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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. 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 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 |
Mortgage V.A. Conventional Other:
Applied for: FHA FmHA |
Agency Case #
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Lender Case #
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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)
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No. of Units
|
Legal Description of Subject Property (attach description if necessary)
|
Year Built |
Purpose of Loan Purchase Construction Other (explain):
Refinance Construction-Permanent |
Property will be:
Primary Residence Secondary Residence Investment |
| Complete this line if construction or construction-permanent loan. |
Year Lot
Acquired |
Original Cost
$ |
Amount Existing Liens
$ |
(a) Present Value of Lot
$ |
(b) Cost of Improvements
$ |
Total (a+b)
$ |
| Complete this line if this is a refinance loan. |
Year
Acquired |
Original Cost
$ |
Amount Existing Liens
$ |
Purpose of Refinance
|
Describe Improvements made to be made
Cost $ |
| 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
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Social Security #
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Home Phone (incl. area code)
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Age
|
Yrs. School
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Social Security #
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Home Phone (incl. area code)
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Age
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Yrs. School
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Married
Unmarried (include single divorced, widowed)
Separated |
Dependents
(not listed by Co- Borrower)
no.  ages |
Married
Unmarried (include single divorced, widowed)
Separated |
Dependents
(not listed by Borrower)
no. ages |
| If residing at present address for less than two years, complete the following: |
Previous Address (street, city, state, ZIP) Own Rent ____No. Yrs.
|
Previous Address (street, city, state, ZIP) Own Rent ____No. Yrs.
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Previous Address (street, city, state, ZIP) Own Rent ____No. Yrs.
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Previous Address (street, city, state, ZIP) Own Rent ____No. Yrs..
|
| Borrower IV. EMPLOYMENT INFORMATION Co-Borrower |
| Name and Address of Employer Self Employed (check above box) |
Yrs. on this job
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Name and Address of Employer Self Employed (check above box) |
Yrs. on this job
|
Yrs. employed
in this line of
work/profession |
Yrs. employed
in this 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: |
Name and Address of Employer Self Employed (check above box)
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Dates(from-to)
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Name and Address of Employer Self Employed (check above box)
|
Dates(from-to)
|
Monthly Income
$ |
Monthly Income
$ |
| Position/Title/Type of Business
|
Business Phone (incl. area code)
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Position/Title/Type of Business
|
Business Phone (incl. area code)
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Name and Address of Employer Self Employed (check above box)
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Dates(from-to)
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Name and Address of Employer Self Employed (check above box)
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Dates(from-to)
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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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