residence
Investment |
| Title will be held in what Name(s)
|
|
|
| Borrower |
Co-Borrower |
| Borrower First Name *
|
Co-Borrower First Name
|
| Borrower Last Name *
|
Co-Borrower Last Name
|
| Social Security Number *
-
-
|
Social Security Number
-
-
|
Home Phone *
Email *
|
Home Phone
Email
|
| Date of Birth (MM/DD/YYYY)*
Yrs.School*
|
DOB(MM/DD/YYYY)
Yrs.School
|
Married
Separated
Unmarried (include single,
divorced, widowed) |
Married
Separated
Unmarried (include single,
divorced, widowed) |
| Dependents (not listed by Co-Borrower) No.
Ages
|
Dependents (not listed by Borrower) No.
Ages
|
Present Address *
City*
State*
Zip*
Own
Rent
No.Yrs*
|
Present Address
City
State
Zip
Own
Rent
No.Yrs |
Mailing Address, if different from Present Address
Addr
City
State
Zip
|
Mailing Address, if different from Present Address
Addr
City
State
Zip
|
|
If residing at present address for less than 2 years, please complete the following |
Former Address
City
State
Zip
Own
Rent
No.Yrs |
Former Address
City
State
Zip
Own
Rent
No.Yrs |
|
|
|
| Borrower |
Co-Borrower |
Employer*
Self Employed
Name*
Addr*
City*
State*
Zip*
No. Yrs. on this job*
yrs
mths
*Yrs. employed in this line of work/profession |
Employer
Self Employed
Name
Addr
City
State
Zip
No. Yrs. on this job
Yrs.
Months.
Yrs. employed in this line of work/profession
|
| Position/Title/Type of Business*
|
Position/Title/Type of Business
|
| Business Phone (incl. area code)*
|
Business Phone (incl. area code)
|
|
If employed in current position for less than 2 years or if currently employed in more than 1 position, please complete this section |
| Borrower |
Co-Borrower |
Employer
Self Employed
Name
Addr
City
State
Zip
Dates ( from
to
)
Monthly Income$
|
Employer
Self Employed
Name
Addr
City
State
Zip
Dates ( from
to
)
Monthly Income$
|
| Position/Title/Type of Business
|
Position/Title/Type of Business
|
| Business Phone (incl,area code)
|
Business Phone (incl,area code)
|
Employer
Self Employed
Name
Addr
City
State
Zip
Dates ( from
to
)
Monthly Income$
|
Employer
Self Employed
Name
Addr
City
State
Zip
Dates ( from
to
)
Monthly Income$
|
| Position/Title/Type of Business
|
Position/Title/Type of Business
|
| Business Phone (incl. area code)
|
Business Phone (incl. area code)
|
|
Monthly Income and Combined Housing Expense Information
|
| Gross Monthly Income |
| Base Empl. Income: Borrower* $
Co-Borrower $
Total $
|
|
|
| Assets (Description) |
Cash or Market Value |
| Cash deposit purchase held by
|
$
|
| Automobiles (make and year)*
|
$*
|
Schedule of Real Estate Owned |
Property Address(if additional properties are owned, use continuation sheet)
Propert Address (enter S if sold, PS if peding sale or R if rental being held for income
|
Type of Property |
Present Market Value |
Amount of Mortgages & Liens |
Gross Rental Income |
Mortgage Payments |
Insurance, Maintenance, Taxes & Misc. |
Net Rental Income |
Addr
City, State, Zip
|
S
PS
R
|
|
$ |
$ |
$ |
$ |
$ |
$ |
Addr
City, State, Zip
|
S
PS
R
|
|
$ |
$ |
$ |
$ |
$ |
$ |
Addr
City, State, Zip
|
S
PS
R
|
|
$ |
$ |
$ |
$ |
$ |
$ |
| |
Total |
$ |
$ |
$ |
$ |
$ |
$ |
|
|
|
| |
Borrower |
Co-Borrower |
| Yes |
No |
Yes |
No |
| a.Are there any outstanding judgments against you? |
|
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|
|
| b.Have you been declared bankrupt within the past 7 years? |
|
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|
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| c.Have you had propety foreclosed upon or give title or deed in lieu thereof in the last 7 years? |
|
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| d.Are you a party to a lawsuit? |
|
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| e.Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? |
|
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| f.Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? |
|
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|
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| g.Are you obligated to pay alimony, child support, ot separate maintenance? |
|
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| h.Is any part of the down payment borrowed? |
|
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| i.Are you a co-maker or endorser on a note? |
|
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| j.Are you a U.S. citizen? |
|
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| k.Are you a permanent resident alien? |
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| l.Do you intend to occupy the property as your primary residence? |
|
|
|
|
| m.Have you had an ownership interest in a property in the past 3 years? |
|
|
|
|
| (1)What type of property did you own-principal residence (PR),second home(SH), or investment property (IP)? |
|
|
| (2)How did you hold title to the home-solely by yourself (S), jointly with your spouse(SP),or jointly with another person(O)? |
|
|
|
| |
| Borrower:
I don't wish to funish the following information |
Co-Borrower
I don't wish to funish the following information |
| Ethnicity:
Hispanic or Latino |
Ethnicity:
Hispanic or Latino |
Race:
American Indian or Alaska
Asian
Black or African American
White
Native Hawaiian or other Pacific Islander
|
Race:
American Indian or Alaska
Asian
Black or African American
White
Native Hawaiian or other Pacific Islander |
| Sex:
Female
Male
|
Sex:
Female
Male |