Uniform Residential Loan Application - 2009 Page 5

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Schedule of Real Estate Owned (If additional properties are owned, use continuation sheet.)
Property Address
Type of
Present
Amount
Gross
Mortgage
Insurance,
Net
(enter S if sold, PS if
Property
Market
of
Rental
Payments
Maintenance,
Rental
pending sale or R if
Value
Mortgages
Income
Taxes &
Income
rental being held for
& Liens
Misc.
income)
$
$
$
$
$
$
Totals
$
$
$
$
$
$
List any additional names under which credit has previously been received and indicate appropriate creditor
name(s) and account number(s):
Alternate Name
Creditor Name
Account Number
VII. DETAILS OF TRANSACTION
VIII. DECLARATIONS
a.
Purchase price
$
If you answer “Yes” to any questions a
Borrower
Co-
through i, please use continuation sheet
Borrower
for explanation.
b.
Alterations,
Yes
No
Yes
No
improvements, repairs
c.
Land
a. Are there any outstanding judgments
against you?
(if acquired separately)
d.
Refinance
b. Have you been declared bankrupt
within the past 7 years?
(incl. debts to be paid off)
e.
Estimated prepaid items
c. Have you had property foreclosed
upon or given title or deed in lieu
thereof in the last 7 years?
f.
Estimated closing costs
d. Are you a party to a lawsuit?
g.
PMI, MIP, Funding Fee
e. Have you directly or indirectly been
obligated on any loan of which
resulted in foreclosure, transfer of title
in lieu of foreclosure, or judgment?
(This would include such loans as home
mortgage loans, SBA loans, home improvement
loans, educational loans, manufactured (mobile)
home loans, any mortgage, financial obligation,
bond, or loan guarantee. If “Yes,” provide
details, including date, name, and address of
Lender, FHA or VA case number, if any, and
reasons for the action.)
h.
Discount
f.
Are you presently delinquent or in
default on any Federal debt or any
(if Borrower will pay)
other
loan,
mortgage,
financial
obligation, bond, or loan guarantee?
If “Yes,” give details as described in the
preceding question.
i.
Total costs
g. Are you obligated to pay alimony,
child support, or separate
(add items a through h)
maintenance?
Uniform Residential Loan Application
Page 5 of 8
Freddie Mac Form 65 7/05 (rev.6 /09)
Fannie Mae Form 1003
7/05 (rev.6/09)

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