Rental Mortgage Loan Application (Non QM )Urban Coyote Holdings, LLC

Mortgage Loan Application Form
Borrower Full Name *

First Name Last Name
Birth Date

Month Day Year
Date
ID Number
Phone Number *

Area Code Phone Number
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Do you own or rent your house?

Yes No
Place of Work
Job Title
Work Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Monthly Net Income
in USD
Type of purchase *
Requested Loan Amount *
in USD
Terms *
Interest Amount
(%)
Loan Repayment Amount
in USD
Loan Repayment Frequency
Bank Name
Branch Name
Account Number
Co-signer Name

First Name Last Name
Birth Date

Month Day Year
Date
Co- signer's Phone Number

Area Code Phone Number
Co- signer'sSocial/ ID Number
Co - signer email
example@example.com
Co-signer's Current Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Section 3 - Business Entity
Name

Business Name Type (llc, other...)
Phone Number

Area Code Phone Number
EIN Number
Business (Entity) Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date Established
Business Bank Accounts with balance
Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not loan is approved. You are authorized to check my
credit and employment history and to answer questions about your credit experience with me.
Section 4

Loan Type and Terms
Transaction Purpose

Purchase Refinance Cash out (explain below use of funds)
Payoff Amount (if refinance or cash out)
Explain use of funds if Cash out
Closing Date on contract
Purchase Price
Loan Amount Wanted (max 80% )
Section 5

property information
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Type a question

Type option 1 Type option 2 Type option 3 Type option 4
Purchas price
Current Value
Current Rent or Market Rent
Annual Property Tax
Property Annual Insurance
HOA Name
Monthly HOA dues (if applicable)
HOA Phone No.
HOA Email
Section 6

Property Management Experience
Do any guarantors have at least 2 years experience managing rentals? explain
Do any guarantors have certification or proof of any related coursework in property Management?
Other Contact information

3rd parties related to transaction
Title Company Name

Company Name

Phone

Email Name (contact)

Other
Who should appraiser contact (with contact info)
Property insurance Carrier ,name and contact
Section 8

Borrower Declarations
Have you or any officer in your company been involved in any pending , current lawsuits, forclosures, collections suits by creditors, contractors, suppliers,other. IF yes Explain below.

Yes No
Have you or any officer in your company been charged or convicted of Felony?

Yes No
Have you or any officer in your company been charged or convicted of Felony?

Yes No
Explain here for any answer to yes above
More room for explanations from yes answers above
Co-signer's Signature

Clear
Applicant Signature

Clear
Should be Empty:

Mortgage Loan Application Form

Section 3 - Business Entity

Section 4

Section 5

Section 6

Other Contact information

Section 8