Mortgage Loan Application 1003

IV - a. BORROWER EMPLOYMENT INFORMATION

Borrower
Borrower's CURRENT JOB 1 - EMPLOYER Name, Address, Phone and Email
Borrower, check if Self-Employed
Borrower Current Job 1 Start Date or Years/Months on job 1
Borrower Years/Months employed in this line of work/job 1
Borrower's CURRENT JOB 1 Title
Borrower's CURRENT JOB 1 Monthly Income
Borrower's Job 1 Phone Number
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 - 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
  Format: (000) 000-0000.
- Co-Borrower's CURRENT JOB 1 - EMPLOYER Name, Address, Phone and Email.
- Co-Borrower, if Self-Employed
- Co-Borrrower Current Job 1 Start Date or Years/Months on job 1
- Co-Borrower Years/Months employed in this line of work/job 1
- Co-Borrower's CURRENT JOB 1 title
- Co-Borrower's CURRENT JOB 1 Monthly Income
- Co-Borrower Job 1 Phone Number
  Format: (000) 000-0000.
- 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
  Format: (000) 000-0000.
- 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
- Co-Borrower's Dividends/Interest
- Co-Borrower's Net Rental Income
- Co-Borrower Other income 1, please specify
- Co-Borrower Other income 2, please please specify: SSA/SSDI/Pension
- V - d. CO-BORROWER'S HOUSING AND EXPENSES INFORMATION
- Co-Borrower's Current Rent/Mortgage, please specify
- Co-Borrower's Other Expense 1, please specify
- Co-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
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

I. TYPE OF MORTGAGE AND TERMS OF LOAN

II. PROPERTY INFORMATION AND PURPOSE OF LOAN

III - a. BORROWER INFORMATION

IV - a. BORROWER EMPLOYMENT INFORMATION

Borrower - If employed in current position for less than two years or second job, complete the following:

V - a. BORROWER MONTHLY INCOME

V - b. BORROWER'S HOUSING AND EXPENSES INFORMATION

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

VI. ASSETS AND LIABILITIES

ASSETS

List checking and savings account below

VIII. DECLARATIONS

Acknowledgement.

X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES

BORROWER

Continuation Sheet / Residential Loan Application