Note: Spouse to complete Sections 2, 3, 4, 7. |
|
| SECTION 1 |
| * Loan Amount: | |
| Purpose of Loan: | |
| * Subject Property Address: |
|
| Type of Loan Desired (if known): | |
| # of Units (1-4): | |
| Year Built (yyyy): | |
|
| SECTION 2 |
| Borrower |
 | Co-Borrower |
* Email Address
| | * Email Address
|
* Borrower's Name (incl. Jr. or Sr.)
| | *Co-Borrower's Name (incl. Jr. or Sr.)
|
| * Social Security Number | | * Social Security Number |
| * Home Phone | | * Home Phone |
| * Date of Birth (mm/dd/yyyy) | | * Date of Birth (mm/dd/yyyy) |
| Years of Education | | Years of Education |
* Marital Status
(unmarried includes single, divorced, widowed) | | * Marital Status
(unmarried includes single, divorced, widowed) |
| # of Dependents | | # of Dependents |
Ages of Dependents (use commas)
| | Ages of Dependents (use commas)
|
| * Residence History (2 Years) - List Present Address First |
Own Rent
How Long? Yrs Mons | |
OwnRent
How Long? YrsMons |
OwnRent
How Long? YrsMons | |
Own
Rent
How Long? YrsMons |
Mailing Address (if different)
| | Mailing Address (if different)
|
|
| * SECTION 3 |
| Borrower | | Co-Borrower |
* Employer Name & Address:
(Need 2 year employment history)
| | * Employer Name & Address:
(Need 2 year employment history)
|
| * Self-Employed?Yes No | | * Self-Employed?Yes No |
| * Years on This Job: | | * Years on This Job: |
| * Years in This Profession: | | * Years in This Profession: |
* Current Position or Title:
| | * Current Position or Title:
|
* Type of Business:
| | * Type of Business:
|
|
| * SECTION 4 |
| Borrower | | Co-Borrower |
* Current Gross Monthly Income:
| | * Current Gross Monthly Income:
|
* Liquid Assets (checking, savings, money market):
| | |
* Market Value of Real Estate Owned:
| | |
|
| SECTION 5 |
| Your Current House Payment: | |
| Does Payment Include Taxes & Insurance? | Yes |
| Annual Property Taxes: | |
| Annual Homeowners Insurance: | |
| Do You Pay HOA Dues? | Yes |
| If Yes, Monthly Dues: | |
|
| SECTION 6 |
Please List All Properties Owned Please List By Address |
| Property #1 |
| Type Property
Property Status |
| What is the Monthly Rental Income? | |
| What is the Current Market Value? | |
| What is the Amount of Current Loans? | |
| What is the Mortgage Payment? | |
| Property Taxes Per Year? | |
| Insurance Per Year? | |
| Property #2 |
| Type Property
Property Status |
| What is the Monthly Rental Income? | |
| What is the Current Market Value? | |
| What is the Amount of Current Loans? | |
| What is the Mortgage Payment? | |
| Property Taxes Per Year? | |
| Insurance Per Year? | |
| Property #3 |
| Type Property
Property Status |
| What is the Monthly Rental Income? | |
| What is the Current Market Value? | |
| What is the Amount of Current Loans? | |
| What is the Mortgage Payment? | |
| Property Taxes Per Year? | |
| Insurance Per Year? | |
| Property #4 |
| Type Property
Property Status |
| What is the Monthly Rental Income? | |
| What is the Current Market Value? | |
| What is the Amount of Current Loans? | |
| What is the Mortgage Payment? | |
| Property Taxes Per Year? | |
| Insurance Per Year? | |
| Property #5 |
| Type Property
Property Status |
| What is the Monthly Rental Income? | |
| What is the Current Market Value? | |
| What is the Amount of Current Loans? | |
| What is the Mortgage Payment? | |
| Property Taxes Per Year? | |
| Insurance Per Year? | |
|
| * SECTION 7 |
| Borrower | | Co-Borrower |
| Are there any outstanding judgments against you? YesNo | | Are there any outstanding judgments against you? YesNo |
| Have you been declared bankrupt within the last 7 years? YesNo | | Have you been declared bankrupt within the last 7 years? YesNo |
| Have you lost a property to foreclosure or executed a deed in lieu of foreclosure within the last 7 years? YesNo | | Have you lost a property to foreclosure or executed a deed in lieu of foreclosure within the last 7 years? YesNo |
Are you a party to a law suit at this time?
YesNo | | Are you a party to a law suit at this time?
YesNo |
| Have you been a signer or co-signer on any type of loan that went into default, foreclosure or judgment? YesNo | | Have you been a signer or co-signer on any type of loan that went into default, foreclosure or judgment? YesNo |
| Are you currently in default or delinquent on any federal debt or loan? YesNo | | Are you currently in default or delinquent on any federal debt or loan? YesNo |
Are you obligated to pay alimony, child support or separated maintenance?
YesNo | | Are you obligated to pay alimony, child support or separated maintenance?
YesNo |
Is any part of the down payment borrowed?
YesNo | | Is any part of the down payment borrowed?
YesNo |
Are you a co-signer or endorser on a note?
YesNo | | Are you a co-signer or endorser on a note?
YesNo |
Are you a U.S. citizen?
YesNo | | Are you a U.S. citizen?
YesNo |
Are you a permanent resident alien?
YesNo | | Are you a permanent resident alien?
YesNo |
| Do you intend to occupy the property as your primary residence? YesNo | | Do you intend to occupy the property as your primary residence? YesNo |
Have you owned a home with the last 3 years?
YesNo | | Have you owned a home with the last 3 years?
YesNo |
If yes, what kind of property did you own?
| | If yes, what kind of property did you own? |
How did you hold title?
| | How did you hold title? |
|
| The federal government requires us to ask for the following information. If you do not want to provide it please check the box "I do not wish to furnish this information". |
| Borrower | | Co-Borrower |
| I do not wish to furnish this information | | I do not wish to furnish this information |
Ethnicity:
Hispano or Latino
Not Hispano or Latino | | Ethnicity:
Hispano or Latino
Not Hispano or Latino |
| Race: | | Race: |
| Sex: | | Sex: |
|
| Borrower | | Co-Borrower |
* DO WE HAVE YOUR PERMISSION TO RUN YOUR CREDIT REPORT?
Yes No | | * DO WE HAVE YOUR PERMISSION TO RUN YOUR CREDIT REPORT?
YesNo |
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