NORTH TULSA FORWARD PROGRAM
Application Form
SECTION 1: BORROWER INFORMATION
BORROWER'S INFORMATION - BORROWER
Name
*
First Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
U.S. Citizen
Yes
No
Disabled
Yes
No
Marital Status
Married
Separated
Unmarried (Single, Divorced, Widowed)
# of Dependents
Age(s) of Dependents
Home Phone#
Please enter a valid phone number.
Mobile Phone#
Please enter a valid phone number.
Email
example@example.com
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BORROWER'S INFORMATION - CO-BORROWER
Name
First Name
Last Name
Current Address
Street Address
Street Address Line 2
City
State
Zip Code
Date of Birth
-
Month
-
Day
Year
Date
U.S. Citizen
Yes
No
Disabled
Yes
No
Marital Status
Married
Separated
Unmarried (Single, Divorced, Widowed)
# of Dependents
Age(s) of Dependents
Home Phone#
Please enter a valid phone number.
Mobile Phone#
Please enter a valid phone number.
Email
example@example.com
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MILITARY SERVICE
Did you or your spouse ever serve, or are currently serving in the United States Armed Forces?
Yes
No
If yes, please select all that apply
Currently serving on active duty
Currently retired, discharged, or separated from service
Only period of service was as a non-activated member of the Reserve or National Guard
Surviving spouse
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EMPLOYMENT INFORMATION - BORROWER
Name of Employer
Address of Employer
Street Address
Street Address Line 2
City
State
Zip Code
Business Phone#
Please enter a valid phone number.
Are you self-employed?
Yes
No
Position/Title
Start Date
-
Month
-
Day
Year
Date
How long in this line of work? (#Years/#Months)
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EMPLOYMENT INFORMATION - CO-BORROWER
Name of Employer
Address of Employer
Street Address
Street Address Line 2
City
State
Zip Code
Business Phone#
Please enter a valid phone number.
Are you self-employed?
Yes
No
Position/Title
Start Date
-
Month
-
Day
Year
Date
How long in this line of work? (#Years/#Months)
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MONTHLY INCOME - BORROWER
INCOME
$/Month
Base Pay
Overtime
Bonus
Commision
Other
Total
Please list income from other sources
$/Month
Alimony
Child Support
Public Assistance
Disability
Social Security
Retirement
VA Compensation
Other
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MONTHLY INCOME - CO-BORROWER
INCOME
$/Month
Base Pay
Overtime
Bonus
Commision
Other
Total
Please list income from other sources
$/Month
Alimony
Child Support
Public Assistance
Disability
Social Security
Retirement
VA Compensation
Other
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SECTION 2: FINANCIAL INFORMATION - ASSETS & LIABILITIES
ASSETS - BANK ACCOUNTS
Account Type
Financial Institution
Account Number
Balance
Checking or Savings
Checking
Savings
Checking or Savings
Checking
Savings
Checking or Savings
Checking
Savings
Checking or Savings
Checking
Savings
LIABILITIES - CREDIT CARDS & OTHER DEBT
Account Type
Company Name
Account Number
Unpaid Balance
Monthly Payment
Balance
Credit Card, Car Payment, Rent
Credit Card
Car Payment
Rent
Credit Card, Car Payment, Rent
Credit Card
Car Payment
Rent
Credit Card, Car Payment, Rent
Credit Card
Car Payment
Rent
Credit Card, Car Payment, Rent
Credit Card
Car Payment
Rent
Please list other liabilities
$/Month
Child Support
Alimony
Other
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SECTION 3: DECLARATIONS
Please answer each question.
Yes/No
Have you or your co-borrower ever purchased a home in Oklahoma in the past 5 years?
Yes
No
Have you had property foreclosed upon in the last three years?
Yes
No
Are you a party to a lawsuit in which you potentially have any personal financial liability?
Yes
No
Have you filed bankruptcy within the last three years?
Yes
No
Will you occupy the property as your primary residence?
Yes
No
Do you have a family relationship with the seller of the property?
Yes
No
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SECTION 4: DEMOGRAPHIC INFORMATION
DEMOGRAPHIC INFORMATION - BORROWER
Ethnicity
Race
Sex
Check one or more
I DO NOT wish to provide this information
Hispanic or Latino
Not Hispanic or Latino
I DO NOT wish to provide this information
American Indian or Alaska Native
Asia
Black or African American
White
Native Hawaiian
I DO NOT wish to provide this information
Female
Male
DEMOGRAPHIC INFORMATION - CO-BORROWER
Ethnicity
Race
Sex
Check one or more
I DO NOT wish to provide this information
Hispanic or Latino
Not Hispanic or Latino
I DO NOT wish to provide this information
American Indian or Alaska Native
Asia
Black or African American
White
Native Hawaiian
I DO NOT wish to provide this information
Female
Male
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SECTION 5: ACKNOWLEDGEMENTS AND AGREEMENTS
APPLICATION INFORMATION
I AGREE TO AND ACKNOWLEDGE THE FOLLOWING:The information I have provided in this application is true, accurate, and complete as of thedate I signed this application. • If the information I submitted changes or I have new information before closing of the mortgage Loan, I must submit changes and supplement documentation to this application. • For purchase transactions: The terms and conditions of any real estate sales contract signed by me in connection with this application are true, accurate, and complete to the best of my knowledge and belief. I have not entered into any other agreement, written or oral, inconnection with the North Tulsa Forward Program or real estate transaction. • The Lender and Other Loan Participants may rely on the information contained in the application before and after closing of the Loan. • Any intentional or negligent misrepresentation of information may result in the imposition of: (a) civil liability on me, including monetary damages, if a person suffers any loss because the person relied on any misrepresentation that I have made on this application, and/or (b) criminal penalties on me including, but not limited to, fine or imprisonment or both under the provisions of Federal law (18 U.S.C. §§ 1001 et seq.).
Borrower Signature
Date Signed
-
Month
-
Day
Year
Date
Co-Borrower Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Should be Empty: