Freddie Mac Form 65 - Uniform Commercial Loan Application Page 2
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3V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Combined
Gross Monthly Income
Borrower
Co-Borrower
Total
Present
Proposed
Monthly Housing Expense
Base Empl. Income*
$
$
$
Rent
$
$
Overtime
First Mortgage (P&I)
Bonuses
Other Financing (P&I)
Commissions
Hazard Insurance
Dividends/Interest
Real Estate Taxes
Net Rental Income
Mortgage Insurance
Other
Homeowner Assn. Dues
(before completing,
see the notice in "describe
Other
other income," below)
Total
$
$
$
Total
$
$
*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
Describe Other Income
Notice: Alimony, child support, or separate maintenance income need not be revealed if the
Borrower(B) or Co-Borrower(C) does not choose to have it considered for repaying this loan.
B/C
Monthly Amount
$
VI. ASSETS AND LIABILITIES
This statement and any applicable
supporting schedules
may be completed jointly
by both married and unmarried Co-borrowers
if their assets and
liabilities
are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise separate Statements
and Schedules are required. If the Co-Borrower section was completed about a spouse, this Statement and supporting schedules must be completed
about that spouse also.
Completed
Jointly
Not Jointly
Liabilities and Pledged Assets. List the creditor's name, address and account number for
all
ASSETS
Cash or Market
outstanding debts, including automobile loans, revolving charge accounts, real estate
loans,
Value
alimony, child support, stock pledges, etc. Use continuation sheet, if necessary. Indicate
by
Description
(*) those liabilities which will be satisfied upon sale of real estate owned or upon refinancing
Cash deposit toward purchase held by:
$
of the subject property.
Monthly Payt. &
Unpaid
LIABILITIES
Mos. Left to Pay
Balance
Name and address of Company
$ Payt./Mos.
$
List checking and savings accounts below
Name and address of Bank, S&L, or Credit Union
Acct. no.
Name and address of Company
$ Payt./Mos.
$
$
Acct. no.
Name and address of Bank, S&L, or Credit Union
Acct. no.
Name and address of Company
$ Payt./Mos.
$
Acct. no.
$
Name and address of Bank, S&L, or Credit Union
Acct. no.
Name and address of Company
$ Payt./Mos.
$
Acct. no.
$
Name and address of Bank, S&L, or Credit Union
Acct. no.
Name and address of Company
$ Payt./Mos.
$
Acct. no.
$
Stocks & Bonds (Company name/
$
number & description)
Acct. no.
Name and address of Company
$ Payt./Mos.
$
Life insurance net cash value
Face amount: $
$
Subtotal Liquid Assets
$
Real estate owned
(enter market value
$
from schedule of real estate owned)
Acct. no.
Name and address of Company
$ Payt./Mos.
$
Vested interest in retirement fund
$
Net worth of business(es) owned
$
(attach financial statement)
Automobiles owned (make and year) $
Acct. no.
Alimony/Child Support/Separate Maintenance Payments
Owed to:
Other Assets (itemize)
$
$
Job Related Expense (child care, union dues, etc.) $
Total Monthly Payments
$
Total Assets a.
Net Worth (a-b)
Total Liabilities b.
$
$
$
Freddie Mac Form 65
10/92
Page 2 of 4
Borrower
Fannie Mae Form 1003
10/92
CALYX Form 1003 Loanapp2.hp 2/95
Co-Borrower
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