• To be completed by the lender 
    • Application Overview 
    • JSR Residential Loan Application

      Verify and complete the information on this application. If you are applying for this loan with others, each additional Borrower must provide information as directed by your Lender.
    • Section 1: Borrower Information

      This section asks about your personal information and your income fromemployment and other sources, such as retirement, that you want considered to qualify for this loan.
    • Borrower type
    • Borrower 1 Information 
    • Date of Birth
       - -
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
  • Mailing Address Same as Current Address?
    • Borrower 1 Employment & Income 
    • If yes
    • Format: (000) 000-0000.
    • Employment Start Date
       - -
    • Have additional Employment / Self-Employment and Income to complete?
    • Format: (000) 000-0000.
    • Employment Start Date
       - -
    • Have additional Employment / Self-Employment and Income to complete?
    • Format: (000) 000-0000.
    • Employment Start Date
       - -
    • Have you been at your current employer for less than 2 years?
    • Previous Start Date
       - -
    • Previous End Date
       - -
    • Were you the Business Owner or Self-Employed?
    • Income from Other Sources

      Include income from other sources below. Under Income Source, choose from the sources listed here: •Alimony •Automobile Allowance •Boarder Income •Capital Gains •Child Support •Disability •Foster Care •Housing or Parsonage •Interest and Dividends •Mortgage Credit Certificate •Mortgage Differential Payments •Notes Receivable •Public Assistance •Retirement (e.g., Pension, IRA) •Royalty Payments •Separate Maintenance •Social Security •Trust •Unemployment Benefits •VA Compensation •Other | NOTE: Reveal alimony, child support, separate maintenance, or other income ONLY IF you want it considered in determining your qualification for this loan.
    • Rows
  • Section 2 - Financial Information - Assets and Liabilities

    This section asks about things you own that are worth money and that you want considered to qualify for this loan. It then asks about your liabilities (or debts) that you pay each month, such as credit cards, alimony, or other expenses.
  • Race
  • Current Residence and Housing

  • Format: (000) 000-0000.
  • Employment and Income

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Assets and Liabilities

  • Loan and Property Details

  • Loan Features Requested
  • Declarations and Agreements

  • A. Will you occupy the property as your primary residence?*
  • B. If this is a joint application, is the co-borrower required to occupy the property as a primary residence?*
  • C. Are there any outstanding judgments against you?*
  • D. Have you declared bankruptcy within the past 7 years?*
  • E. Are you a party to a lawsuit?*
  • F. Have you directly or indirectly been obligated on any loan that resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?*
  • G. Are you presently delinquent or in default on any federal debt?*
  • H. Are you obligated to pay alimony, child support, or separate maintenance?*
  • I. Is any part of the down payment borrowed?*
  • J. Are you a co-signer or guarantor on any debt or loan not listed on this application?*
  • K. Are there any outstanding liens against your property?*
  • L. Do you own or have you owned any property in the past 3 years?*
  • M. Have you had property foreclosed upon in the last 3 years?*
  • N. Have you conveyed title to a property in lieu of foreclosure in the last 3 years?*
  • O. Do you have any financial interests in the property or loan transaction other than as disclosed?*
  • P. Is the property subject to any liens or claims not disclosed on this application?*
  • Q. Will the proceeds of this loan be used for business purposes?*
  • R. Are you a U.S. citizen?*
  • S. Are you a permanent resident alien?*
  • T. Are you a nonpermanent resident alien?*
  • AA. Have you ever had an ownership interest in a property that was financed through a mortgage loan?*
  • BB. Have you had ownership interest in any property in the last 3 years that was financed with a mortgage or deed of trust?*
  • CC. Do you intend to occupy the property as your primary residence within 60 days of closing?*
  • DD. Are there any other declarations, agreements, or disclosures that apply to your application?
  • Military Service and Demographics

  • Are you a veteran?
  • Are you currently serving on active duty?
  • Are you a member of the National Guard?
  • Are you a reserve member?
  • Have you ever served in the U.S. military?
  • Ethnicity
  • Race
  • Sex
  • Do you plan to occupy the property as your primary residence?
  • Will any borrower be a co-borrower?
  • Is there a non-occupant co-borrower?
  • Do you receive military benefits?
  • Are you eligible for VA benefits?
  • Loan Originator Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Signatures and Dates

  • Borrower Signature Date*
     - -
  • Co-Borrower Signature Date
     - -
  • Date Signed
     - -
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