| Uniform Residential
Loan Application |
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This
application is designed to be completed by the applicant(s)
with the lender's assistance. Applicants should complete this
form as "Borrower" or "Co-Borrower", as applicable. Co-Borrower
information must also be provided (and the appropriate box
checked) when the income or assets of a person other than the "Borrower"
(including the Borrower's spouse) will be used as a basis
for loan qualification or the income or assets of the Borrower's spouse will not be
used as a basis for loan qualification, but his or her liabilities
must be considered because the Borrower resides in a community
property state, the security property is located in a community
property state, or the Borrower is relying on other property
located in a community property state as a basis for repayment
of the loan. |
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| I. TYPE OF MORTGAGE AND TERMS OF LOAN | ||
| Mortgage Applied for: | ![]() |
V.A. | ![]() |
Conventional | ![]() |
Other(explain): | Agency Case Number | Lender Case Number | ||
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FHA | ![]() |
USDA/Rural Housing Service |
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| Amount |
Interest Rate |
No. of Months |
Amortization Type: |
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Fixed Rate: | ![]() |
Other (explain): | ||||
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GPM | ![]() |
ARM (type): | ||||||||
| II. PROPERTY INFORMATION AND PURPOSE OF LOAN | ||
| Subject Property Address (street, city, state
& ZIP) |
No. of Units |
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| Legal Description of Subject Property (attach
description if necessary) |
Year Built |
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| Purpose of Loan | ![]() |
Purchase | ![]() |
Construction | ![]() |
Other (explain): | Property will be: | ||||||
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Refinance | ![]() |
Construction-Permanent | ![]() |
Primary Residence | ![]() |
Secondary Residence | ![]() |
Investment | ||||
| Complete this line if construction or construction-permanent loan. | |||||||||||||
| Year Lot Acquired |
Original Cost |
Amount Existing Liens |
(a) Present Value of Lot |
(b) Cost of Improvements |
Total (a+b) |
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| Complete this line if this is a refinance loan. | ||||||||||
| Year Acquired |
Original Cost |
Amount Existing Liens |
Purpose of Refinance |
Describe Improvements made to
be madeCost |
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| Title will be held in what Name(s) |
Manner in which Title will be held |
Estate will be held in:![]() |
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| Source of Down Payment, Settlement
Charge and/or Subordinate Financing (explain) |
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| Borrower | III. BORROWER INFORMATION | Co-Borrower | ||
| Borrower's Name (include Jr. or Sr. if applicable) |
Co-Borrower's Name (include Jr. or Sr.
if applicable) |
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| Social Security Number |
Home Phone (incl. area code) |
DOB |
Yrs. School |
Social Security Number |
Home Phone (incl. area code) |
DOB |
Yrs. School |
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Married | ![]() |
Unmarried (include single, divorced, widowed) |
Dependents (not listed by Co-Borrower) |
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Married |
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Unmarried (include single, divorced, widowed) |
Dependents (not listed by Borrower) |
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Separated | no. |
ages |
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Separated | no. |
ages |
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| Present Address (street, city, state, ZIP) | ![]() |
Own | ![]() |
Rent | |
No. Yrs. | Present Address (street, city, state, ZIP) | ![]() |
Own | ![]() |
Rent | |
No. Yrs. | |
| Mailing Address,if different from
Present Address |
Mailing Address,if different from
Present Address |
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| If residing at present address for less than two years, complete the following: | |||
| Former Address (street, city, state, ZIP) | ![]() |
Own | ![]() |
Rent | |
No. Yrs. | Former Address (street, city, state, ZIP) | ![]() |
Own | ![]() |
Rent | |
No. Yrs. | |
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| Name & Address of Employer |
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Self Employed |
Yrs. on this job |
Name & Address of Employer |
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Self Employed |
Yrs. on this job |
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| |
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| Yrs. employed in this line of work/profession |
Yrs. employed in this line of work/profession |
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| Position/Title/Type of Business |
Business Phone (incl. area code) |
Position/Title/Type of Business |
Business Phone (incl. area code) |
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| If employed in current position for less than two years or if currently employed in more than one position, complete the following: | |||
| Name & Address of Employer |
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Self Employed |
Dates (from-to) |
Name & Address of Employer |
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Self Employed |
Dates (from-to) |
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| Monthly Income |
Monthly Income |
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| Position/Title/Type of Business |
Business Phone (incl. area code) |
Position/Title/Type of Business |
Business Phone (incl. area code) |
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| Name & Address of Employer |
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Self Employed |
Dates (from-to) |
Name & Address of Employer |
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Self Employed |
Dates (from-to) |
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| Monthly Income |
Monthly Income |
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| Position/Title/Type of Business |
Business Phone (incl. area code) |
Position/Title/Type of Business |
Business Phone (incl. area code) |
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| V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION | ||
| Gross Monthly Income | Borrower | Co-Borrower | Total | Combined Monthly Housing Expense | Present | Proposed | ||||||
| Base Empl. Income* | Rent | |||||||||||
| Overtime | First Mortgage (P&I) | |||||||||||
| Bonuses | Other Financing (P&I) | |||||||||||
| Commissions | Hazard Insurance | |||||||||||
| Dividends/Interest | Real Estate Taxes | |||||||||||
| Net Rental Income | Mortgage Insurance | |||||||||||
| Other (before completing, see the notice in "describe other income," below) |
Homeowner Assn. Dues | |||||||||||
| Other | ||||||||||||
| Total | Total | |||||||||||
| *Self Employer Borrower(s) may be required to provide additional documentation such as tax returns and financial statements. | |
| Describe Other Income | Notice:
Alimony, child support, or separate maintenance income need
not be revealed if the Borrower(B) or Co-Borrower(C) does not choose to have it considered for repaying this loan. |
| B/C | Monthly Amount | |||
| VI. ASSETS AND LIABILITIES | ||
| This statement and any applicable supporting schedules may be completed joinly 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 basisotherwise separate Statements and Schedules are required. If the Co-borrower section was completed about a spouse, this Statement and supporting schedules must be completed about that spouse also. | ||
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| VI. ASSETS AND LIABILITIES (cont.) | ||
| Schedule of Real Estate Owned (If additional properties are owned, use continuation sheet.) | ||
| Property Address (enter S if
sold, PS is pending sale or R if rental being held for income) |
Type of Property | Present Market Value | Amount of Mortgages & Liens | Gross Rental Income | Mortgage Payments | Insurance, Maintenance, Taxes & Misc. | Net Rental Income | ||||||||||||

the income or assets of a person other than the "Borrower"
(including the Borrower's spouse) will be used as a basis
for loan qualification or