Form

Borrower 1*

First NameLast Name

Borrower 1*

Date of Birth Social Security Number

Phone Number Borrower 1*

Please enter a valid phone number.

Email Borrower 1*

example@example.com

Address Borrower 1*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How long have you lived at this residence?*

# of years/months?

Borrower 2

First NameLast Name

Borrower 2

Date of Birth Social Security Number

Email Borrower 2

example@example.com

Phone Number Borrower 2

Please enter a valid phone number.

Address Borrower 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How long have you lived at this residence?

# of years/months?

Company Name:

Position

Address:

Phone Number:

Length of Employment:

Estimated Income:

Previous Employer- Company Name:

Position:

Address:

Phone Number:

Years Employed:

Company Name:

Position:

Address:

Phone Number:

Years Employed:

Estimated Income:

Previous Employer- Company Name

Position:

Address:

Phone Number:

Years Employed:

Property 1

Address

Property Type

ValueEstimated Payoff Balance

Length of Ownership/ Property Use

Property 2

Address

Property Type

ValueEstimated Payoff Balance

Length of Ownership/ Property Use

Property 3

Address

Property Type

ValueEstimated Payoff Balance

Length of Ownership/ Property Use

HMDA/ Dec Questions Disclosure

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with the Equal Credit Oppourtunity, Fair Houseing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discrimitate either on the basis of this information or whether or not you choose to furnish it. If you furnish the information, please provided ethnicity, race and gender. For race, you may have more than one desingation. If you do not wish to furnish the information, please let me know as you are under no legal restriction to do so.

Ethnicity *

Race*

Gender*

Are there any outstanding judgements against you?*

NoYes

Have you been declared bankrupt in the last 7 years?*

NoYes

Have you had any property foreclosed upon or given title or deed in lieu thereof in the last 7 years?*

NoYes

Are you party to a lawsuit?*

NoYes

Have you been obligated on any loan that resulted in foreclosure, transfer of title in lieu of foreclosure or judgement?*

NoYes

Are you presently delinquent or in default on any federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?*

NoYes

Are you obligated to pay alimony, child support, or separate maintenance?*

NoYes

Is any part of the down payment borrowed?*

NoYes

Are you a co-maker or endorser on any other notes?*

NoYes

Are you a U.S. citizen?*

NoYes

Are you a permanent resident alien?*

NoYes

Do you intend to occupy the property as your primary residence?*

NoYes

Have you had an ownership interest in a property in the last 3 years?*

NoYes

I/ All parties agree and understand that by signing the Electronic Signature Ackowledgment and Consent Form, that all electronic signatures are the legal equivalent of my/our manual/handwritten signature and I/we consent to be legally bound to this agreement. I/We further agree my/our signature on this docuemnt is as vaild as if I/we signed the document in writing.

The Borrower (or Co-Borrower ), and Guarantor (or Co-Guarantor) - each of the undersigned- represents to Achilles Mortgage and Funding LLC, ("Achilles") and to Achilles Mortgage and Funding LLC, actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknowledges that: (l) neither Achilles nor its agents, brokers, insurers, servicers, successors or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of the property (2) the loan requested pursuant to this application (the "Loan") will be secured by a mortgage or deed of trust on the property or properties described in this application; (3) the property will not be used for any illegal or prohibited purpose or use; (4) all statements made in this application are made for the purpose of obtaining a commercial mortgage loan; (5) the property will be occupied or not occupied as indicated in this application; (6) Achilles Mortgage, its servicers, successors or assigns are given my (our) consent to retain the original and/or an electronic record of this application, whether or not the Loan is approved; (7) Achilles and its agents, brokers, insurers, servicers, successors, and assigns may continuously rely on the information contained in the application, and I am obligated to and agree to amend and/ or supplement the information provided in this application if any of the material facts that I have represented herein should change prior to closing of the Loan; (8) I understand and acknowledge that, in the event that my payments on the Loan become delinquent, Achilles Mortgage its servicers, successors or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (9) I understand and acknowledge that ownership of the Loan and/or administration or servicing of the Loan account may be transferred with such notice as may be required by law; (10) my transmission of this application as an "electronic record" containing my "electronic signature;' as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature pursuant to applicable law; and (11) I further represent, covenant, and warrant that the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of the information in this application may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application. The Borrower (or
Co-Borrower) and Guarantor (or Co-Guarantor) - each of the undersigned- acknowledges and agrees that Achilles Mortgage may assign, transfer or hypothecate this Loan opportunity to another lender or funding source and to that end, share the information in this application with other lenders and investors in furtherance of closing the requested Loan. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or re-verify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.

Each of the undersigned understand that by signing this application, hereby authorize Achilles Mortgage and Funding LLC, or its assigns on its own or through its service provider to conduct (1) a consumer credit report to verify other credit information, including past and present mortgage and landlord references; and (2) a background investigation report and verify both criminal and civil records. It is understood that a copy of this application serves as authorization to conduct these checks and that the information gathered is in connection with a credit transaction involving myself and/or my company, as applicable. The information Achilles Mortgage and Funding LLC, obtains is only to be used in conjunction with this application for the Loan, or for the collection of an account on a closed loan. I further understand that any expenses incurred by me or others in pursuit of this Loan, whether paid to Lender or a third party, is not refundable or reimbursable for any reason by Lender, including without limitation, appraisals, inspections, or any third-party review services. The closing of a Loan is subject to all applicable terms and conditions, and subject at all times to force majeure events.

Privacy Act Notice: This information is to be used by Achilles Mortgage and Funding LLC, or its assignees in determining whether you qualify as a prospective mortgagor under its program. It will not be disclosed outside the agency except as required and permitted by law. You do not have to provide this information, but if you do not your application for approval as a prospective mortgagor or sponsor may be delayed or rejected.

If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below):

Borrower 1*

Borrower 2

Do I have permission to pull and review your Credit for this service?*

YesNo

Soft Credit Review

Thank you for considering Achilles Mortgage and Funding LLC. Your application is in our review process, and one of our representatives will be in touch with you shortly. Should you have any further questions or concerns before that, please don't hesitate to reach out to us at any time.

Phone: 904-946-0411 Email: jacob@achillesmortgage.com

1003 Application

Employment Information Borrower 1

Employment Information Borrower 2

Current Properties Owned

HMDA:

Declaration Questions:

Acknowledgment and Agreement: