Uniform Residential Loan Application
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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):
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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
Amortization Type:
Amount
Interest Rate
No. of Months
Fixed Rate
Other (explain):
$
%
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
Purpose of Loan
Purchase
Construction
Other (explain):
Property will be:
Refinance
Construction-Permanent
Primary Residence
Secondary Residence
Investment
Complete this line if construction or construction-permanent loan.
Year Lot
Original Cost
Amount Existing Liens
(a) Present Value of Lot
(b) Cost of Improvements
Total (a + b)
Acquired
0.00
$
$
$
$
$
Complete this line if this is a refinance loan.
Year
Original Cost
Amount Existing Liens
Purpose of Refinance
Describe Improvements
made
to be made
Acquired
$
$
Cost: $
Title will be held in what Name(s)
Manner in which Title will be held
Estate will be held in:
Fee Simple
Leasehold
(show
expiration date)
Source of Down Payment, Settlement Charges, and/or Subordinate Financing (explain)
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 (mm/dd/yyyy)
Yrs. School
Social Security Number
Home Phone
DOB (mm/dd/yyyy)
Yrs. School
(incl. area code)
(incl. area code)
Married
Unmarried (include
Dependents (not listed by Co-Borrower)
Married
Unmarried (include
Dependents (not listed by Borrower)
Separated
single, divorced, widowed)
Separated
single, divorced, widowed)
no.
ages
no.
ages
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
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.
Borrower
IV. EMPLOYMENT INFORMATION
Co-Borrower
Name & Address of Employer
Self Employed
Yrs. on this job
Name & Address of Employer
Self Employed
Yrs. on this job
Yrs. employed in this
Yrs. employed in this
line of work/profession
line of work/profession
Position/Title/Type of Business
Business Phone (incl. area code)
Position/Title/Type of Business
Business Phone (incl. area code)
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev.6/09)
Page 1 of 5
Fannie Mae Form 1003 7/05 (rev.6/09)