UNIFORM RESIDENTIAL LOAN APPLICATION

This application is designed to be completed by the applicant(s) . Co-Borrower information must also be provided (and the appropriate box selected below) when: 

the income or assets of a person other than the "Borrower" (including the Borrowers spouse) will be used as a basis for loan qualification or 

the income or assets of the Borrowers 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, or 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.  

Your email address: 
Do we have permission to check your credit?:
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage Applied For:
Conventional  FHA  VA  FmHA  Other (Explain) 
   Loan Amount: 
Interest Rate:
No. of Months:
Amortization Type:
Fixed Rate  ARM (Type) 
GPM      Other (Explain) 
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
Property Address:
Street:
City:
St:
Zipcode:
Legal Description of Subject Property:
No. of Units:
Year Built:
Purpose of Loan:
Purchase  Refinance  Contruction 
Construction-Permanent  Other (explain) 
Property will be:
Primary Residence
Secondary Residence
Investment
Complete this section if this is a refinance loan.
Year Acquired:
Original Cost:
Existing Liens:
Purpose of Refinance:
Describe Improvements:
made  to be made

   Improvement Costs:

III. BORROWER INFORMATION
Borrower
Co-borrower
First Name
Last Name 
First Name 
Last Name 
Social Sec. No.
Home Phone
Social Sec. No.
Home Phone
Age
Yrs. of School
Age
Yrs. of School
Marital Status
Married 
Unmarried 
Separated 
Dependents
No
Ages 
Marital Status
Married 
Unmarried 
Separated 
Addl. Dependents
No
Ages 
Borrower's Present Address Co-borrower's Present Address
Street address: 
City
Street address: 
City: 
State: 
Zip: 
State: 
Zip
Own Rent No. of Years   Own Rent No. of Years  
Street
City: 
Street
City
State
Zip
State
Zip: 
Own  Rent No. Yrs.   Own  Rent No. Yrs. 

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Copyright © 1999 [OrganizationName]. All rights reserved.
Revised: April 23, 2003 .

 

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