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 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 No.
Lender Case No.
applied for FHA
FmHA
____________________________________________________________________________________
Loan Amount
Interest Rate:
No. of months Amortization Fixed
rate ARM
(Type):
$ % Type:
GPM
Other
(explain):
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
(explain): Property
will be:
Investment
Primary
Secondary
Refinance
Construction-Permanent
Residence Residence
__________________________________________________________________________________
Complete this line if construction or
construction-permanent loan.
Year Lot
|Original Cost |Amount
Existing |(a) Present Value
|(b) Cost of
|Total (a + b)
Liens
|of Lot
Improvements
Acquired $
$ $
$ $
__________________________________________________________________________________
Complete this line if this is a refinance loan.
Year
|Original Cost |Amount Existing Liens
|Purpose of Refinance Describe Improvements made
Acquired $ $
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
Source of Down Payment, Settlement Charges and/or
Subordinate Financing (explain)
(Show expiration date)
Borrower
III. BORROWER INFORMATION
Co-Borrower
Borrower's Name (include Jr. or Sr. if applicable
|Co-Borrower's Name (include Jr. or Sr. if applicable
Social Security Number |Home Phone (include area
code) Social Security Number |Home Phone (include area code)
Age
Years School
Age
Years School
Married
Unmarried
(include single, divorced
Married
Unmarried
(include single divorced
Separated
widowed)
Separated
widowed)
Dependents (not listed by C0-Borrower)
Dependents (not listed by Borrower)
No. Ages
No. Ages
Present Address (street, city, state,zip) Own
Rent
Present Address (street, city, state,zip) Own
Rent
No. Years
No. Years
If
residing at present address for less than two years, complete the
following:
Former Address (street, city, state,zip) Own
Rent
Former Address (street, city, state,zip) Own
Rent
No. Years
No. Years
Former Address (street, city, state,zip) Own
Rent
Former Address (street, city, state,zip) Own
Rent
No. Years No.
Years
Borrower
IV. EMPLOYMENT INFORMATIO N
Co-Borrower
If
employed in current position for less than two years or if
currently employed in more than on position, complete the
following:
Name and Address of Employer
Self
Employed
Name and Address of Employer Self
Employed
Years
on this job
Years
on this job
Years
employed in this line of work/profession
Years
employed in this line of work/profession
Position/Title/Type of Business:
Position/Title/Type of Business:
Business Phone (including area code)
Business Phone (including 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
Name and Address of Employer Self
Employed
Dates: from to
Dates: from to
Monthly Income $
Monthly Income $
Position/Title/Type of Business:
Position/Title/Type of Business:
Business Phone (including area code)
Business Phone (including area code)
Name and Address of Employ
Self
Employed
Name and Address of Employer Self
Employed
Dates: from to
Dates: from to
Monthly Income $
Monthly Income $
Position/Title/Type of Business:
Position/Title/Type of Business:
Business Phone (including area code)
Business Phone (including area code)
V.
MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
GROSS MONTHLY INCOME
BORROWER
CO-BORROWER
TOTAL
Base Employment Income*
$
$
$
Overtime
$
$
$
Bonuses
$
$
$
Commissions
$
$
$
Dividends/Interest
$
$
$
Net Rental Income
$
$
$
Other (before completing,
$
$
$
see the notice in "describe
$
$
$
other income," below)
$
$
$
TOTAL
$
$
$
__________________________________________________________________________________
COMBINED
MONTHLY HOUSING EXPENSE
PRESENT
PROPOSED
Rent
$
$
First Mortgage (P&I)
$
$
Other Financing (P&I)
$
$
Hazard Insurance
$
$
Real Estate Taxes
$
$
Mortgage Insurance
$
$
Homeowner Association Dues
$
$
Other
$
$
TOTAL
$
$
*Self Employed Borrower ( s ) may be required t
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
Monthly Amount
$
$
$
$
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
CASH OR MARKET VALUE
Description
Cash deposit toward purchase held by:
$
List checking and savings accounts below:
Name and address of Bank, S&L, or Credit
Union:
Account Number
$
__________________________________________________________________________________
Name and address of Bank, S&L, or Credit
Union:
Account Number
$
__________________________________________________________________________________
Name and address of Bank, S&L, or Credit
Union:
Account Number
$
___________________________________________________________________________________
Name and address of Bank, S&L, or Credit
Union:
Account Number
$
____________________________________________________________________________________
Name and address of Bank, S&L, or Credit
Union:
Account Number
$
__________________________________________________________________________________
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 itemized:
$
$
$
$
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.
LIABILITIES
Monthly Payment and
Unpaid Balance
Months left to pay
Name and address of Company
$Payt. Mos.
$
Account Number
Name and address of Company
$Payt. Mos.
$
Account Number
Name and address of Company
$Payt. Mos.
$
Account Number
Name and address of Company
$Payt. Mos.
$
Account Number
Name and address of Company
$Payt. Mos.
$
Account Number
Name and address of Company
$Payt. Mos.
$
Account Number
Name and address of Company
$Payt. Mos.
$
Account Number
Alimony/Child Support/Separate Maintenance
Payments:
Owed to:
$
Job Related Expense ( child care, union dues, etc.
$
$
$
$
TOTAL MONTHLY PAYMENTS
$
Net Worth ( a-b ) $
Total Liabilities b. $
.
ASSETS AND LIABILITIES (cont.)
Schedule of Real Estate Owned (if additional
properties are owned, use continuation sheet)
Property Address (enter S if sold, PS if
Type of Present
Amount of
pending sale or R if rental being held for income)
Property Market Value
Mortgages & Liens
$
$
$
$
$
$
$
$
$
$
TOTAL $
$
Gross
Mortgage
Insurance
Net
Rental Income
Payment
Maintenance,
Rental Income
Taxes & Misc.
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTALS $
$
$
$
______________________________________________________________________________
List any additional names under which credit has
previously been received and indicate appropriate creditor
name (s) and account numbers (s):
Alternate Name
Creditor Name
Account Number