Pages 1--4 for the Uniform Residential Loan Application

 

Uniform Residential Loan Application

This application is designed to be completed by the applicant(s) with the lender's assistance. Applicants should complete this form as "Borrower" or " Co-Borrower", as applicable. Co-Borrower information must also be provided (and the appropriate box checked) when the income or assets of a person other than the "Borrower" (including the Borrower's spouse) will be used as a basis for loan qualification or the income or assets of the Borrower's spouse will not be used as a basis for loan qualification, but his or her liabilities must be considered because the Borrower resides in a community property state, the security property is located in a community property state, or the Borrower is relying on other property located in a community property state as a basis for repayment of the loan.

I. TYPE OF MORTGAGE AND TERMS OF LOAN

Mortgage V. A.   Conventional  Other   Agency Case Number Lender Case Number Applied for: FHA   FmHA

Amount Interest Rate No. of Months Amortization Fixed Rate  Other (explain): $ % Type GPM  ARM (type):

II. PROPERTY INFORMATION AND PURPOSE OF LOAN

Subject Property Address (street, city, state, ZIP) No. of Units ,   ,      Legal Description of Subject Property (attach description if necessary) Year Built

Purpose of Loan Purchase  Construction  Other Property will be:   Refinance  Construction-Permanent Primary Residence  Secondary Residence Investment

Complete this line 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 this line if this is a refinance loan. Year Acquired Original Cost Amount Existing Liens Purpose of Refinance Describe Improvements  made  to be made $ $ Cost $

Title will be held in what Name(s)  Manner in which Title will be held Estate will be held in: Fee Simple Leasehold (show   expiration date) Source of Down Payment, Settlement Charges and/ or Subordinate Financing (explain)

Borrower III. BORROWER INFORMATION Co-Borrower

Borrower's Name (include Jr. or Sr. if applicable) (First Last) Social Security Number Home Phone (incl. area code) Age Yrs. School Married  Unmarried (include Dependents (not listed by Co-Borrower)                    single, divorced, widowed) no. ages Separated Present Address (street, city, state, ZIP)  Own  Rent   No. Yrs , Co-Borrower's Name (include Jr. or Sr. if applicable) (First Last) Social Security Number Home Phone (incl. area code) Age Yrs. School Married  Unmarried (include Dependents (not listed by Co-Borrower)                    single, divorced, widowed) no. ages Separated Present Address (street, city, state, ZIP)  Own  Rent   No. Yrs , If residing at present address for less than two years, complete the following: Former Address (street, city, state, ZIP)  Own  Rent   No. Yrs Former Address (street, city, state, ZIP)  Own  Rent   No. Yrs Former Address (street, city, state, ZIP)  Own  Rent   No. Yrs Former Address (street, city, state, ZIP)  Own  Rent   No. Yrs

Borrower IV. EMPLOYMENT INFORMATION Co-Borrower

Name and Address of Employer   Self Employed Yrs. on this job Yrs. employed in this line of work/profession Position/Title/Type of Business Business Phone (incl. area code) Name and Address of Employer   Self Employed Yrs. on this job Yrs. 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 Dates (from-to) Monthly Income $ Position/Title/Type of Business Business Phone (incl. area code) Name and Address of Employer   Self Employed Dates (from-to) Monthly Income $ Position/Title/Type of Business Business Phone (incl. area code) Name and Address of Employer   Self Employed Dates (from-to) Monthly Income $ Position/Title/Type of Business Business Phone (incl. area code) Name and Address of Employer   Self Employed Dates (from-to) Monthly Income $ Position/Title/Type of Business Business Phone (incl. area code)

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V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Gross Monthly Income Borrower Co-Borrower Total Combined Monthly Housing Expense Present Proposed Base Empl. 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 and financial statements.

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 considered for repaying this loan.

B/C     $ $ $

VI. 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 separate Statements and Schedules are required. If the Co-Borrower section was completed about a spouse, this Statement and supporting schedules must be completed about that spouse also. Completed Jointly Not Jointly

ASSETS Description Cash or Market Value Cash deposit toward purchase held by: $ $ List checking and saving acounts below 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 $ 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 (attach financial statement) $ Automobiles owned (make and year)   $ $ $ Other Assets (itemize)   $ $ $ $ Total Assets a. $ 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. Use continuation sheet if necessary. Indicate by (*) those liabilities which will be satisfied upon sale of real estate owned or upon refinancing of the subject property. LIABILITIES Monthly Payt. & Mos. Left to Pay Unpaid Balance Name and Address of Company $ Payt. / Mos. $ Acct. No.   Name and Address of Company $ Payt. / Mos. $ Acct. No.   Name and Address of Company $ Payt. / Mos. $ Acct. No.   Name and Address of Company $ Payt. / Mos. $ Acct. No.   Name and Address of Company $ Payt. / Mos. $ Acct. No.   Name and Address of Company $ Payt. / Mos. $ Acct. No.   Name and Address of Company $ Payt. / Mos. $ Acct. No.   Alimony/Child Support/Separate Maintenance Payments Owed to: $   Job Related Expense (child care, union dues, etc) $ $ Total Montly Payments $ Net Worth (a-b) $ Total Liabilities b. $

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VI. ASSETS AND LIABILITIES (cont.)

Schedule of Real Estate Owned(if additional properties are owned, use continuation sheet.)

Property Address (enter S if sole, PS if pending sale or R if rental being held for income) Type of Property Present Market Value Amount of Mortgages & Liens Gross Rental Income Mortgage Payments Insurance Maintenance Taxes & Misc Net Rental Income   Totals

List any additional names under which credit has previously been received and indicate appropriate creditor name( s) and account number( s):

Alternate Name Creditor Name Account Number

VII. DETAILS OF TRANSACTION VIII. DECLARATIONS

a. Purchase Price $ b. Alterations, improvements, repairs $ c. Land (if acquired separately) $ d. Refinance (include, debts to be paid off) $ e. Estimated prepaid items $ f. Estimated closing costs $ g. PMI, MIP, Funding Fee $ h. Discount (if Borrower will pay) $ i. Total costs (add items a through h) $ j. Subordinate financing $ k. Borrower's closing costs paid by Seller $ l. Other Credits (explain)   $ $ $ $ m. Loan amount (exclude PMI, MIP, Funding Fee financed) $ n. PMI, MIP, Funding Fee financed $ o. Loan amount (add m & n) $ p. Cash from/to Borrower (subtract j, k, l & o from i) $ If you answer "yes" to any questions a through i, please use continuation sheet for explanation Borrower Co-Borrower Yes No Yes No a. Are there any outstanding judgements 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 past 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 (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "Yes," provide details, including date, name and address of Lender, FHA of VA case number, if any, and reasons for the action.)   f. Are you presently delinquent of in default on any Federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee? if "Yes," give details as described in the preceding question.   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? 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?   if "Yes," complete question m below.   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-solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?

X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES

The following information is requested by the Federal Government for certain types of loans related to a dwelling, in order to monitor the Lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a Lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish it, under Federal regulations this Lender is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish the above information, please check the box below. (Lender must review the above material to assure that the disclosure satisfy all requirements to which the Lender is subject under applicable law for the particular type of loan applied for.)

BORROWER     CO-BORROWER       I do not wish to furnish this information   I do not wish to furnish this information Race / National Origin American Indian or Alaskan Native Asian or Pacific Islander Race / National Origin American Indian or Alaskan Native Asian or Pacific Islander Black, not of Hispanic Origin White, not of Hispanic Origin Black, not of Hispanic Origin White, not of Hispanic Origin Hispanic   Hispanic   Other (Specify)   Other (Specify)   Sex Female     Male Sex Female     Male

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Continuation Sheet/ Residential Loan Application

VI. ASSETS AND LIABILITIES (cont.)

ASSETS Cash or Market Value LIABILITIES Monthly Payment & Months Left to Pay Unpaid Balance Name and address of Bank, S&L, or Credit Union Name and Address of Company $ Payt. / Mos. $ Acct. no $ Acct. No.   Name and address of Bank, S&L, or Credit Union Name and Address of Company $ Payt. / Mos. $ Acct. no $ Acct. No.   Name and address of Bank, S&L, or Credit Union Name and Address of Company $ Payt. / Mos. $ Acct. no $ Acct. No.   Name and address of Bank, S&L, or Credit Union Name and Address of Company $ Payt. / Mos. $ Acct. no $ Acct. No.   Name and address of Bank, S&L, or Credit Union Name and Address of Company $ Payt. / Mos. $ Acct. no $ Acct. No.   Name and address of Bank, S&L, or Credit Union Name and Address of Company $ Payt. / Mos. $ Acct. no $ Acct. No.   Name and address of Bank, S&L, or Credit Union Name and Address of Company $ Payt. / Mos. $ Acct. no $ Acct. No.   Name and address of Bank, S&L, or Credit Union Name and Address of Company $ Payt. / Mos. $ Acct. no $ Acct. No.   Name and address of Bank, S&L, or Credit Union Name and Address of Company $ Payt. / Mos. $ Acct. no $ Acct. No.   Name and address of Bank, S&L, or Credit Union Name and Address of Company $ Payt. / Mos. $ Acct. no $ Acct. No.

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