Mortgage Application

Required Field

This application is designed to be completed by the applicants with the lender's assistance. Applicants should complete this form as"Borrower" or "Co-Borrower", as applicable. Co-Borrower information must also be provided (and the appropriate box) when

Which assets will be used for qualification?

Type of Mortgage & Terms of Loan

Are you applying for joint credit?
What mortgage types have you applied for?
What is the amortization?
What is the estate held in?
Purpose of Loan
What will the property be used for?

Construction

Refinance

Will this be used for improvements?

Borrower Information

Citizenship

What is your citizenship status?

Housing

Do you own or rent this property?
Have you lived here for two or more years?
Did you own or rent this property?

Marital Status

What is your marital status?
If you selected "Unmarried", is there a person who is not your legal spouse but who currently has real property rights similar to those of a legal spouse?
If "Yes", indicate the type of relationship and the State in which the relationship was formed. For example, indicate if you are in a civil union, domestic partnership, registered reciprocal beneficiary Relationship recognized by the State in which you currently reside or where the property is located.

Co-Borrower Information

Citizenship

What is your citizenship status?
Do you own or rent this property?
Have you lived here for two or more years?
Did you own or rent this property?

Marital Status

What is your marital status?
If you selected "Unmarried", is there a person who is not your legal spouse but who currently has real property rights similar to those of a legal spouse?
If "Yes", indicate the type of relationship and the State in which the relationship was formed. For example, indicate if you are in a civil union, domestic partnership, registered reciprocal beneficiary Relationship recognized by the State in which you currently reside or where the property is located.

Employment Information

Borrower Employment

Is the borrower employed?
Are you employed by a family member, property seller, real estate agent, or other party to the transaction?

Self Employed Business

Have you worked here for more than two years? (No if unemployed)
Do you have an ownership share?

Previous Employer 1

Previous Employer 2

Co-Borrower's Employment Information

Is the co-borrower employed?
Are you employed by a family member, property seller, real estate agent, or other party to the transaction?

Self Employed Business

Have you worked here for more than two years? (No if unemployed)
Do you have an ownership share?

Previous Employer 1

Previous Employer 2

Monthly Income and Combined Housing Expense Information

  • Monthly Income Source

  • Borrower

  • Co-Borrower

  • Line Total

  • before completing, see the notice in "describe other income" below

Other Income

Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

Describe Other Income Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower (B) or Co-Borrower (C) does not choose to have it considered for repaying this loan.

  • Income Proprietor

  • Description

  • Monthly Amount

Combined Monthly Housing Expenses

  • Present

  • Proposed

Assets

This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules are required. If the Co-Borrower section was completed about a non-applicant spouse or other person, this Statement and supporting schedules must be completed about that spouse or other person also.

  • Liquid Assets

  • Person or Institution

  • Cash or Market Value

Checking or Savings Accounts

  • Account Number

  • Institution

  • Cash or Market Value

Stocks and Bonds

  • Description

  • Company

  • Cash or Market Value

Investments

  • Assets

  • Cash or Market Value

Automobiles owned

  • Make

  • Model

  • Year

  • Cash or Market Value

Other Assets (itemize)

  • Asset Description

  • Cash or Market Value

Liabilities

This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules are required. If the Co-Borrower section was completed about a non-applicant spouse or other person, this Statement and supporting schedules must be completed about that spouse or other person also.

Liabilities and Pledged Assets. List the creditor's name, address and account number for all outstanding debts, including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use continuation sheet, if necessary. Indicate by (*) those liabilities which will be satisfied upon sale of real estate owned or upon refinancing of the subject property.

Liability

Add Another Liability

Alimony/Child Support/Separate Maintenance

Schedule of Real Estate Owned

Real Estate

Add Another Property
  • Totals

  • Monthly Totals

Details of Transaction

Costs

Credit

Loan

Declarations

List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s)

  • Alternate Name

  • Creditor Name

  • Account Number

Borrower

About this Property and Your Money for this Loan

Will you occupy the property as your primary residence?
Have you had an ownership interest in a property in the last three years?
If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property?
Are you borrowing any money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application?
Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application?
Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan that is not disclosed on this application?
Will this property be subject to a lien that could take priority over the first mortgage lien, such as clean energy lien paid through your property taxes (e.g., the Property Assessed Clean Energy Program)?

About Your Finances

Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?
Are there any outstanding judgments against you?
Are you presently delinquent or in default on any Federal debt?
Are you a party to a lawsuit in which you potentially have any personal financial liability?
Have you conveyed title to any property in lieu thereof in the last 7 years?
Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?
Have you had property foreclosed upon in the last 7 years?
Have you been declared bankrupt within the past 7 years?
If YES, identify the type(s) of bankruptcy:

Co-Borrower

About this Property and Your Money for this Loan

Will you occupy the property as your primary residence?
Have you had an ownership interest in a property in the last three years?
If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property?
Are you borrowing any money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application?
Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application?
Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan that is not disclosed on this application?
Will this property be subject to a lien that could take priority over the first mortgage lien, such as clean energy lien paid through your property taxes (e.g., the Property Assessed Clean Energy Program)?

About Your Finances

Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?
Are there any outstanding judgments against you?
Are you presently delinquent or in default on any Federal debt?
Are you a party to a lawsuit in which you potentially have any personal financial liability?
Have you conveyed title to any property in lieu thereof in the last 7 years?
Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?
Have you had property foreclosed upon in the last 7 years?
Have you been declared bankrupt within the past 7 years?
If YES, identify the type(s) of bankruptcy:

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 discriminate neither on the basis of this information, nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation or surname. If you do not wish to furnish that 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

Military Service

Borrower

Military Service – Did you (or your deceased spouse) ever serve, or are you currently serving in the United States Armed Forces?
If YES, check all that apply:

Co-Borrower

Military Service – Did you (or your deceased spouse) ever serve, or are you currently serving in the United States Armed Forces?
If YES, check all that apply:

Acknowledgement & Agreement

Definitions:

  • "Lender" includes the Lender's agents, service providers, and any of their successors and assigns.
  • "Other Loan Participants" includes (i) any actual or potential owners of a loan resulting from this application (the "Loan"), (ii) acquirers of any beneficial or other interest in the Loan, (iii) any mortgage insurer, (iv) any guarantor, (v) any servicer of the Loan, and (vi) any of these parties' service providers, successors or assigns.

I agree to, acknowledge, and represent the following:

  • The Complete Information for this Application
    • The information I have provided in this application is true, accurate, and complete as of the date I signed this application.
    • If the information I submitted changes or I have new information before closing of the Loan, I must change and supplement this application, including providing any updated/supplemented real estate sales contract.
    • For purchase transactions: The terms and conditions of any real estate sales contract signed by me in connection with this application are true, accurate, and complete to the best of my knowledge and belief. I have not entered into any other agreement, written or oral, in connection with this real estate transaction.
    • The Lender and Other Loan Participants may rely on the information contained in the application before and after closing of the Loan.
    • Any intentional or negligent misrepresentation of information may result in the imposition of:
      • civil liability on me, including monetary damages, if a person suffers any loss because the person relied on any misrepresentation that I have made on this application, and/or
      • criminal penalties on me including, but not limited to, fine or imprisonment or both under the provisions of Federal law (18 U.S.C. §§ 1001 et seq.).
  • The Property's Security
    The Loan I have applied for in this application will be secured by a mortgage or deed of trust which provides the Lender a security interest in the property described in this application.
  • The Property's Appraisal, Value, and Condition
    • Any appraisal or value of the property obtained by the Lender is for use by the Lender and Other Loan Participants.
    • The Lender and Other Loan Participants have not made any representation or warranty, express or implied, to me about the property, its condition, or its value.
  • Electronic Records and Signatures
    • The Lender and Other Loan Participants may keep any paper record and/or electronic record of this application, whether or not the Loan is approved.
    • If this application is created as (or converted into) an "electronic application", I consent to the use of "electronic records" and "electronic signatures" as the terms are defined in and governed by applicable Federal and/or state electronic transactions laws.
    • I intend to sign and have signed this application either using my:
      • electronic signature; or
      • a written signature and agree that if a paper version of this application is converted into an electronic application, the application will be an electronic record, and the representation of my written signature on this application will be my binding electronic signature.
    • I agree that the application, if delivered or transmitted to the Lender or Other Loan Participants as an electronic record with my electronic signature, will be as effective and enforceable as a paper application signed by me in writing.
  • Delinquency
    • The Lender and Other Loan Participants may report information about my account to credit bureaus. Late payments, missed payments, or other defaults on my account may be reflected in my credit report and will likely affect my credit score.
    • If I have trouble making my payments I understand that I may contact a HUD-approved housing counseling organization for advice about actions I can take to meet my mortgage obligations.
  • Authorization for Use and Sharing of Information
    By signing below, in addition to the representations and agreements made above, I expressly authorize the Lender and Other Loan Participants to obtain, use, and share with each other (i) the loan application and related loan information and documentation, (ii) a consumer credit report on me, and (iii) my tax return information, as necessary to perform the actions listed below, for so long as they have an interest in my loan or its servicing:
    • process and underwrite my loan;
    • verify any data contained in my consumer credit report, my loan application and other information supporting my loan application;
    • inform credit and investment decisions by the Lender and Other Loan Participants;
    • perform audit, quality control, and legal compliance analysis and reviews;
    • perform analysis and modeling for risk assessments;
    • monitor the account for this loan for potential delinquencies and determine any assistance that may be available to me; and
    • other actions permissible under applicable law.

Type your name in the box below to represent your electronic signature.


  • Bay Bank NMLS #440202
  • Tanya Krueger NMLS #369391
  • Christopher Coppens NMLS #1342415
  • Sunshine Bain NMLS #2148845
  • John Witschel NMLS #1966853

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