Uniform Residential Loan Application - 2009
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16Uniform 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 or similar rights pursuant to applicable 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 who has
community property or similar rights and 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.
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
USDA/Rural Housing Service
Agency Case Number
Lender Case Number
Applied for:
FHA
Conventional
Other (explain):
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
Refinance
Construction
Property will be:
Construction-Permanent
Other (explain):
Primary Residence
Secondary Residence
Investment
Complete this line if construction or construction-permanent loan.
Year Lot
Original Cost
Amount Existing
(a) Present Value of
(b) Cost of
Total (a + b)
Acquired
Liens
Lot
Improvements
$
$
$
$
$
Complete this line if this is a refinance loan.
Year
Original Cost
Amount Existing
Purpose of
Describe
made
to be made
Acquired
Liens
Refinance
Improvements
$
$
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)
Uniform Residential Loan Application
Page 1 of 8
Freddie Mac Form 65 7/05 (rev.6 /09)
Fannie Mae Form 1003
7/05 (rev.6/09)
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