Loan Application 1003MH

  • Uniform Residential Loan Application

  • I. TYPE OF MORTGAGE AND TERMS OF LOAN

  • MORTGAGE APPLIED FOR

  • II. PROPERTY INFORMATION AND PURPOSE OF LOAN

    Leave this blank if you are not sure. We can help you.
  • Purpose of Loan
  • Property will be:
    • II - a. Complete this line if construction or construction-permanent loan. 
    • II - b Complete this line if this is a refinance loan. 
    • Describe Improvements

  • III - a. BORROWER INFORMATION

    Borrower
  • Borrower Date of Birth MM-DD-YYYY
     - -
  • Format: (000) 000-0000.
  • Borrower Status
  • Borrower's Rental Status - if Rent Free, click on Other and specify.
    • Borrower - If residing at present address for less than two years, complete the following: 
    • Borrower Former Address 2
    • III - b. CO-BORROWER INFORMATION 
    • Co-Borrower Date of Birth MM-DD-YYYY
       - -
    • Format: (000) 000-0000.
    • Co-Borrower status
    • Co-borrower's Rental Status - If rent Free, click on Other and specify.
    • Co-Borrower - If residing at present address for less than two years, complete the following: 
    • Co-Borrower Former Address (street, city, state, ZIP)

  • IV - a. BORROWER EMPLOYMENT INFORMATION

    Borrower
  • Format: (000) 000-0000.
    • Borrower - If employed in current position for less than two years or second job, complete the following: 
    • Borrower's Job 2 Employment Dates FROM
       / /
    • Borrower's Job 2 Employment Dates TO
       - -
    • Format: (000) 000-0000.
    • IV - b. CO-BORROWER EMPLOYMENT INFORMATION 
    • Format: (000) 000-0000.
    • Co-Borrower - If employed in current position for less than two years or second job, complete the following: 
    • Co-Borrower's Job 2 Dates of employment FROM
       / /
    • Co-Borrower's Job 2 Dates of employment TO
       - -
    • Format: (000) 000-0000.

  • V - a. BORROWER MONTHLY INCOME

    Borrower

  • V - b. BORROWER'S HOUSING AND EXPENSES INFORMATION

    • V - c. CO-BORROWER MONTHLY INCOME 

    • V - d. CO-BORROWER'S HOUSING AND EXPENSES INFORMATION

  • 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 non-applicant spouse or other person, this Statement and supporting schedules must be completed about that spouse or other person also.
  • Completed

  • ASSETS

  • List checking and savings account below

  • Property Address (enter S if sold, PS if pending sale, or R if rental being held for income)

    • Type of Propery
    • Present Market Value
    • Amount of Mortgages & Liens
    • Gross Rental Income
    • Mortgage Payments
    • Insurance, Maintenance, Taxes & Misc.
    • Net Rental Income

  • VIII. DECLARATIONS

    If you answer "Yes" to any questions a through i, please use continuation sheet (LAST PAGE) for explanation. SKIP Co-Borrower section if no Co-Borrower.
  • a. Are there any outstanding judgments 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 last 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 or VA case number, if any, and reasons for the action) - using the CONTINUATION PAGE - Last Page.
  • f.  Are you presently delinquent or 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. - using the CONTINUATION PAGE 4.
  • 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?

  • IF YOU ARE NOT A US CITIZEN, PLEASE ANSWER BELOW:

  • k. Are you a permanent resident alien?
  • I. 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?
    • IF YOU ANSWER YES TO M ABOVE, Click Here. 

  • A. MILITARY SERVICE. This section asks questions about your (or your deceased spouse) military service.

  • Military Service Did you (or your deceased spouse) ever serve, or are you currently serving, in the United States Armed Forces?
  • BORROWER - If YES, check all that apply:
  • CO-BORROWER - If YES, check all that apply:

  • B. 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 not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for).

  • BORROWER - DEMOGRAPHIC INFORMATION

  • Hispanic or Latino
  • Ethnicity
  • Asian
  • Race
  • Native Hawaiian or Other Pacific Islander
  • BORROWER
  • This information was provided:*
    • CO-BORROWER DEMOGRAPHICS - SKIP THIS PAGE IF NO CO-BORROWER 
    • Hispanic or Latino
    • Ethnicity
    • Asian
    • Race
    • Native Hawaiian or Other Pacific Islander
    • CO-BORROWER

  • CONTINUATION SHEET/ANYTHING YOU WANT US TO KNOW

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  • Acknowledgement.

    Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or reverify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.
  • Today Date*
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  • Today Date
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