Residential Loan Application For Reverse Mortgages
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4Residential Loan Application for Reverse Mortgages
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 be provided when a person other than the “Borrower” (including the Borrower’s spouse) is a co-owner of the real
property that will be used as a basis for loan qualification or the Borrower’s spouse is not a co-owner of the real property that will be used as a basis for loan
qualification, but the Borrower resides in a community property state or the security property is located in a community property state.
I. Type of Mortgage and Terms of Loan
FHA Case No. (HECM)
Lender Case No.
Mortgage Applied for:
_______ Home Keeper (Fannie Mae)
Loan Payment Plans:
______ Term (HECM only)
_______ HECM (FHA)*
______ Line of Credit (not available in Texas)
_______ Other __________________
______ Modified Tenure
______ Modified Term (HECM only)
______ Undecided
(specify)
______ Tenure
*Complete HUD/VA Addendum
Special Loan Features: ______ Equity Share ______ Other (specify): _______________________________________________
Amortization Type: ______ ARM (type):
___________________________________________________________________ (indicate monthly or annual)
______Fixed Rate
Other (explain): ____________________________________________________________________________
II. Property Information
Subject Property Address (street, city, state, county, and zip code):
Legal Description of Subject Property (attach description if necessary):
Property Title is Held in These Names: (Please list all names on property title):
No. of Units:
Year Built:
Estimate of Appraised Value:
Residence Type:
_______ Primary Residence
_______ Secondary Residence
______ Investment Property
_______ Fee Simple
_______ Life Estate
______ Leasehold (Expiration Date: ____________)
Property Title Held As:
Check if title is also held as: _________ Inter Vivos (Living) Trust
III. Borrower Information
Borrower’s Name (Include Jr. or Sr., if applicable)
Co-Borrower’s Name (Include Jr. or Sr., if applicable)
Social Security Number
DOB (MM/DD/YYYY)
Social Security Number
DOB (MM/DD/YYYY)
Monthly Income: $
Monthly Income: $
Real Estate Assets: $
Real Estate Assets: $
Available Assets: $
Available Assets: $
Home Phone (including area code):
Home Phone (including area code):
Years of Residence at Present Address:
Years of Residence at Present Address:
Mailing Address, if different from Subject Property Address
Mailing Address, if different from Subject Property Address
Marital Status:
Marital Status:
________ Married
________ Unmarried (include Single,
_________ Married
________ Unmarried (include single,
divorced, widowed)
divorced, widowed)
Alternative Contact Person (name, address, phone):
Alternative Contact Person (name, address, phone):
Fannie Mae Form 1009 05/2004
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