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PLEASE FILL IS AS MUCH INFORMATION AS YOU CAN ON THIS UNIFORM LOAN APPLICATION
Mortgage applied for (select one) VA FHA CONVENTIONAL USDA/RURAL HOUSING SERVICE OTHER How many months?
Estimated loan amount $ Amortization Type (select one) Fixed Rate GPM ARM Other
If Other, please explain
Subject Property: Street Address City State Zip No. of Units Purpose of Loan Purchase Refinance Construction Construction - Permanent Other (please explain)
If Other, please explain Property will be: Primary Residence Secondary Residence Investment
Complete this line if construction or construction-permanent loan Year Acquired Original Cost Amount Existing Liens
(a) Present Value of Lot (b) Cost of Improvements Total (a) + (b)
Complete this line if this is a refinance loan Year Acquired Original Cost Amount Existing Liens Purpose of Refinance
Describe improvements made to be made Cost
Title will be held in what Name Manner in which Title will be held
Estate will be held in: Fee Simple Leasehold Expiration Date
Source of Down Payment, Settlement Charges, and/or Subordinate Financing (Explain)
III .BORROWER INFORMATION
BORROWER
CO-BORROWER
IV. EMPLOYMENT INFORMATION
Employer Name
Employer Address
City
State Zip
Self Employed
Yrs. on this job
Yrs. employed in this line of work
Position/Title
Type of Business
Telephone (include area code)
V. MONTHLY INCOME & COMBINED HOUSING EXPENSE INFORMATION
Borrower
Total $
Combined Monthly Housing Expense
Present
Proposed
*Self Empl;oyed 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.
VI. ASSETS & 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 sections was completed about a spouse, this Statement and supporting schedules must be completed about that spouse also. Check One: Jointly Not Jointly
ASSETS
CASH OR MARKET VALUE
Cash deposit toward purchase held by:
Name and address of Company
Payments/Months
Name and address of Bank, S&L, or Credit Union
Account #
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