Mortgage Application

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Tell Us About the Loan You Want

Select the kind of loan that fits your needs

Purchase a Home

Refinance my Home

Subject Property Zip

Base Loan Amount

Your Purchase Price

Your Down Payment

Your Cash Out Amount

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?

Total Number of Borrowers 1 2 3 4 5

List Name(s) of Other Borrower(s) Applying for this Loan

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 KingdomUkraineUruguayUzbekistanVanuatuVaticanVenezuelaVietnamU.S. Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabwe

Borrower First Name

Borrower Last Name

Borrower Email

Borrower Phone

Your Birthdate

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

Co-Borrower Information

Co-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 KingdomUkraineUruguayUzbekistanVanuatuVaticanVenezuelaVietnamU.S. Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabwe

Co-Borrower First Name

Co-Borrower Last Name

Co-Borrower Email

Co-Borrower Phone

Co-Borrower Birthdate

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

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Address Information

Borrower Primary & Mailing Addresses

Street Address

City

How Long at Current Address?

Choose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

Years

Choose 1 2 3 4 5 6 7 8 9 10 11

Months

OWN RENT NO PRIMARY HOUSING EXPENSE

/ Month

Mailing address is same as primary address?

Street Address

City

---

If residing at present address for less than two years, complete the following:

Street Address

City

How Long at Current Address?

Choose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

Years

Choose 1 2 3 4 5 6 7 8 9 10 11

Months

OWN RENT

/ Month

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Co-Borrower Primary & Mailing Addresses

Street Address

City

How Long at Current Address?

Choose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

Years

Choose 1 2 3 4 5 6 7 8 9 10 11

Months

OWN RENT NO PRIMARY HOUSING EXPENSE

/ Month

Mailing address is same as primary address?

Street Address

City

---

If residing at present address for less than two years, complete the following:

Street Address

City

How Long at Current Address?

Choose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

Years

Choose 1 2 3 4 5 6 7 8 9 10 11

Months

OWN RENT

/ Month

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Property Info

If you are not yet under contract If you have found a property

Street 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

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Employee and Income Information

Employee Borrower

Name & Address of Employer

Self Employed

Start

Position/Title/Type of Business

How long in this line of work?

1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950

Yrs.

1234567891011

Month.

Business Phone

Monthly Income (or Loss)

I have an ownership share of less than 25%.

I have an ownership share of 25% or more.

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Additional Employee Borrower

Name & Address of Employer

Self Employed

Start

Position/Title/Type of Business

How long in this line of work?

1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950

Yrs.

1234567891011

Month.

Business Phone

Monthly Income (or Loss)

I have an ownership share of less than 25%.

I have an ownership share of 25% or more.

Employee Co-Borrower

Name & Address of Employer

Self Employed

Start

Position/Title/Type of Business

How long in this line of work?

1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950

Yrs.

1234567891011

Month.

Business Phone

Monthly Income (or Loss)

I have an ownership share of less than 25%.

I have an ownership share of 25% or more.

---

Additional Employee Co-Borrower

Name & Address of Employer

Self Employed

Start

Position/Title/Type of Business

How long in this line of work?

1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950

Yrs.

1234567891011

Month.

Business Phone

Monthly Income (or Loss)

I have an ownership share of less than 25%.

I have an ownership share of 25% or more.

Monthly Income

Gross Monthly Income Emp 1	Borrower	Co-Borrower	Gross Monthly Income Emp 2	Borrower	Co-Borrower
Base Empl. Income*			Base Empl. Income*
Overtime			Overtime
Bonuses			Bonuses
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.

Description Borrower	Amount Borrower
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
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
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
Co Borrower
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
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
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)

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Asset

ASSETS

Account Type	Financial Institution	Account Number	Cash or Market Value
ChooseBondsBridge Loan ProceedsCash Value of Life InsuranceCertificate of DepositCheckingIndividual Development AccountMoney MarketMutual FundRetirementSavingsStock OptionsStocksTrust Account
ChooseBondsBridge Loan ProceedsCash Value of Life InsuranceCertificate of DepositCheckingIndividual Development AccountMoney MarketMutual FundRetirementSavingsStock OptionsStocksTrust Account
ChooseBondsBridge Loan ProceedsCash Value of Life InsuranceCertificate of DepositCheckingIndividual Development AccountMoney MarketMutual FundRetirementSavingsStock OptionsStocksTrust Account
ChooseBondsBridge Loan ProceedsCash Value of Life InsuranceCertificate of DepositCheckingIndividual Development AccountMoney MarketMutual FundRetirementSavingsStock OptionsStocksTrust Account
ChooseBondsBridge Loan ProceedsCash Value of Life InsuranceCertificate of DepositCheckingIndividual Development AccountMoney MarketMutual FundRetirementSavingsStock OptionsStocksTrust Account

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Financial Information - Real Estate

Property You Own

Street Address

City

State

Zip

Property Value

Status Choose Pending Sale Retained Sold

Intended Occupancy Choose Investment Primary Residence Second Home Other

Monthly Insurance

For 2-4 Unit Primary or Investment Property

Monthly Rental Income

For Lender to Calculate

Creditor Name	Account Number	Monthly Mortgage Payment	Unpaid Balance	Type	Credit Limit
			To be paid off at or before closing	ChooseConventionalFHAUSDA-RDVAOther

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Add Property you Own (max. 2)

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Property You Own

Street Address

City

State

Zip

Property Value

Status Choose Pending Sale Retained Sold

Intended Occupancy Choose Investment Primary Residence Second Home Other

Monthly Insurance

For 2-4 Unit Primary or Investment Property

Monthly Rental Income

For Lender to Calculate

Creditor Name	Account Number	Monthly Mortgage Payment	Unpaid Balance	Type	Credit Limit
			To be paid off at or before closing	ChooseConventionalFHAUSDA-RDVAOther

Property You Own

Street Address

City

State

Zip

Property Value

Status Choose Pending Sale Retained Sold

Intended Occupancy Choose Investment Primary Residence Second Home Other

Monthly Insurance

For 2-4 Unit Primary or Investment Property

Monthly Rental Income

For Lender to Calculate

Creditor Name	Account Number	Monthly Mortgage Payment	Unpaid Balance	Type	Credit Limit
			To be paid off at or before closing	ChooseConventionalFHAUSDA-RDVAOther

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Declarations

If you answer "Yes" to any questions a through i, please use continuation sheet for explanation.

Borrower

Co-Borrower

---

A. Will you occupy the property as your primary residence?

If YES, have you had an ownership interest in another property in the last three years?

If YES, complete (1) and (2) below:

(1) What type of property did you own: primary residence (PR), FHA secondary residence (SR), second home (SH), or investment property (IP)?

ChooseIPPRSHSR

ChooseIPPRSHSR

(2) How did you hold title to the property: by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?

ChooseOSSP

ChooseOSSP

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B. If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property?

---

C. Are you borrowing any money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application ?

If YES, what is the amount of this money?

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D. 1. Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application?

    2. Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan tha t is not disclosed on this application?

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E. Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g., the Property Assessed Clean Energy Program)?

---

F. Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?

---

G. Are there any outstanding judgments against you?

---

H. Are you currently delinquent or in default on a Federal debt?

---

I. Are you a party to a lawsuit in which you potentially have any personal financial liability?

---

J. Have you conveyed title to any property in lieu of foreclosure in the past 7 years?

---

K. Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?

---

L. Have you had property foreclosed upon in the last 7 years?

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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

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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

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Submit