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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 or other person who has community property rights pursuant to 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 has community property rights pursuant to applicable law and 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* : Your Name is required.

Co-Borrower* :

I. TYPE OF MORTGAGE AND TERMS OF LOAN

Mortgage Applied for:	VA	Conventional	Other (explain):
	FHA	USDA/Rural Housing Service

Agency Case Number :

Lender Case Number :

Amount :$

Interest Rate :

No. of Months :

Amortization Type:

Fixed Rate

Other

GPM

ARM

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

Property will be:

Primary Residence

Secondary Residence

Investment

Purpose of Loan	Purchase	Construction	Other (explain):
	Refinance	Construction-Permanent

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 Lot Acquired:	Original Cost : $	Amount Existing Liens : $
Purpose of Refinance : $	Describe Improvements made to be made Cost : $

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)

I. TYPE OF MORTGAGE AND TERMS OF LOAN & II. PROPERTY INFORMATION AND PURPOSE OF LOAN

III. BORROWER INFORMATION & IV. EMPLOYMENT INFORMATION

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION & VI. ASSETS AND LIABILITIES

VII. DETAILS OF TRANSACTION & VIII. DECLARATIONS

IX. ACKNOWLEDGEMENT AND AGREEMENT & X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES


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