Freddie Mac Form 65 - Uniform Residential Loan Application

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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 will not be used
as a basis for loan qualification, but his or her liabilities must be considered because the
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.
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Agency Case Number
Lender Case Number
Mortgage
V.A.
Other:
Conventional
Applied for:
FHA
FmHA
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
Purpose of Loan
Purchase
Construction
Other (explain):
Property will be:
Primary
Secondary
Refinance
Construction-Permanent
Investment
Residence
Residence
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
$
$
$
$
$
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
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 (incl. area code)
Age
Yrs. School
Social Security Number
Home Phone (incl. area code)
Age
Yrs. School
Dependents (not listed by Co-Borrower)
Dependents (not listed by Borrower)
Married
Unmarried (include single,
Married
Unmarried (include single,
no.
ages
no.
ages
divorced, widowed)
divorced, widowed)
Separated
Separated
Present Address (street, city, state, ZIP)
Present Address (street, city, state, ZIP)
Own
Rent
No. Yrs.
Own
Rent
No. Yrs.
If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP)
Former Address (street, city, state, ZIP)
Own
Rent
No. Yrs.
Own
Rent
No. Yrs.
Former Address (street, city, state, ZIP)
Former Address (street, city, state, ZIP)
Own
Rent
No. Yrs.
Own
Rent
No. Yrs.
Borrower
IV. EMPLOYMENT INFORMATION
Co-Borrower
Name and Address of Employer
Yrs. on this job
Name and Address of Employer
Yrs. on this job
Self Employed
Self Employed
Yrs. employed
Yrs. employed
in this line of
in this line of
work/profession
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:
Name and Address of Employer
Dates(from-to)
Name and Address of Employer
Dates(from-to)
Self Employed
Self Employed
Monthly Income
Monthly Income
$
$
Position/Title/Type of Business
Business Phone (incl. area code)
Position/Title/Type of Business
Business Phone (incl. area code)
Name and Address of Employer
Dates(from-to)
Name and Address of Employer
Dates(from-to)
Self Employed
Self Employed
Monthly Income
Monthly Income
$
$
Position/Title/Type of Business
Business Phone (incl. area code)
Position/Title/Type of Business
Business Phone (incl. area code)
Freddie Mac Form 65
10/92
Page 1 of 4
Fannie Mae Form 1003
10/92
Borrower
CALYX Form 1003 Loanapp1.hp 2/95
Co-Borrower

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