Mortgage Application

III-A. BORROWER INFORMATION

Borrower's Name (Enter your First Name, Middle Name, and Last Name. Include Jr. or Sr. if applicable) *

Email *

Social Security Number

Home Phone

Date of Birth

Years in School

Marital Status

Married

Separated

Unmarried (include single, divorced, widowed)

Dependants (not listed by Co-Borrower)

Include the number and their ages

Present Address

Address Line 1

City

State

Zip Code

Own

Rent

Length at Present Address (Years)

Mailing Address (if different than Present Address)

Please enter the full address (Address Line 1, City, State and Zip Code)

IV-A. BORROWER EMPLOYMENT

Self-Employed

Borrower Employer Name

Borrower Employer Phone

Borrower Employer Address

Please enter the full address (Address Line 1, City, State and Zip Code)

Borrower Employment Position/Title/Type of Business

Borrower Years on this job

Borrower Years employed in this line of work/profession

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Borrower Gross Monthly Income

Base Employment Income

Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

Overtime

Bonuses

Commissions

Dividends/Interest

Net Rental Income

Other Income

(before completing, see the notice in "describe other income," below)

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.

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

Jointly

Not Jointly

ASSETS

Cash deposit toward purchase held by

Cash or Market Value

Stocks & Bonds

Company name, number, and description

Stocks & Bonds Amount

Number of Bank Accounts *

Add your Checking & Savings Accounts

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Bank Account

Name of Bank, S&L, or Credit Union

Type of Bank Account

Checking

Savings

Bank Address

Please enter the full address (Address Line 1, City, State and Zip Code)

Account Number

Account Balance

LIABILITIES

Liabilities and Pledged Assets. List the creditor’s name, address, and account number for all outstanding debts, including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use continuation sheet, if necessary. Indicate by (*) those liabilities, which will be satisfied upon sale of real estate owned or upon refinancing of the subject property.

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Creditor

Name and Address of Company

Please enter the full address (Address Line 1, City, State and Zip Code)

Account Number

Monthly Payment & Months Left to Pay

Unpaid Balance

I. TYPE OF MORTGAGE AND TERMS OF LOAN

II. Property INFORMATION AND PURPOSE OF LOAN

III-A. BORROWER INFORMATION

IV-A. BORROWER EMPLOYMENT

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

VI. ASSETS AND LIABILITIES

ASSETS

Add your Checking & Savings Accounts

Bank Account

LIABILITIES

Creditor

Loan Application

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