Clone of Residential Mortgage Loan Application

First Name (As Appears on Driver's License)

Last Name (As Appears on Driver's License)

Email

example@example.com

Best Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Realtor Name

First NameLast Name

Anticipated Down Payment Amount

Maximum Monthly Payment You're Comfortable With

Occupancy

Social Security Number

Date of Birth

Married Status

Do you have dependents?

If yes, what are your dependents ages? Please separate ages by a comma.

Estimated Credit Score

Are you a first time homebuyer?

Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you rent or own?

If you rent, how much do you pay a month for rent?

If you own, do you have a monthly mortgage payment?

Date you moved into current address

Have you lived at this property for at least 2 years?

Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date you moved into previous address

How much did you pay monthly for rent?

Borrower (or deceased spouse) ever serve, or currently serving, in the United States Armed Forces?

Will you occupy the property as your primary residence?

Have you had an ownership interest in another property in the last three years?

If this is a purchase transaction: Do you have a family relationship or business affiliation with the seller of the property?

Are you borrowing money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application?

Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application?

Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan that is not disclosed on this application?

Will this property be subject to a lein that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g., the Property Assessed Clean Energy Program)?

Are you a co-signer or guarantor on any debt or land that is not disclosed on this application?

Are there any outstanding judgements against you?

Are you currently delinquent or in default on a Federal debt?

Are you a party to a lawsuit in which you potentially have any personal financial liability?

Have you conveyed title to any property in lieu of foreclosure in the past 7 years?

Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?

Have you had property foreclosed upon in the last 7 years?

Have you declared bankruptcy within the past 7 years?

If yes, what type of bankruptcy?

Are you employed by a family member?

Employer

Job Position Title

Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Employer Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Start Date

Date

Are you paid hourly or salary?

If hourly, how much do you make per hour?

If salary, how much do you gross per month?

How many hours do you work per week?

Please list any previous jobs that you have had within the past 24 months, we MUST have a 24 month history.

1) Previous Employer Name :&#13;&#10;Previous Employer Address :&#13;&#10;Previous Employer Phone Number :&#13;&#10;Previous Job Title :&#13;&#10;Month and Year You Started This Job :&#13;&#10;Month and Year You Stopped Working At This Job :&#13;&#10;Monthly or Yearly Income:&#13;&#10;&#13;&#10;2) Previous Employer Name :&#13;&#10;Previous Employer Address :&#13;&#10;Previous Employer Phone Number :&#13;&#10;Previous Job Title :&#13;&#10;Month and Year You Started This Job :&#13;&#10;Month and Year You Stopped Working At This Job :&#13;&#10;Monthly or Yearly Income:&#13;&#10;&#13;&#10;3) Previous Employer Name :&#13;&#10;Previous Employer Address :&#13;&#10;Previous Employer Phone Number :&#13;&#10;Previous Job Title :&#13;&#10;Month and Year You Started This Job :&#13;&#10;Month and Year You Stopped Working At This Job :&#13;&#10;Monthly or Yearly Income:&#13;&#10;&#13;&#10;4) Previous Employer Name :&#13;&#10;Previous Employer Address :&#13;&#10;Previous Employer Phone Number :&#13;&#10;Previous Job Title :&#13;&#10;Month and Year You Started This Job :&#13;&#10;Month and Year You Stopped Working At This Job :&#13;&#10;Monthly or Yearly Income:

Do you pay alimony?

If yes, how much alimony do you pay?

Do you receive alimony?

If yes, how much alimony do you receive?

Do you pay child support?

If yes, how much child support do you pay per month?

Do you receive child support?

If yes, how much child support do you receive per month?

Do you own other properties?

If yes, please list all the properties you own:

If you do not own any properties please state "none" here

Citizenship

Race

Ethnicity

Gender

I agree that all of the information above is correct.

You have my permission to pull a hard credit check at this time.

Mortgage Loan Application Form

Attention*