Uniform Residential Loan Application

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FARM CREDIT EAST, ACA
Uniform Residential Loan Application
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 or other person who has community property rights pursuant to state law will not be used as a basis for loan qualification, but
his or her liabilities must be considered because the spouse or other person has community property rights pursuant to applicable law and 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. If this is an application for joint credit, Borrower and Co-Borrower each
agree that we intend to apply for joint credit (sign below):
____________________________________
__________________________________________
Borrower
Co-Borrower
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage
VA
Conventional
Other (explain)
Agency Case Number
Lender Case Number
Applied for:
FHA
USDA/Rural
Housing Service
Amount
Interest rate
No. of Months
Amortization
Fixed Rate
Other (explain)
Type:
GPM
ARM (type):
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject Property Address (street, city, state, & ZIP)
No. of Units:
Legal Description of Subject Property (attach description if necessary)
Year Built:
Property will be:
Purpose of Loan:
Purchase
Construction
Other (explain):
Construction – Permanent
Refinance
Primary
Secondary
Investment
Residence
Residence
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 of (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(s)
Manner in which Title will be held
Estate will be held in:
Fee Simple
Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain)
Leasehold (show expiration date)
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)
Social Security Number
Home Phone
DOB
Yrs.
Social Security Number
Home Phone
DOB
Yrs. School
- -
(incl. area code)
(MM/DD/YYYY)
School
- -
(incl. area code)
(MM/DD/YYYY)
( )
/ /
( )
/ /
Unmarried
Dependents (not listed
Dependents (not listed by Borrower):
Married
Married
Unmarried
(includes single,
by Co-Borrower):
No.:
Ages:
(includes single,
Separated
Separated
divorced, widowed
No.
Ages:
divorced, widowed
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
E-Mail Address:
E-Mail Address:
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.
Freddie Mac 07/05
Page 1 of 6
Fannie Mae Form 1003 07/05
1003

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