Step 1. Loan Profile
Purpose of Loan:
Type of Loan:
Loan Amount:
Terms:
Property will be*:
Number of units:
Purchase price or estimated value:
Subject property address:
City:
State:
Zip Code:
Is this application: Individual Joint
Source of down payment, settlement charges and subordinate financing:
 
Step 2. Information Borrower Co-Borrower
First name:
Last name:
E-mail address:
Social security number*:
Home phone number:
DOB (mm/dd/yyyy)*:
Marital status:
Completed education:
Number of dependents:
Ages:
Current street address:
City:
State:
Zip code:
  Own  Rent Own  Rent
Time at residence*:

If you rent...
 
Landlord's name:
Landlord's street address:
Landlord's city:
Landlord's state:
Landlord's zip code:
Landlord's phone number:
*single, divorced, widowed
Title will be held in what name(s):
Manner is which title will be held:
Estate will be held in: Fee Simple  Leasehold  
Step 3. Employment Borrower Co-Borrower
Employment Type*:
Employer name:
Job title:
Employer's street address:
Employer's city:
Employer's State:
Employer's Zip code:
Time at employment*: Years Months Years Months
Time in your profession*: Years Months Years Months
Business phone number:
Annual gross income:
Do you have other income?
 
Step 4. Current Housing information
Rent payment:
Mortgage payment: (Monthly principle and interest payment.)
Real estate taxes:
Homeowners insurance:
Private Mortgage insurance: Check here if you have PMI
Homeowner dues/Co-op Fees: Check here if you have HOA dues or a Co-op fee
Are your taxes and insurance included in your mortgage payment? Yes No
 
Step 5. Asset information
Cash deposit for purchase held by:
Cash or market value: $
 
Account/Asset Type: Bank or Institution: Account Number: Cash/Market Value:
Auto Own/Lease: Year/Make/Model: Value:
Step 6. Liability information
Account Type
Bank or Institution Account Number
  Monthly Pmt Unpaid Balance

Account Type
Bank or Institution Account Number
  Monthly Pmt Unpaid Balance

Account Type
Bank or Institution Account Number
  Monthly Pmt Unpaid Balance

Account Type
Bank or Institution Account Number
  Monthly Pmt Unpaid Balance

Account Type
Bank or Institution Account Number
  Monthly Pmt Unpaid Balance

Account Type
Bank or Institution Account Number
  Monthly Pmt Unpaid Balance
 
Step 7. Schedule of other owned real estate
Property address: City: State:
Type: Property Value: Outstanding Mortgage:
Rental Income: Mortgage Payment: Real Estate Taxes and Insurance:
Are your taxes and insurance included in your mortgage payment? Yes No

Property address: City: State:
Type: Property Value: Outstanding Mortgage:
Rental Income: Mortgage Payment: Real Estate Taxes and Insurance:
Are your taxes and insurance included in your mortgage payment? Yes No

Property address: City: State:
Type: Property Value: Outstanding Mortgage:
Rental Income: Mortgage Payment: Real Estate Taxes and Insurance:
Are your taxes and insurance included in your mortgage payment? Yes No

Property address: City: State:
Type: Property Value: Outstanding Mortgage:
Rental Income: Mortgage Payment: Real Estate Taxes and Insurance:
Are your taxes and insurance included in your mortgage payment? Yes No

Property address: City: State:
Type: Property Value: Outstanding Mortgage:
Rental Income: Mortgage Payment: Real Estate Taxes and Insurance:
Are your taxes and insurance included in your mortgage payment? Yes No
 
Step 8. Declaration Borrower Co-Borrower
1. Are there any outstanding judgments against you?*
2. Have you declared bankruptcy in the past 7 years?*
3. Any property foreclosures or given title or deed in lieu thereof in last 7 years?*
4. Are you a party to a lawsuit?*
5. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure or judgment?*
6. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?*
7. Are you obligated to pay alimony, child support, or separate maintenance?*
8. Are you a co-maker or endorser on a note?*
9. Are you a U.S. Citizen?*
10. Are you a permanent resident alien?*
11. Do you intend to occupy the property as your primary residence?*
12. Have you had an ownership interest in a property within the last 3 years?*
13. What type of property did you own?*
14. How did you hold the title?*
         
Step 9. Information for Government Monitoring Purposes
The following information is requested by the Federal Government for certain types of loans related to a dwelling, in order to monitor the Lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws.  You are not required to furnish this information, but are encouraged to do so.  The law provides that a lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it.  However, if you choose not to furnish it, under Federal regulations this Lender is required to note race and sex on the basis of visual observation or surname.  If you do not wish to furnish the above information, please check the box below.  (Lender must review the above material to assure that the disclosures satisfy all requirements to which the Lender is subject under applicable state law for the particular type of loan applied for.)
BORROWER:   CO-BORROWER:
I do not wish to furnish this information   I do not wish to furnish this information
     Ethnicity:        Ethnicity:
Hispanic or Latino   Hispanic or Latino
Not Hispanic or Latino   Not Hispanic or Latino
     Race:        Race:
American Indian or Alaska Native   American Indian or Alaskan Native
Asian   Asian
Black or African American   Black or African American
Native Hawaiian or Other Pacific Islander   Native Hawaiian or Other Pacific Islander
White   White
     Sex:        Sex:
Female      Male   Female      Male
Step 10. Information for Government Monitoring Purposes
         
The above borrower and co-borrower  specifically acknowledge(s) and agree(s) that: (1) the loan requested by this application will be secured by a first mortgage or deed of trust on the property described herein; (2)  The property will not be used for any illegal or prohibited purpose or use; (3) all statements made in this application are made for the purpose of obtaining the loan indicated herein; (4) occupation of the property will be as indicated above; (5) verification or re-verification of any information contained in the application may be made at any time by the Lender, its agents, successors and assigns, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan is not approved; (6) the Lender, its agents, successors and assigns will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing; (7) in the event my/our payments on the loan indicated in this application become delinquent, the Lender its agents, successors and assigns, may, in addition to all their other rights and remedies, report my/our name(s) and account information to a credit reporting agency; (8) ownership of the loan may be transferred to successor or assign of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assign of the Lender with prior notice to me; the Lender, its agents, successors and assigns make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property.

Certification: By clicking the 'submit' button below, I/We certify that the information provided in this application is true and correct as of the date set forth upon my submitting this application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) if the information contained in this application may result in civil liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.
         
Credit Card Payment
 
* Cardholder agrees to pay all charges. United Savings Bank will bill such charges ($21.20 for single credit or $26.50 for joint credit) to the credit card designated. United Savings Bank is not liable for any unauthorized charges made to your credit card by a third party.

To submit your application, press the 'Submit Loan Application' button. Submitting your application does not lock in your rate. Contact us at 215-467-4300 if you wish to lock in a rate.

Upon clicking Submit you will be forwarded to a secure page to input your Credit Card information.