1003-U Residential Loan App

Uniform Residential Loan Application

Please complete all sections to apply for a residential mortgage loan.
Additional Information

Please provide the following details.
FinanzasLatinas.com
Applicant Information

Please provide your personal details.
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Current Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Marital Status*

MarriedUnmarriedSeparatedOther
Are you applying with a co-applicant?*

YesNo
Co-Applicant Full Name

First NameLast Name
Co-Applicant Date of Birth

MonthDayYear
Date
Co-Applicant Email Address
example@example.com
Co-Applicant Phone Number
Please enter a valid phone number.
Co-Applicant Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Employment Information

Please provide your current employment details.
Employer Name*
Employer Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Position/Title*
Years with Employer*
Monthly Income (USD)*
Co-Applicant Employment Information

Complete if applying with a co-applicant.
Co-Applicant Employer Name
Co-Applicant Employer Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Co-Applicant Position/Title
Co-Applicant Years with Employer
Co-Applicant Monthly Income (USD)
Assets

List your major assets (e.g., checking/savings accounts, vehicles, real estate).
Assets List*
Liabilities

List your major liabilities (e.g., loans, credit balances).
Liabilities List*
Property and Loan Information

Details about the property and the loan you are applying for.
Purpose of Loan*

PurchaseRefinanceConstructionOther
Property Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Estimated Property Value (USD)*
Loan Amount Requested (USD)*
Declarations

Please answer the following questions.
Are you a U.S. citizen or permanent resident?*

YesNo
Have you had any bankruptcy or foreclosure in the past 7 years?*

YesNo
Are there any outstanding judgments against you?*

YesNo
Demographic Information (for government monitoring purposes)

Providing this information is optional and will not affect your application.
Ethnicity

Hispanic or LatinoNot Hispanic or LatinoPrefer not to answer
Race

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhitePrefer not to answer
Sex

MaleFemalePrefer not to answer
Consent and Agreement

Please review and provide your consent to proceed with this application.
Applicant Signature*

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Date Signed*

MonthDayYear
Date
Should be Empty:

Uniform Residential Loan Application

Additional Information

FinanzasLatinas.com

Applicant Information

Employment Information

Co-Applicant Employment Information

Assets

Liabilities

Property and Loan Information

Declarations

Demographic Information (for government monitoring purposes)

Consent and Agreement