Mortgage Loan Application 1003

Borrower - If employed in current position for less than two years or second job, complete the following:
Borrower - If employed in current position for less than two years or second job, complete the following:
Borrower's Job 2 - EMPLOYER Name & Address:
Borrower's Job 2 Employment Dates FROM

MonthDayYear
Date
Borrower's Job 2 Employment Dates TO

MonthDayYear
Date
Borrower's Job 2 Monthly Income
Borrower's Job 2 Title
Borrower's Job 2 Phone Number

Co-Borrower - If employed in current position for less than two years or second job, complete the following:
Co-Borrower's JOB 2 - EMPLOYER Name & Address
Co-Borrower's Job 2 Dates of employment FROM

MonthDayYear
Date
Co-Borrower's Job 2 Dates of employment TO

MonthDayYear
Date
Co-Borrower's Job 2 Title
Co-Borrower Job 2 Phone Number
V - a. BORROWER MONTHLY INCOME

Borrower
Borrower's Dividends/Interest
Borrower's Net Rental Income
Borrower's Other income 1, please specify
Borrower's Other income 2, please specify: SSA/SSDI/Pension
V - b. BORROWER'S HOUSING AND EXPENSES INFORMATION
Borrower's Current Rent/Mortgage, please specify
Borrower's Current Property Taxes
Borrower's Current Homeowner Insurance
Borrower's Other Expense 1, please specify
Borrower's Car Payment, please specify amount and balance

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

JointlyNot Jointly
ASSETS
Cash deposit held by whom? Who has the cash?
If Other, please specify
Cash Amount
List checking and savings account below
List - Name of Bank SL or Credit Union, Last 4 digits of account, Balance
List - Stocks & Bonds (Company name and Balance)
Life Insurance net cash value
Vested interest in retirement fund
Net worth of businesses owned (attach financial statement)
List - Automobiles owned (year, make, model, value)
Other Assets (itemize)
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
List Property Addresses (enter S if sold, PS if pending sale, or R if rental being held for income)

Uniform Residential Loan Application