As
an alternative to the online application below, you may download
this Abobe file format application. You can then print the application
and email aor snail mail to our office.
Mortgage Applied
for:
V.A.
Conventional
FHA
Other Amortization Type:
Fixed Rate
Other
GPM
ARM
PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject Property Address
(street, city, state, zip)
County
No.
of Units
Legal Description
of Subject Property (attach description if necessary)
Year Built
Purpose of Loan:
Purchase
Refinance
Construction
Construction Permanent
Other
Property will
be:
Primary Residence
Secondary Residence
Investment
Borrower
BORROWER
INFORMATION
Co-Borrower
Borrower's Name:
EMail:
Co Borrower's Name:
EMail:
Social Sec #
Home Phone
Age
School
Social Sec #
Home Phone
Age
School
Married
Separated
Unmarried
Dependents
No. Ages
Married
Separated
Unmarried
Dependents
No. Ages
Present Address
(street, city, state, zip)
Own
Rent
No. Yrs.
Present Address
(street, city, state, zip)
Own
Rent
No. Yrs.
Borrower
EMPLOYMENT
INFORMATION
Co-Borrower
Name and Address of Employer
Yrs. on Job
Yrs in this line of profession:
Self Employed
Name and Address of Employer
Yrs. on Job
Yrs in this line of profession:
Self Employed
Position/Title/Type of Business
Business Phone
Position/Title/Type of Business
Business Phone
If employed
for less than two years or if employed in more than one
position, complete the following:
Name and Address of Employer
From To
Monthly Income
$
Self Employed
Name and Address of Employer
From To
Monthly Income
$
Self Employed
Position/Title/Type of Business
Business Phone
Position/Title/Type of Business
Business Phone
MONTHLY
INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Gross
Monthly
Income
Borrower
Co-Borrower
Total
Housing
Expenses
Present
Proposed
Base
Employ. Income*
$
$
$
Rent
$
Overtime
$
$
$
First
Mortgage(P&I)
$
$
Bonuses
$
$
$
Other Financing(P&I)
$
$
Commissions
$
$
$
Hazard Insurance
$
$
Dividends/Interest
$
$
$
Real Estate
Taxes
$
$
Net Rental Income
$
$
$
Mortgage Insurance
$
$
Other
$
$
$
Homeowner Assn.
Dues
$
$
$
$
$
Other
$
$
Total
$
$
$
Total
$
$
*Self employed
borrower(s) may be required to provide additional documentation
such as tax returns & financial statements.
ASSETS
AND 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 seperate statements and schedules
are required. If the co-borrower section was completed about
a spouse, this statement and supporting schedules must be
completed about the spouse also.
ASSETS
Cash
or Market Value
Liability
and Pledged Assets. List the creditors name, address
and account # for all outstanding debts,including auto loans,
revolving charge accounts, real estate loans, alimony, child
support, stock predges, etc.
Cash Deposit Purchase Held
by:
Amount:
$
LIABILITIES
Monthly Pmt/
Unpaid
Balance
Name
and address of Bank, SL or Credit Union
Name
and address of Company
Payment:
$
Balance:
$
Acct. no.
Balance
$
Acct. no.
Name
and address of Bank, SL or Credit Union
Name and address
of Company
Payment:
$
Balance:
$
Acct. no.
Balance
$
Acct.
no.
Name
and address of Bank, SL or Credit Union
Name
and address of Company
Payment:
$
Balance:
$
Acct.
no.
Balance
$
Acct.
no.
Stocks
and Bonds
$
$
$
$
Name
and address of Company
Payment:
$
Balance:
$
Life
insurance net cash value
Face amount $
Balance
$
Acct.
no.
Subtotal
Liquid Assets
$
Name
and address of Company
Payment:
$
Balance:
$
Retirement Fund
$
Real
Estate Owned:
$
Acct.
no.
Automobiles
Owned:
$
$
$
Name
and address of Company
Payment:
$
Balance:
$
Net
Worth of business(es):
$
Acct.
no.
Other
Assets:
$
$
$
Alimony/Child
Support/Seperate Maintenance:
$
Job Related Expense:
$
Total
Monthly Payments
$
Total Assets
$
Total Liabilities
$
DECLARATIONS
Borrower
Co-Borrower
Yes
No
Yes
No
a.
Are there any outstanding judgments against you?
b.
Have you been declared bankrupt within the past 7 years
c.
Have you had property foreclosed upon or given title or
deed in lieu thereof in the last 7 years?
d.
Are you a party to a lawsuit?
e.
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, manufactured
home loans, any mortgage, financial obligation. bond, or
loan guarantee.)
f.
Are you presently delinquent or in default on any Federal
debt or any other loan, mortgage, financial obligation,
bond or loan guarantee?.
g.
Are you obligated to pay alimony, child support, or seperate
maintenance?
h.
Is any part of the down payment borrowed?
i.
Are you the co-maker or endorser on a note?
j.
Are you a U.S. citizen?
k.
Are you a permanent resident alien?
l.
Do you intend to occupy the property as your primary residence?
m.
Have you had an ownership interest in a property in the
last three years?
(1)
What type of property did you own - principal residence
(PR), second home (SH), or investment property (IP)?
(2)
How did you hold title to the home - soley by yourself (S),
jointly with your spouse (SP), or jointly with another person
(O)?
ACKNOWLEDGMENT
AND AGREEMENT
The
undersigned 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, it's agents, successors and assigns,
either directly or through a credit reporting agent, 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, it's 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, it's 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; (9) the lender, it's
agents, successors and assigns make no representations or
warranties, expressed or implied, to the borrower(s) regarding
the property, the condition of the property, or the value
of the property.
Right to Receive Copy of Appraisal. I/We have
the right to a copy of the appraisal report used in connection
with this application for credit. To obtain a copy, I/We
must send Lender a written request at the mailing address
Lender has provided. Lender must hear form me/us no later
than 90 days after Lender notifies me/us about the action
taken on this application, or I/We withdraw this application.
Certification: I/we certify that the information
provided in this application is true and correct as of
the date set forth opposite my/our sygnature(s) on this
application and acknowledge my/our understanding that
my intentional or negligent misrepresentation(s) of the
information contained in this application may result in
cival liability and/or criminal penalties including, but
not limited to, fine or imprisonment or both under the
provisions of title 18, United States Code, Section 1001,
et seq. and liability for monitary damages to the lender,
it's agents, successors and assigns, insurers and any
other person who may suffer any loss due to the reliance
upon any misrepresentation which I/we have made on this
application.
