| I. TYPE OF MORTGAGE AND TERMS OF LOAN |
| Mortgage Applied for: |
V.A.
Conventional
FHA FmHA
Other: |
| Amount Requested: |
| II.
PROPERTY INFORMATION AND PURPOSE OF
LOAN |
| Subject Property Address (street, city,
state, ZIP) |
|
|
| No. of Units |
|
Purpose of Loan:
Purchase
Refinance
Construction -
Permanent
Other |
Property will be:
Primary Residence
Secondary Residence
Investment |
| Complete lines below if construction or
construction-permanent loan. |
| Year Lot Acquired |
|
| Original Cost |
|
| Amount Existing Liens |
|
| (a). Present Value of Lot |
|
| (b). Cost of improvements |
|
| Total (a+b) |
|
| Complete lines below if this is a
refinance loan. |
| Year Acquired |
|
| Original Cost |
|
| Amount Existing Loans |
|
|
| II. Borrower Information |
| Borrowers Name (include Jr. or Sr. if
applicable) |
|
| Social Security Number |
|
| Home Phone (incl. area code) |
|
| Age |
|
| Years School |
|
| Married
Separated
|
| Unmarried (include single, divorced, widowed) |
|
| Dependents (not listed by Co-Borrower) |
| No.
Ages |
| Present Address (street, city, state) |
|
|
| Own
Rent No. Years
|
|
| If residing at present address for less
than two years, complete the following: |
| Former Address (street, city, zip) |
|
|
| Own
Rent No. Years
|
|
| IV.
BORROWER EMPLOYMENT INFORMATION |
| Name and Address of Employer |
|
|
Self Employed Years
on this Job |
|
Years, employed in this line of work/profession |
|
|
| Position/Title/Type of Business |
|
|
| Business Phone (incl. area code) |
|
|
| If
employed in current position for less than two years or if currently
employed in more than one position, complete the following: |
| Name and Address of Employer |
|
|
|
Self Employed Years
on this Job |
|
Years, employed in this line of work/profession |
|
|
| Position/Title/Type of Business |
|
|
| Business Phone (incl. area code) |
|
|
|
| IV.
CO- BORROWER INFORMATION |
| Borrowers Name (include Jr. or Sr. if
applicable) |
|
| Social Security Number |
|
| Home Phone (incl. area code) |
|
| Age |
|
| Years School |
|
| Married Separated
|
| Unmarried (include single, divorced, widowed) |
|
| Dependents (not listed by Co-Borrower) |
| No.
Ages |
| Present Address (street, city, state) |
|
| Own
Rent No. Years |
|
| If residing at present address for less
than two years, complete the following: |
| Former Address (street, city, zip) |
|
| Own
Rent No. Years |
|
| IV.
CO-BORROWER EMPLOYMENT INFORMATION |
| Name and Address of Employer |
|
|
Self Employed Years
on this Job |
|
Years, employed in this line of work/profession |
|
|
| Position/Title/Type of Business |
|
|
| Business Phone (incl. area code) |
|
|
|
| If
employed in current position for less than two years or if currently
employed in more than one position, complete the following: |
| Name and Address of Employer |
|
|
Self Employed Years
on this Job |
|
Years, employed in this line of work/profession |
|
|
| Position/Title/Type of Business |
|
| Business Phone (incl. area code) |
|
|
| V.
MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION |
| Gross Monthly Income |
Borrower
|
Co-Borrower
|
Total |
|
Describe Other Income
Notice: 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 consider red for repaying this loan. |
| B/C |
Describe |
Monthly Amount |
|
|
|
|
|
|
|
|
|
| VI.
ASSETS AND LIABILITIES |
|
Completed: Jointly
Not Jointly |
|
| ASSETS |
CASH OR MARKET
VALUE |
|
|
| List
Checking and savings accounts |
| Name and Address of Bank, S&L, or
Credit Union |
|
| Acct No. |
$
|
| Name and Address of Bank, S&L, or
Credit Union |
|
| Acct No. |
$
|
| Name and Address of Bank, S&L, or
Credit Union |
|
| Acct No. |
$ |
| Stocks & Bonds (company name /
number & description |
|
| Life Insurance net cash value |
$ |
| Face Amount: |
$ |
| Subtotal
Liquid Assets |
$ |
Real Estate owned
(enter market value from schedule of real estate owned |
$ |
| Vested Interest in retirement fund |
$ |
Net worth of business(es) owned
(a financial statement may be required) |
$ |
| Automobiles owned |
|
| Year and Make |
$ |
| Year and Make |
$ |
| Year and Make |
$ |
| TOTAL ASSETS |
$ |
| LIABILITIES
Liabilities and Pledged Assets. 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, etc. If necessary, Indicate
by (*) those liabilities which will be satisfied upon sale of real
estate owned or upon refinancing of the subject property. |
| Name and Address of Company |
|
| Account No. |
|
| Monthly Payment |
$
|
| Unpaid Balance |
$
|
| Months Left to Pay |
|
| Name and Address of Company |
|
| Account No. |
|
| Monthly Payment |
$
|
| Unpaid Balance |
$
|
| Months Left to Pay |
|
| Name and Address of Company |
|
| Account No. |
|
| Monthly Payment |
$
|
| Unpaid Balance |
$
|
| Months Left to Pay |
|
| Name and Address of Company |
|
| Account No. |
|
| Monthly Payment |
$
|
| Unpaid Balance |
$
|
| Months Left to Pay |
|
| Name and Address of Company |
|
| Account No. |
|
| Monthly Payment |
$
|
| Unpaid Balance |
$
|
| Months Left to Pay |
|
| Name and Address of Company |
|
| Account No. |
|
| Monthly Payment |
$
|
| Unpaid Balance |
$
|
| Months Left to Pay |
|
| Name and Address of Company |
|
| Account No. |
|
| Monthly Payment |
$ |
| Unpaid Balance |
$ |
| Months Left to Pay |
|
| Alimony/Child Support/Separate
Maintenance Payments |
| Owed To |
|
| Monthly Payment |
$ |
|
|
| Schedule of
Real Estate Owned
Property Address (enter S if sold, PS if pending sale or R if
rental being held for income) |
| Property Address |
|
| Kind of Property (S, PS, R) |
|
| Type of Property |
|
| Present Market Value |
$
|
| Amount of Mortgages & Liens |
$
|
| Gross Rental Income |
$
|
| Mortgage Payments |
$
|
| Insurance, Maintenance, Taxes &
Misc. |
$
|
| Net Rental Income |
$
|
| Property Address |
|
| Type of Property |
|
| Present Market Value |
$
|
| Amount of Mortgages & Liens |
$
|
| Gross Rental Income |
$
|
| Mortgage Payments |
$
|
| Insurance, Maintenance, Taxes &
Misc. |
$
|
| Net Rental Income |
$
|
| Property Address |
|
| Type of Property |
|
| Present Market Value |
$
|
| Amount of Mortgages & Liens |
$
|
| Gross Rental Income |
$
|
| Mortgage Payments |
$
|
| Insurance, Maintenance, Taxes &
Misc. |
$
|
| Net Rental Income |
$
|
| Property Address |
|
| Type of Property |
|
| Present Market Value |
$ |
| Amount of Mortgages & Liens |
$ |
| Gross Rental Income |
$ |
| Mortgage Payments |
$ |
| Insurance, Maintenance, Taxes &
Misc. |
$ |
| Net Rental Income |
$ |
| Property Address |
|
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