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

The income or assets of a person other than the "Borrower" (Including the Borrower's spouse) will be used as loan qualification or The income or assets of the Borrower's spouse will not be used as a basis for loan qualification, but his or her liabilities must be considered because the Borrower resides in a community property state, the security property is located in a community property state, or the Borrower is relying on other property located in a community property state as a basis for repayment of the loan.

Type of Mortgage & Terms of Loan

Are you applying for joint credit?

Yes
No

What mortgage types have you applied for?

VA
Conventional
FHA
USDA / Rural Housing Svc.
Other

Agency Case Number Lender Case Number Loan Amount Interest Rate Number of Months

What is the amortization?

Fixed
GPM
ARM
Other

ARM Type Explain Other Name of Title Holder Manner in Which Title is Held

What is the estate held in?

Fee Simple
Leasehold

Subject Property Address City State Zip Code Number of Units Legal Description of Property (Tax Township/Lot/Block) Year Built

Purpose of Loan

Purchase
Refinance
Construction
Other

What will the property be used for?

Primary Residence
Secondary Residence
Investment

Construction

Year Lot Acquired Original Cost Amount on Existing Liens Present Value of Lot Cost of Improvements

Refinance

Purpose of Refinance Year Acquired Original Cost Remaining Loan Amount

Will this be used for improvements?

Yes
No
Improvements have already been made.

Describe Improvements Total Cost of Improvements

Borrower Information

First Name Middle Initial Last Name Suffix Social Security Number Birth Date Mother's Maiden Name Home Phone Number E-mail Address Please do NOT email me important news and updates.

Housing

Home Address City State Zip Code Mailing address is different than street address. Mailing Address City State Zip Code

Do you own or rent this property?

Own
Rent
Other

Residency Start Date Monthly Mortgage or Rent Payment

Have you lived here for two or more years?

Yes
No

Previous Home Address City State Zip Code

Did you own or rent this property?

Own
Rent
Other

Residency Start Date Monthly Mortgage or Rent Payment Highest Level of Education Completed

Marital Status

Single
Married
Separated
Divorced
Widowed

Number of Dependents (Not Listed by Co-Borrower) List Dependents' Ages

Employment Information

Borrower Employment

Is the borrower employed?

Employed
Not Employed

Employment Start Date Position or Title Gross Monthly Income Name of Employer Employer's Address City State Zip Code Employer's Phone Number

Have you worked here for more than two years? (No if unemployed)

Yes
No

Previous Employer 1

Employment Start Date Position or Title Gross Monthly Income Name of Employer Employer's Address City State Zip Code Employer's Phone Number

Previous Employer 2

Employment Start Date Position or Title Gross Monthly Income Name of Employer Employer's Address City State Zip Code Employer's Phone Number

Co-Borrower's Employment Information

Is the co-borrower employed?

Employed
Not Employed

Employment Start Date Position or Title Gross Monthly Income Name of Employer Employer's Address City State Zip Code Employer's Phone Number

Have you worked here for more than two years? (No if unemployed)

Yes
No

Previous Employer 1

Employment Start Date Position or Title Gross Monthly Income Name of Employer Employer's Address City State Zip Code Employer's Phone Number

Previous Employer 2

Employment Start Date Position or Title Gross Monthly Income Name of Employer Employer's Address City State Zip Code Employer's Phone Number

Monthly Income and Combined Housing Expense Information

Monthly Income Source
Borrower
Co-Borrower
Line Total

Base Employment Income

Overtime

Bonuses

Commissions

Dividends/Interest

Net Rental Income

Other Income

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

Income Total

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

Monthly Expense Source
Present
Proposed

Rent

First Mortgage (P&I)

Other Financing (P&I)

Hazard Insurance

Real Estate Taxes

Mortgage Insurance

Homeowner Association Dues

Other

Total

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

Cash deposit toward purchase

Life Insurance

Checking or Savings Accounts

Account Number
Institution
Cash or Market Value

 

Stocks and Bonds

Description
Company
Cash or Market Value

 

Subtotal Liquid Assets

Investments

Assets
Cash or Market Value

Real estate owned (enter market value from schedule of real estate owned)

Vested interest in retirement fund

Net Worth of business(es) owned (attach financial statement)

Automobiles owned

Make
Model
Year
Cash or Market Value

 

Other Assets (itemize)

Asset Description
Cash or Market Value

 

Assets Total

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

Unpaid Balance Monthly Payment Name of Liability Owner Liability Owner's Address City State Zip Code Account Number

 Add Another Liability

Alimony/Child Support/Separate Maintenance

Name of Party Paid to Total Owed Job-Related Expenses(child care, union dues, etc.) Total Monthly Payments Total Liabilities Net Worth (Assets minus Liablities)

Schedule of Real Estate Owned

Real Estate

Property Address City State Zip Code Type of Property Present Market Value Amount of Mortgages & Liens Monthly Gross Rental Income Monthly Net Rental Income Monthly Mortgage Payments Monthly Insurance, Maintenance, Taxes & Misc.

 Add Another Property

Totals

Real Estate Market Value

Mortgages & Liens

Monthly Totals

Gross Rental Income

Net Rental Income

Mortgage Payments

Insurance, Maintenance, Taxes & Misc.

Details of Transaction

Costs

Total Amount

Purchase Price

Alterations, Improvements, & Repairs

Land (if acquired separately)

Refinance (incl. debts to be paid off)

Estimated Prepaid Items

Estimated Closing Costs

PMI, MIP, & Funding Fee

Total Costs

Credit

Total Amount

Discount (if Borrower will pay)

Subordinate Financing

Borrower's Closing Costs Paid by Seller

Other Credits

Total Credits

Loan

Total Amount

Loan Amount (exclude PMI, MIP, Funding Fee financed)

PMI, MIP, Funding Fee financed

Total Loan Amount

Cash from/to Borrower

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

Are there any outstanding judgments against you?

Yes
No

Have you been declared bankrupt within the past 7 years?

Yes
No

Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

Yes
No

Are you a party to a lawsuit?

Yes
No

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer or 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. If "Yes" provide details, including date, name and address of Lender, FHA or VA case number, if any, and reasons for the action.)

Yes
No

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If "Yes", give details as described in the preceding question.

Yes
No

Are you obligated to pay alimony, child support, or separate maintenance?

Yes
No

Is any part of the down payment borrowed?

Yes
No

Are you a co-maker or endorser on a note?

Yes
No

Are you a U.S. citizen?

Yes
No

Are you a permanent resident alien?

Yes
No

Do you intend to occupy the property as your primary residence?

Yes
No

Have you had an ownership interest in a property in the last three years?

Yes
No

What type of property did you own? How did you hold the title to the home?

Co-Borrower

Are there any outstanding judgments against you?

Yes
No

Have you been declared bankrupt within the past 7 years?

Yes
No

Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

Yes
No

Are you a party to a lawsuit?

Yes
No

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer or 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. If "Yes" provide details, including date, name and address of Lender, FHA or VA case number, if any, and reasons for the action.)

Yes
No

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If "Yes", give details as described in the preceding question.

Yes
No

Are you obligated to pay alimony, child support, or separate maintenance?

Yes
No

Is any part of the down payment borrowed?

Yes
No

Are you a co-maker or endorser on a note?

Yes
No

Are you a U.S. citizen?

Yes
No

Are you a permanent resident alien?

Yes
No

Do you intend to occupy the property as your primary residence?

Yes
No

Have you had an ownership interest in a property in the last three years?

Yes
No

What type of property did you own? How did you hold the title to the home?

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

I would like to participate. Ethnicity Sex

Co-Borrower

I would like to participate. Ethnicity Sex

Acknowledgement & Agreement

Each of the undersigned specifically represents to Lender and to Lender's actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknowledges that: (1) the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of this information contained in this application may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Sec. 1001, et seq.; (2) the loan requested pursuant to this application (the "Loan") will be secured by a mortgage or deed of trust on the property described in this application; (3) the property will not be used for any illegal or prohibited purpose or use; (4) all statements made in this application are made for the purpose of obtaining a residential mortgage loan; (5) the property will be occupied as indicated in this application; (6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application, whether or not the Loan is approved; (7) the Lender and its agents, brokers, insurers, servicers, successors and assigns may continuously rely on the information contained in the application, and I am obligated to amend and/or supplement the information provided in this application if any of the material facts that I have represented herein should change prior to closing of the Loan; (8) in the event that my payments on the Loan become delinquent, the Lender, its services, successors or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer credit reporting agencies; (9) ownership of the Loan and/or administration of the Loan account may be transferred with such notice as may be required by law; (10) neither Lender nor its agents, brokers, insurers, servicers, successors or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of the property; and (11) my transmission of this application as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature.

Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or reverify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.

I/We fully understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code, Section 1001, et seq.

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

Borrower's Signature Date Co-Borrower's Signature Date