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Complete Application

 
MORTGAGE TYPE
Mortgage Applied for:
VA
FHA
Conventional
USDA/Rural Housing Service
Other (explain): Agency Case Number Lender Case Number

Amount : $ :
Interest Rate % :
No. of Months :

Amortization Type:
Fixed Rate
GPM
Other (explain):
ARM (type):


PROPERTY INFORMATION
Subject Property Address
(street, city, state, & ZIP) 		:
No. of Units :
No. of Months :
Legal Description of Subject Property :
Year Built :

Purpose of Loan
Purchase
Refinance
Construction
Construction-Permanent
Other (explain):

Property will be:
Primary Residence
Secondary Residence
Investment


Check the following, 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) $  


Check the following, if this is a refinance loan.
Year Acquired :
Original Cost $ :
Amount Existing Liens $ :
Purpose of Refinance :


Describe Improvements
Cost: $
made
to be made

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 INFORMATION
BORROWER
Borrower’s Name (include Jr. or Sr. if applicable) :
Social Security Number :
Home Phone (incl. area code) :
DOB (MM/DD/YYYY) :
Yrs. School :
Married
Separated
Unmarried (include single, divorced, widowed)
    
Dependents (not listed by Co-Borrower) : number.     Age    
Present Address (street, city, state, ZIP) : Own Rent _________No. Yrs.
   
Mailing Address, if different from Present Address    
If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP) : Own Rent _________No. Yrs.
CO - BORROWER
Co - Borrower’s Name (include Jr. or Sr. if applicable) :
Social Security Number :
Home Phone (incl. area code) :
DOB (MM/DD/YYYY) :
Yrs. School :
Married
Separated
Unmarried (include single, divorced, widowed)
    
Dependents (not listed by Co-Borrower) : number.     Age    
Present Address (street, city, state, ZIP) : Own Rent _________No. Yrs.
   
Mailing Address, if different from Present Address    
If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP) : Own Rent _________No. Yrs.



EMPLOYMENT INFORMATION
BORROWER
Name & 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 & Address of Employer :
Self Employed, Dates : from - to :  
Monthly Income ($)
:
Position/Title/Type of Business :
Business Phone (incl. area code)
 :
Name & Address of Employer :
Self Employed, Dates : from - to :  
Monthly Income ($)
:
Position/Title/Type of Business :
Business Phone (incl. area code)
 :
CO-BORROWER
Name & 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 & Address of Employer :
Self Employed, Dates : from - to :  
Monthly Income ($)
:
Position/Title/Type of Business :
Business Phone (incl. area code)
 :
Name & Address of Employer :
Self Employed, Dates : from - to :  
Monthly Income ($)
:
Position/Title/Type of Business :
Business Phone (incl. area code)
 :





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