Type
Of Loan
Sales
Price:: $
Loan
Amount:
$
Loan
terms (years):
30 yr
15 yr
25 yr
20 yr
~~~ Select One ~~~
1 yr
3 yr
5 yr
7 yr
Loan
type:
Fixed Rate
Adjustable
Interest Only
Cosi, Cofi, MTA
~~~ Select One ~~~
Property
Use:
--- Select One ---
Primary Residence
Secondary Residence
Investment Property
Purpose
of Loan:
Have
you found a property yet?
I have
not found a home yet.
I
found a home, but haven't made an offer yet.
I
found a home, and my offer has been accepted.
--- Select One ---
What
will your down payment be?
Purchase
Price:
$
Present
Value:
$
Subject
Property Information:
Subject
Property Address:
Subject
Zip Code
Property
Description:
Single Family Home
Condo
Townhome
Duplex
3/4 Unit
Commercial
--- Select One --
Settlement
Date (Purchase):
(MM/DD/YY)
Present
Mtg.:
$
Title
to be held:
Individual(s)
Corporation
Partnership
Proposed
LTV:
% (How much money down)
Property:
Own
Rent
No. of Years
Monthly
Rent
Marital
Status:
Married
Unmarried
Separated
No.
of Dependants
Ages
Fill
in only if you are Refinacing:
Date
Purchased:
(MM/DD/YY)
Year
Purchased
(MM/DD/YY)
Purchase
Price:
$
Present
Value:
$
Present
Mtg.:
$
All
Taxes: $
Monthly
Hazard: $
Do
you currently escrow your taxes with mortgage payment?
Yes
Name
of Employer:
Address
of Employer
Zip
Code of Employer
Check
if Self Employed
Self Employed
Paystubs
Reflect:
Monthly
Bi-Monthly
Bi-Weekly
--- Select One ---
Position/Title:
Years
at Employer
Years
in Profession:
Title
to be held in name(s) of:
Co-Applicant/Co-Guarantor
Information:
Co-Borrower (if
individual) or Co - Guarantor (if Corporation or
Partnership):
Name
Date
of Birth
(MM/DD/YY)
SS #
Home
Phone
Work
Phone
Cell
Phone
Present
Address
Zip
Code
Property:
Own
Rent
No. of Years
Monthly
Rent
Marital
Status:
Married
Unmarried
Separated
No.
of Dependants
Ages
Present
Value:
$
Present
Mtg:
$
Name
of Employer:
Street
Address
Zip
Code
Check
if Self Employed
Self Employed
Paystubs
Reflect:
Monthly
Bimonthly
Biweekly
---Select One ---
Position/Title:
Years
at Employer
Years
in Profession:
Emp.
Base Income:
Borrower
$
CO-Borrower
$
Rental
Income:
Borrower
$
CO-Borrower
$
Div/Int:
Borrower
$
CO-Borrower
$
Other(Specify):
Borrower
$
CO-Borrower
$
Other(Specify):
Borrower
$
CO-Borrower
$
Statements
of Assets (Insert
all even if not planning on using)
Schedule
of Real Estate Owned
Government
Information: YOU
MUST ANSWER ALL
Have
you any outstanding judgments?
Borrower:
Yes
No
CO-Borrower:
Yes
No
Have
you declared bankruptcy in the last seven years?
Borrower:
Yes
No
CO-Borrower:
Yes
No
Are
you a party in a law suit?
Borrower:
Yes
No
CO-Borrower:
Yes
No
Are
you a US Citizen?
Borrower:
No -
No
CO-Borrower:
No -
No
For
any legal, equitable, beneficial, or other interest
owned in real estate properties, are there now or have
there ever been:
*Payments past due
30 days including forbearance aging?
Borrower:
Yes
No
CO-Borrower:
Yes
No
*Foreclosed/deed in
lieu action taken?
Borrower:
Yes
No
Acknowledgment
and agreement
I
authorize Lender to make inquiries necessary to verify
the accuracy of the statements mad e and to determine
my creditworthiness. I certify that the above
and the statements contained in the attachments are
true and accurate as of the stated date(s).
These Statements are made for the purpose of either
obtaining a loan or guaranteeing a loan.
Borrower/Guarantor
CO-borrower/CO-guarantor
Acknowledgment and
agreement
The
following information is requested by the Federal
Government for certain types of loans relating 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 the lender may neither discriminate
on the basis of this information, nor on weather you
choose to furnish it. However, if you choose not to
furnish it, under Federal Regulations, this Lender
is required to note race or sex on the basis of visual
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/Guarantor
CO-borrower/CO-guarantor
