Tell Us About the Loan You Want
Select the kind of loan that fits your needs Purchase a Home Refinance my Home Do you have any current obligations to the IRS? (IRS Installment Agreement or Payment Plan) YES NO IMPORTANT: You must confirm this information with your accountant before answering, please. Subject Property Zip Base Loan Amount Your Purchase Price Your Down Payment Your Cash Out Amount Additional Loan Options Did you or a borrower that will be on this loan application ever serve/currently serve in the United States Armed Forces, or is a surviving spouse of a deceased veteran? Do you have other new mortgage loans for this property? Is the Loan You Are Refinancing an FHA or VA Loan? NO FHA VA Please provide more information about you to continue Do you have Co Borrower? Borrower Information Borrower Country -- Choose Country -- AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosRepublic of the CongoDR CongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigeNigeriaNiueNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreSouth SudanSpainSri LankaSaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUnited Arab EmiratesUgandaUnited KingdomUkraineUruguayUnited StatesUzbekistanVanuatuVaticanVenezuelaVietnamU.S. Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabwe Borrower First Name Borrower Last Name Borrower Email Borrower Phone Your Birthdate No-Social Your Social Security Number Your Citizenship Choose US Citizen Permanent Resident Alien Non-Permanent Resident Alien Yrs. School -Choose Elementary School Middle School High School College Master/MBA Ph.D Marital Status Married Unmarried Separated Dependents No. 0 1 2 3 4 Age Dep. 1 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 Age Dep. 2 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 Age Dep. 3 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 Age Dep. 4 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 CoBorrower Information Borrower Country -- Choose Country -- AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosRepublic of the CongoDR CongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigeNigeriaNiueNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreSouth SudanSpainSri LankaSaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUnited Arab EmiratesUgandaUnited KingdomUkraineUruguayUnited StatesUzbekistanVanuatuVaticanVenezuelaVietnamU.S. Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabwe CoBorrower First Name CoBorrower Last Name CoBorrower Email CoBorrower Phone Your Birthdate No-Social Your Social Security Number Your Citizenship Choose US Citizen Permanent Resident Alien Non-Permanent Resident Alien Yrs. School -Choose Elementary School Middle School High School College Master/MBA Ph.D Marital Status Married Unmarried Separated Dependents No. 0 1 2 3 4 Age Dep. 1 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 Age Dep. 2 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 Age Dep. 3 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 Age Dep. 4 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 Next Address Information Borrower Primary & Mailing Addresses Address City State --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Zip Choose 1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months13 Months14 Months15 Months16 Months17 Months18 Months19 Months20 Months21 Months22 Months23 Months24 Months3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years51 Years52 Years53 Years54 Years55 Years56 Years57 Years58 Years59 Years60 Years61 Years62 Years63 Years64 Years65 Years66 Years67 Years68 Years69 Years70 Years71 Years72 Years73 Years74 Years75 Years76 Years77 Years78 Years79 Years80 Years81 Years82 Years83 Years84 Years85 Years86 Years87 Years88 Years89 Years90 Years91 Years92 Years93 Years94 Years95 Years96 Years97 Years98 Years99 Years No. Years OWN RENT NO PRIMARY HOUSING EXPENSE Mailing address is same as primary address? Address City State --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Zip If residing at present address for less than two years, complete the following: Address City State --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Zip OWN RENT Choose 1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months13 Months14 Months15 Months16 Months17 Months18 Months19 Months20 Months21 Months22 Months23 Months24 Months3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years51 Years52 Years53 Years54 Years55 Years56 Years57 Years58 Years59 Years60 Years61 Years62 Years63 Years64 Years65 Years66 Years67 Years68 Years69 Years70 Years71 Years72 Years73 Years74 Years75 Years76 Years77 Years78 Years79 Years80 Years81 Years82 Years83 Years84 Years85 Years86 Years87 Years88 Years89 Years90 Years91 Years92 Years93 Years94 Years95 Years96 Years97 Years98 Years99 Years No. Years Address City State --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Zip OWN RENT Choose 1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months13 Months14 Months15 Months16 Months17 Months18 Months19 Months20 Months21 Months22 Months23 Months24 Months3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years51 Years52 Years53 Years54 Years55 Years56 Years57 Years58 Years59 Years60 Years61 Years62 Years63 Years64 Years65 Years66 Years67 Years68 Years69 Years70 Years71 Years72 Years73 Years74 Years75 Years76 Years77 Years78 Years79 Years80 Years81 Years82 Years83 Years84 Years85 Years86 Years87 Years88 Years89 Years90 Years91 Years92 Years93 Years94 Years95 Years96 Years97 Years98 Years99 Years No. Years Co Borrower Primary & Mailing Addresses Address City State --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Zip Choose 1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months13 Months14 Months15 Months16 Months17 Months18 Months19 Months20 Months21 Months22 Months23 Months24 Months3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years51 Years52 Years53 Years54 Years55 Years56 Years57 Years58 Years59 Years60 Years61 Years62 Years63 Years64 Years65 Years66 Years67 Years68 Years69 Years70 Years71 Years72 Years73 Years74 Years75 Years76 Years77 Years78 Years79 Years80 Years81 Years82 Years83 Years84 Years85 Years86 Years87 Years88 Years89 Years90 Years91 Years92 Years93 Years94 Years95 Years96 Years97 Years98 Years99 Years No. Years OWN RENT NO PRIMARY HOUSING EXPENSE Mailing address is same as primary address? Address City State --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Zip If residing at present address for less than two years, complete the following: Address City State --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Zip OWN RENT Choose 1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months13 Months14 Months15 Months16 Months17 Months18 Months19 Months20 Months21 Months22 Months23 Months24 Months3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years51 Years52 Years53 Years54 Years55 Years56 Years57 Years58 Years59 Years60 Years61 Years62 Years63 Years64 Years65 Years66 Years67 Years68 Years69 Years70 Years71 Years72 Years73 Years74 Years75 Years76 Years77 Years78 Years79 Years80 Years81 Years82 Years83 Years84 Years85 Years86 Years87 Years88 Years89 Years90 Years91 Years92 Years93 Years94 Years95 Years96 Years97 Years98 Years99 Years No. Years Address City State --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Zip OWN RENT Choose 1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months13 Months14 Months15 Months16 Months17 Months18 Months19 Months20 Months21 Months22 Months23 Months24 Months3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years51 Years52 Years53 Years54 Years55 Years56 Years57 Years58 Years59 Years60 Years61 Years62 Years63 Years64 Years65 Years66 Years67 Years68 Years69 Years70 Years71 Years72 Years73 Years74 Years75 Years76 Years77 Years78 Years79 Years80 Years81 Years82 Years83 Years84 Years85 Years86 Years87 Years88 Years89 Years90 Years91 Years92 Years93 Years94 Years95 Years96 Years97 Years98 Years99 Years No. Years Property Info If you are not yet under contract If you have found a property Address City State --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Zip Will you set aside space within this property to operate your own business? (e.g., daycare facility, medical office, beauty/barber shop) Primary Residence Second/Vacation Home Investment/rental Realtor Information Info I am not currently working with a realtor. I am working with a realtor. Name Company Phone Email Prev Next Employee and Income Information Employee Borrower Name & Address of Employer Self Employed --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Yrs. on this job 123456789101112131415161718192021222324252627282930 Yrs. employed in this line of work/profession 123456789101112131415161718192021222324252627282930 Position/Title/Type of Business Business Phone Click for Add Fields (Max 4) Name & Address of Employer Self Employed --Choose--ALABAMAALASKAARIZONA ARKANSASCALIFORNIACOLORADOCONNECTICUT DELAWAREFLORIDAGEORGIAHAWAII IDAHOILLINOISINDIANAIOWA KANSASKENTUCKYLOUISIANAMAINE MARYLANDMASSACHUSETTSMICHIGANMINNESOT MISSISSIPPIMISSOURIMONTANANEBRASKA NEVADANEW HAMPSHIRENEW JERSEYNEW MEXICO NEW YORKNORTH CAROLINANORTH DAKOTAOHIO OKLAHOMAOREGONPENNSYLVANIARHODE ISLAND SOUTH CAROLINASOUTH DAKOTATENNESSEETEXAS UTAHVERMONTVIRGINIAWASHINGTON WASHINGTON, DCWEST VIRGINIAWISCONSINWYOMING Dates (from-to) to Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self Employed --Choose--ALABAMAALASKAARIZONA ARKANSASCALIFORNIACOLORADOCONNECTICUT DELAWAREFLORIDAGEORGIAHAWAII IDAHOILLINOISINDIANAIOWA KANSASKENTUCKYLOUISIANAMAINE MARYLANDMASSACHUSETTSMICHIGANMINNESOT MISSISSIPPIMISSOURIMONTANANEBRASKA NEVADANEW HAMPSHIRENEW JERSEYNEW MEXICO NEW YORKNORTH CAROLINANORTH DAKOTAOHIO OKLAHOMAOREGONPENNSYLVANIARHODE ISLAND SOUTH CAROLINASOUTH DAKOTATENNESSEETEXAS UTAHVERMONTVIRGINIAWASHINGTON WASHINGTON, DCWEST VIRGINIAWISCONSINWYOMING Dates (from-to) to Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self Employed --Choose--ALABAMAALASKAARIZONA ARKANSASCALIFORNIACOLORADOCONNECTICUT DELAWAREFLORIDAGEORGIAHAWAII IDAHOILLINOISINDIANAIOWA KANSASKENTUCKYLOUISIANAMAINE MARYLANDMASSACHUSETTSMICHIGANMINNESOT MISSISSIPPIMISSOURIMONTANANEBRASKA NEVADANEW HAMPSHIRENEW JERSEYNEW MEXICO NEW YORKNORTH CAROLINANORTH DAKOTAOHIO OKLAHOMAOREGONPENNSYLVANIARHODE ISLAND SOUTH CAROLINASOUTH DAKOTATENNESSEETEXAS UTAHVERMONTVIRGINIAWASHINGTON WASHINGTON, DCWEST VIRGINIAWISCONSINWYOMING Dates (from-to) to Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self Employed --Choose--ALABAMAALASKAARIZONA ARKANSASCALIFORNIACOLORADOCONNECTICUT DELAWAREFLORIDAGEORGIAHAWAII IDAHOILLINOISINDIANAIOWA KANSASKENTUCKYLOUISIANAMAINE MARYLANDMASSACHUSETTSMICHIGANMINNESOT MISSISSIPPIMISSOURIMONTANANEBRASKA NEVADANEW HAMPSHIRENEW JERSEYNEW MEXICO NEW YORKNORTH CAROLINANORTH DAKOTAOHIO OKLAHOMAOREGONPENNSYLVANIARHODE ISLAND SOUTH CAROLINASOUTH DAKOTATENNESSEETEXAS UTAHVERMONTVIRGINIAWASHINGTON WASHINGTON, DCWEST VIRGINIAWISCONSINWYOMING Dates (from-to) to Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Employee Co Borrower Name & Address of Employer Self Employed --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Yrs. on this job 123456789101112131415161718192021222324252627282930 Yrs. employed in this line of work/profession 123456789101112131415161718192021222324252627282930 Position/Title/Type of Business Business Phone Click for Add Fields (Max 4) Name & Address of Employer Self Employed --Choose--ALABAMAALASKAARIZONA ARKANSASCALIFORNIACOLORADOCONNECTICUT DELAWAREFLORIDAGEORGIAHAWAII IDAHOILLINOISINDIANAIOWA KANSASKENTUCKYLOUISIANAMAINE MARYLANDMASSACHUSETTSMICHIGANMINNESOT MISSISSIPPIMISSOURIMONTANANEBRASKA NEVADANEW HAMPSHIRENEW JERSEYNEW MEXICO NEW YORKNORTH CAROLINANORTH DAKOTAOHIO OKLAHOMAOREGONPENNSYLVANIARHODE ISLAND SOUTH CAROLINASOUTH DAKOTATENNESSEETEXAS UTAHVERMONTVIRGINIAWASHINGTON WASHINGTON, DCWEST VIRGINIAWISCONSINWYOMING Dates (from-to) to Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self Employed --Choose--ALABAMAALASKAARIZONA ARKANSASCALIFORNIACOLORADOCONNECTICUT DELAWAREFLORIDAGEORGIAHAWAII IDAHOILLINOISINDIANAIOWA KANSASKENTUCKYLOUISIANAMAINE MARYLANDMASSACHUSETTSMICHIGANMINNESOT MISSISSIPPIMISSOURIMONTANANEBRASKA NEVADANEW HAMPSHIRENEW JERSEYNEW MEXICO NEW YORKNORTH CAROLINANORTH DAKOTAOHIO OKLAHOMAOREGONPENNSYLVANIARHODE ISLAND SOUTH CAROLINASOUTH DAKOTATENNESSEETEXAS UTAHVERMONTVIRGINIAWASHINGTON WASHINGTON, DCWEST VIRGINIAWISCONSINWYOMING Dates (from-to) to Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self Employed --Choose--ALABAMAALASKAARIZONA ARKANSASCALIFORNIACOLORADOCONNECTICUT DELAWAREFLORIDAGEORGIAHAWAII IDAHOILLINOISINDIANAIOWA KANSASKENTUCKYLOUISIANAMAINE MARYLANDMASSACHUSETTSMICHIGANMINNESOT MISSISSIPPIMISSOURIMONTANANEBRASKA NEVADANEW HAMPSHIRENEW JERSEYNEW MEXICO NEW YORKNORTH CAROLINANORTH DAKOTAOHIO OKLAHOMAOREGONPENNSYLVANIARHODE ISLAND SOUTH CAROLINASOUTH DAKOTATENNESSEETEXAS UTAHVERMONTVIRGINIAWASHINGTON WASHINGTON, DCWEST VIRGINIAWISCONSINWYOMING Dates (from-to) to Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self Employed --Choose--ALABAMAALASKAARIZONA ARKANSASCALIFORNIACOLORADOCONNECTICUT DELAWAREFLORIDAGEORGIAHAWAII IDAHOILLINOISINDIANAIOWA KANSASKENTUCKYLOUISIANAMAINE MARYLANDMASSACHUSETTSMICHIGANMINNESOT MISSISSIPPIMISSOURIMONTANANEBRASKA NEVADANEW HAMPSHIRENEW JERSEYNEW MEXICO NEW YORKNORTH CAROLINANORTH DAKOTAOHIO OKLAHOMAOREGONPENNSYLVANIARHODE ISLAND SOUTH CAROLINASOUTH DAKOTATENNESSEETEXAS UTAHVERMONTVIRGINIAWASHINGTON WASHINGTON, DCWEST VIRGINIAWISCONSINWYOMING Dates (from-to) to Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Monthly Income: 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) TOTAL TOTAL * Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements. Describe Other Income 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 Description Amount Choose B C Select type of Other income Accessory Unit Income Alimony Automobile Allowance Boarder Income Capital Gains Child Support Defined Contribution Plan Disability Interest and Dividends Employment Related Account Foster Care Housing Allowance Housing Choice Voucher Program Mortgage Credit Certificate Mortgage Differential Payments Non Borrower Household Income Note Receivable Retirement Public Assistance Royalty Payments Separate Maintenance Social Security Temporary Leave Tip Income Trust Unemployment Benefits VA Compensation Other Choose B C Select type of Other income Accessory Unit Income Alimony Automobile Allowance Boarder Income Capital Gains Child Support Defined Contribution Plan Disability Interest and Dividends Employment Related Account Foster Care Housing Allowance Housing Choice Voucher Program Mortgage Credit Certificate Mortgage Differential Payments Non Borrower Household Income Note Receivable Retirement Public Assistance Royalty Payments Separate Maintenance Social Security Temporary Leave Tip Income Trust Unemployment Benefits VA Compensation Other Choose B C Select type of Other income Accessory Unit Income Alimony Automobile Allowance Boarder Income Capital Gains Child Support Defined Contribution Plan Disability Interest and Dividends Employment Related Account Foster Care Housing Allowance Housing Choice Voucher Program Mortgage Credit Certificate Mortgage Differential Payments Non Borrower Household Income Note Receivable Retirement Public Assistance Royalty Payments Separate Maintenance Social Security Temporary Leave Tip Income Trust Unemployment Benefits VA Compensation Other Schedule of Real Estate Owned (if additional properties are owned, use continuation sheet) Prev Next Asset and Liabilities ASSETS Cash or Market Value Description Annuity Automobile Boat Bond Borrower Estimated Total Assets Borrower Primary Home Bridge Loan Not Deposit Cash On Hand Certificate Of Deposit Time Deposit Checking Account Earnest Money Cash Deposit Toward Purchase Employer Assistance Gift Of Cash Gift Of Property Equity Gifts Total Grant Individual Development Account Life Insurance Money Market Fund Mutual Fund Net Worth Of Business Owned Other Pending Net Sale Proceeds From Real Estate Assets Proceeds From Sale Of Non Real Estate Asset Proceeds From Secured Loan Proceeds From Unsecured Loan Real Estate Owned Recreational Vehicle Relocation Money Retirement Fund Sale Other Asstes Savings Account Savings Bond Severance Package Stock Stock Options Trust Account Cash deposit toward purchase held by: Account Number LIABILITIES LIABILITIES Monthly Payment & Months Left to Pay Unpaid Balance Name of Company Address of Company --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Acct. no. $ Payment Months 0 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$ Unpaid Balance Click for Add Liability (Max 5) Name of Company Address of Company --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Acct. no. $ Payment Months 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518519520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586587588589590591592593594595596597598599600601602603604605606607608609610611612613614615616617618619620621622623624625626627628629630631632633634635636637638639640641642643644645646647648649650651652653654655656657658659660661662663664665666667668669670671672673674675676677678679680681682683684685686687688689690691692693694695696697698699700701702703704705706707708709710711712713714715716717718719720721722723724725726727728729730731732733734735736737738739740741742743744745746747748749750751752753754755756757758759760761762763764765766767768769770771772773774775776777778779780781782783784785786787788789790791792793794795796797798799800801802803804805806807808809810811812813814815816817818819820821822823824825826827828829830831832833834835836837838839840841842843844845846847848849850851852853854855856857858859860861862863864865866867868869870871872873874875876877878879880881882883884885886887888889890891892893894895896897898899900901902903904905906907908909910911912913914915916917918919920921922923924925926927928929930931932933934935936937938939940941942943944945946947948949950951952953954955956957958959960961962963964965966967968969970971972973974975976977978979980981982983984985986987988989990991992993994995996997998999 $ Unpaid Balance Name of Company Address of Company --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Acct. no. $ Payment Months 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518519520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586587588589590591592593594595596597598599600601602603604605606607608609610611612613614615616617618619620621622623624625626627628629630631632633634635636637638639640641642643644645646647648649650651652653654655656657658659660661662663664665666667668669670671672673674675676677678679680681682683684685686687688689690691692693694695696697698699700701702703704705706707708709710711712713714715716717718719720721722723724725726727728729730731732733734735736737738739740741742743744745746747748749750751752753754755756757758759760761762763764765766767768769770771772773774775776777778779780781782783784785786787788789790791792793794795796797798799800801802803804805806807808809810811812813814815816817818819820821822823824825826827828829830831832833834835836837838839840841842843844845846847848849850851852853854855856857858859860861862863864865866867868869870871872873874875876877878879880881882883884885886887888889890891892893894895896897898899900901902903904905906907908909910911912913914915916917918919920921922923924925926927928929930931932933934935936937938939940941942943944945946947948949950951952953954955956957958959960961962963964965966967968969970971972973974975976977978979980981982983984985986987988989990991992993994995996997998999 $ Unpaid Balance Name of Company Address of Company --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Acct. no. $ Payment Months 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518519520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586587588589590591592593594595596597598599600601602603604605606607608609610611612613614615616617618619620621622623624625626627628629630631632633634635636637638639640641642643644645646647648649650651652653654655656657658659660661662663664665666667668669670671672673674675676677678679680681682683684685686687688689690691692693694695696697698699700701702703704705706707708709710711712713714715716717718719720721722723724725726727728729730731732733734735736737738739740741742743744745746747748749750751752753754755756757758759760761762763764765766767768769770771772773774775776777778779780781782783784785786787788789790791792793794795796797798799800801802803804805806807808809810811812813814815816817818819820821822823824825826827828829830831832833834835836837838839840841842843844845846847848849850851852853854855856857858859860861862863864865866867868869870871872873874875876877878879880881882883884885886887888889890891892893894895896897898899900901902903904905906907908909910911912913914915916917918919920921922923924925926927928929930931932933934935936937938939940941942943944945946947948949950951952953954955956957958959960961962963964965966967968969970971972973974975976977978979980981982983984985986987988989990991992993994995996997998999 $ Unpaid Balance Name of Company Address of Company --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Acct. no. $ Payment Months 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518519520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586587588589590591592593594595596597598599600601602603604605606607608609610611612613614615616617618619620621622623624625626627628629630631632633634635636637638639640641642643644645646647648649650651652653654655656657658659660661662663664665666667668669670671672673674675676677678679680681682683684685686687688689690691692693694695696697698699700701702703704705706707708709710711712713714715716717718719720721722723724725726727728729730731732733734735736737738739740741742743744745746747748749750751752753754755756757758759760761762763764765766767768769770771772773774775776777778779780781782783784785786787788789790791792793794795796797798799800801802803804805806807808809810811812813814815816817818819820821822823824825826827828829830831832833834835836837838839840841842843844845846847848849850851852853854855856857858859860861862863864865866867868869870871872873874875876877878879880881882883884885886887888889890891892893894895896897898899900901902903904905906907908909910911912913914915916917918919920921922923924925926927928929930931932933934935936937938939940941942943944945946947948949950951952953954955956957958959960961962963964965966967968969970971972973974975976977978979980981982983984985986987988989990991992993994995996997998999 $ Unpaid Balance Name of Company Address of Company --Choose-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOT MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, DC WEST VIRGINIA WISCONSIN WYOMING Acct. no. $ Payment Months 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518519520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586587588589590591592593594595596597598599600601602603604605606607608609610611612613614615616617618619620621622623624625626627628629630631632633634635636637638639640641642643644645646647648649650651652653654655656657658659660661662663664665666667668669670671672673674675676677678679680681682683684685686687688689690691692693694695696697698699700701702703704705706707708709710711712713714715716717718719720721722723724725726727728729730731732733734735736737738739740741742743744745746747748749750751752753754755756757758759760761762763764765766767768769770771772773774775776777778779780781782783784785786787788789790791792793794795796797798799800801802803804805806807808809810811812813814815816817818819820821822823824825826827828829830831832833834835836837838839840841842843844845846847848849850851852853854855856857858859860861862863864865866867868869870871872873874875876877878879880881882883884885886887888889890891892893894895896897898899900901902903904905906907908909910911912913914915916917918919920921922923924925926927928929930931932933934935936937938939940941942943944945946947948949950951952953954955956957958959960961962963964965966967968969970971972973974975976977978979980981982983984985986987988989990991992993994995996997998999 $ Unpaid Balance Property Address (enter S if sold, PS if pending sale or R if rental being held for income) Type of Property Mortgage Payments Net Rental Income TOTAL Prev Next Declarations If you answer "Yes" to any questions a through i, please use continuation sheet for explanation. Borrower Co-Borrower a. Are there any outstanding judgments against you? b. Have you been declared bankrupt within the past 7 years? c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? d. Are you a party to a lawsuit? e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? g. Are you obligated to pay alimony, child support, or separate maintenance? h. Is any part of the down payment borrowed? i. Are you a co-maker or endorser on a note? j. Are you a U. S. citizen? k. Are you a permanent resident alien? l. Do you intend to occupy the property as your primary residence? l. Do you intend to occupy the property as your primary residence? m. Have you had an ownership interest in a property in the last three years? (1) What type of property did you own-principal residence (PR), second home (SH), or investment property (IP)? (2) How did you hold title to the home-solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)? Prev Next in order to monitor the lender's compliance with equal credit opportunity, fair housing 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 discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.) BORROWER I do not wish to furnish this information Ethnicity Hispanic or Latino Not Hispanic or Latino Race American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Sex Female Male CO-BORROWER I do not wish to furnish this information Ethnicity Hispanic or Latino Not Hispanic or Latino Race American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Sex Female Male Prev Submit
Purchase a Home
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