Tell Us About Your Loan

Loan Purpose

Property will be:








Tell Us About Yourself



Marital Status





Level of Education

Will there be a co-borrower?



Tell Us About Your Co-Borrower





Marital Status





Level of Education


Tell Us About Your Recent Addresses

Present Address

Property Type



Do you have a different mailing address?


Mailing Address

Previous Address

Property Type




Tell Us About Your Co-Borrower’s Recent Addresses

Does your Co-Borrower live with you?


Co-Borrower’s Address

Property Type



Does Co-Borrower have a different mailing address?


Mailing Address

Previous Address

Property Type




Employment

Are you employed?


Have you been employed within the past two years?


Is your co-borrower employed?


Has your co-borrower been employed within the last two years?



Tell Us About Your Employer


Self Employed?


Employment Address





Have you been employed in your current position for less than 2 years?


Are you currently employed in more than one position?



Previous Employment


Self Employed?


Employment Address



Employment Dates



Monthly Income:

Have you had any other employers in the past 2 years?



Previous Employment


Self Employed?


Employment Address



Employment Dates



Monthly Income:


Tell Us About Co-Borrower’s Employer


Self Employed?


Employment Address





Employed in current position for less than 2 years?


Currently employed in more than one position?



Co-Borrower’s Previous Employment


Self Employed?


Employment Address



Employment Dates



Monthly Income:

Any other employers in the past 2 years?



Co-Borrower’s Previous Employment


Self Employed?


Employment Address



Employment Dates



Monthly Income:


Declarations

Borrower

Co-Borrower

A. Are there any outstanding judgments against you?




B. Have you been declared bankrupt within the past 7 years?




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




D. Are you 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 judgement?

This includes such loans as home mortgages loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) 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 separate maintenance?




H. Is any part of the down payment borrowed?




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




Are you a US Citizen?




Are you a permanent resident alien?




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




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




What type of property did you own?


How did you hold the title to your home?


Tell Us About Your Monthly Expenses

Combined Current Monthly Housing Expenses

Rent

First Mortgage

Other Financing

Hazard Insurance

Real Estate Taxes

Mortgage Insurance

HOA Dues

Other

Total:


Tell Us More About Yourself

This information is requested for certain types of loans in order for the government to monitor lender’s compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. If you do not wish to furnish this information, check the box below



Sex


Ethnicity


Race







Tell Us More About Your Co-Borrower

This information is requested for certain types of loans in order for the government to monitor lender’s compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. If you do not wish to furnish this information, check the box below



Sex


Ethnicity


Race












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