Contact Info

Type of Mortgage and Period of Loan

Property Information and Purpose of Loan

Property Information and Purpose of Loan cont.

Borrower Information

Borrower Employment Information

Co-Borrower Information

Co-Borrower Employment Information

Borrower Income Data

Co-Borrower Income

Combined Monthly Housing Expense

Assets Part 1

Assets Part 2

Liabilities and Pledged Assets.

Schedule of Real Estate Owned 1

Schedule of Real Estate Owned 2

Schedule of Real Estate Owned 3

Additional names

Details of Transaction

Declarations Borrower

Declarations Co-Borrower

Borrower Government monitoring Information

Co-Borrower Government monitoring Information

Signers

Let's start with a little information about you.

First Name * Required

Middle Name Required

Last Name * Required

Email Address * Required

Confirm Email Address * Required

Address Line 1 * Required

Address Line 2

City * Required

State * Required

Zip * Required

Date of Birth *Invalid Date

Social Security Number *Required

Phone Number *Required

All Required Questions are marked with an * all others are Optional

Are you Applying Jointly * Required

Amount * Required

$

No of Months * Required

All Required Questions are marked with an * all others are Optional

Property Address * Required

No of Units Required

Optional - Legal Description of Subject Property (attach description if necessary) Required

Purpose of Loan * Required

If Other please Explain Required

Property will be: * Required

Title will be held in what Name(s) * Required

Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain) * Required

Complete this line if construction or construction-permanent loan. All Required Questions are marked with an * all others are Optional

Year Acquired Required

Original Cost Required

$

Amount Existing Liens Required

$

Present Value of Lot Required

$

Cost of Improvements Required

$

Complete this line only if this is a refinance loan. All Required Questions are marked with an * all others are Optional

All Required Questions are marked with an * all others are Optional

Number of Years of School * Required

Marital Status * Required

Number of Dependents * Required

Ages of Dependents Required

Do you Rent or Own Present Address * Required

Number of Years at Present Address * Required

Mailing Address if different from Present Address Required

Former Address if less than 2 years Required

Did you Own or Rent your former AddressFormer Address Required

Number of years at Former Address Required

If employed in current position for less than two years or if currently employed in more than one position, complete more than 1 employer. All Required Questions are marked with an * all others are Optional

How Many jobs do you have at present, (If more than 3 please list top 3) * Required

Name & Address of Employer 1 Required

Self Employed Required

Number of years on this Job Required

Number of Years employed in this type of Work Required

Position Required

Business Phone Number Required

Name & Address of Employer 2 Required

Self Employed Required

Date from and to Required

Monthly Income Required

$

Position Required

Business Phone Number Required

Name & Address of Employer 3 Required

Self Employed Required

Date from and to Required

Monthly Income Required

$

Position Required

Business Phone Number Required

Only complete if applying Jointly. All Required Questions are marked with an * all others are Optional

If employed in current position for less than two years or if currently employed in more than one position, complete the more than 1 employer. All Required Questions are marked with an * all others are Optional

All Required Questions are marked with an * all others are Optional

Monthly Base Empl. Income Required

$

Monthly Overtime Required

$

Monthly Bonuses Required

$

Monthly Commissions Required

$

Monthly Dividends/Interest Required

$

Monthly Net Rental Income Required

$

Monthly Other 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. Required

Monthly Other Amount Required

$

All Required Questions are marked with an * all others are Optional

First Mortgage (P&I) Present Required

$

Other Financing (P&I) Present Required

$

Hazard Insurance Present Required

$

Real Estate Taxes Present Required

$

Mortgage Insurance Present Required

$

Homeowner Assn. Dues Present Required

$

Other Present Required

$

Rent Present Required

$

All Required Questions are marked with an * all others are Optional

Are Assets and Liabilities completed Jointly * Required

Cash deposit toward purchase held by: Required

Cash or market Value Required

$

Name and address of Bank, S&L, or Credit Union 1 Required

Account No. Required

Cash or market Value Required

$

Name and address of Bank, S&L, or Credit Union 2 Required

Account No. Required

Cash or market Value Required

$

Name and address of Bank, S&L, or Credit Union 3 Required

Account No. Required

Cash or market Value Required

$

Name and address of Bank, S&L, or Credit Union 3 Required

Account No. Required

Cash or market Value Required

$

All Required Questions are marked with an * all others are Optional

Stocks & Bonds (Company name/number & description) Required

Cash or market Value Required

$

Life insurance net Face Value Required

$

Cash or Market Value Required

$

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

$

Vested interest in retirement fund Required

$

Net worth of business(es) owned (attach financial statement) Required

$

Automobiles owned (make and year) Required

Automobiles owned Value Required

$

Other Assets itemized Required

Market or Cash Value Required

$

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. All Required Questions are marked with an * all others are Optional

Name & Address of Company Required

Acct. No. Required

Payment per Month Required

$

Unpaid Balance Required

$

Name & Address of Company Required

Acct. No. Required

Payment per Month Required

$

Unpaid Balance Required

$

Name & Address of Company Required

Acct. No. Required

Payment per Month Required

$

Unpaid Balance Required

$

List Other Liabilities Required

Total Payments per month Required

Total Unpaid Balance Required

$

Alimony/Child/Support/Separate Maintenance Payments Owed to: Required

Amount Required

$

Job Related Expense (child care, union dues, etc.) Required

Amount Required

$

For Status enter S if sold, PS if pending sale or R if rental being held for income. All Required Questions are marked with an * all others are Optional

Property Address Required

Property Status (see above) Required

Type Of Property Required

Present Market Value Required

$

Amount of Mortgages & Liens Required

$

Gross Rental Income Required

$

Mortgage Payments Required

$

Insurance, Maintenance, Taxes & Misc Required

$

Net Rental Income Required

$

For Status enter S if sold, PS if pending sale or R if rental being held for income. All Required Questions are marked with an * all others are Optional

List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s). All Required Questions are marked with an * all others are Optional

Alternate Name Creditor and account numbers Required

All Required Questions are marked with an * all others are Optional

Purchase price * Required

$

Alterations, improvements, repairs Required

$

Land (if acquired separately) Required

$

Refinance (incl. debts to be paid off) Required

$

All Required Questions are marked with an * all others are Optional

Are there any outstanding judgments against you? * Required

Have you been declared bankrupt within the past 7 years? * Required

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

Are you a party to a law suit? * Required

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, ... * Required

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? * Required

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

Is any part of the down payment borrowed? * Required

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

Are you a U.S. citizen? * Required

Are you a permanent resident alien? * Required

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

If Yes to above please complete Have you had an ownership in a property in the last three years? * Required

What type of property did you own * Required

How did you hold title to the home * Required

All Required Questions are marked with an * all others are Optional

Ethnicity Required

If Hispanic or Latino Required

If Other Hispanic or Latino please print origin Required

Race Required

If American Indian or Alaska Native please name of enrolled or principle tribe Required

If Asian Required

If Other Asian please print Race Required

If Native Hawaiian or Pacific Islander Required

If Other Native Hawaiian or Other Pacific Islander please print race Required

Sex Required

All Required Questions are marked with an * all others are Optional

Create and assign signers for signature roles.

Borrower Borrower Applicant Applicant * Required

Co-Borrower Co-Borrower Applicant Co-Applicant * Required

All Signers

Please read and accept the privacy policy to continue.

Version 23.4.3.17