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.
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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
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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
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Mortgage
VA
Conventional
Other (explain):
Agency Case Number
Lender Case Number
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Applied for:
FHA
USDA/Rural
Housing Service
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Amount
Interest Rate
No. of Months
Fixed Rate
Other (explain):
Amortization
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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
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Purpose of Loan
Purchase
Construction
Other (explain):
Property will be:
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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
$
$
$
$
$
Complete this line if this is a refinance loan.
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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:
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Fee Simple
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Leasehold
Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain)
(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) DOB
Yrs. School Social Security Number Home Phone (incl. area code) DOB
Yrs. School
(MM/DD/YYYY)
(MM/DD/YYYY)
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Married
Unmarried (include single,
Dependents (not listed by Co-Borrower)
Married
Unmarried (include single,
Dependents (not listed by Borrower)
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Separated
divorced, widowed)
Separated
divorced, widowed)
no.
ages
no.
ages
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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:
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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
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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:
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Name & Address of Employer
Self Employed Dates (from – to)
Name & Address of Employer
Self Employed Dates (from – to)
Monthly Income
Monthly Income
$
$
Position/Title/Type of Business
Business Phone (incl. area code) Position/Title/Type of Business
Business Phone (incl. area code)
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Name & Address of Employer
Self Employed Dates (from – to)
Name & Address of Employer
Self Employed Dates (from – to)
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
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