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Online Mortgage Application

Now that you have gathered all of your information, you are ready to complete the online mortgage application. By completing this application, you will receive a fast decision so that you may begin to see some of your dreams come true. Again, remember that this site is SSL-encrypted to insure your financial information is strictly confidential.

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". Please select one:
	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.
	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. TERMS OF LOAN

Loan Amount:

Sale Price:

Interest Rate:

II. PROPERTY INFORMATION AND PURPOSE OF LOAN   (List Property Being Purchased)

Subject Property Address:

Subject Property City:

Subject Property State:

Subject Property Zip:

Subject Number Of Units:

Subject Purpose Of Loan:

Purchase

Refinance

III. BORROWER INFORMATION

Borrower First Name:

Borrower Last Name:

Borrower Salutation:

Jr.

Sr.

Not Applicable

Borrower Social Security Number:

Borrower Home Phone:
(with Area Code)

Borrower Age:

Borrower Years Of School:

Borrower Marital Status:

Married	Separated
Unmarried (single, divorced, widowed)

Borrower Number Of Dependents:
(not listed by Co-Borrower)

Borrower Age Of Dependents:
(not listed by Co-Borrower)

Borrower E-Mail Address:

Please provide your complete e-mail address: name@domain.com

Borrower Present Address:

Borrower Present City:

Borrower Present State:

Borrower Present Zip:

Borrower Present Address Status:

Own

Rent

Borrower Number Of Years At Present Address:

If residing at present address for less than two years, complete the following:

Borrower Former Address:

Borrower Former City:

Borrower Former State:

Borrower Former Zip:

Borrower Former Address Status:

Own

Rent

Borrower Number Of Years At Former Address:

IV. BORROWER EMPLOYMENT INFORMATION

Borrower Employer Name:

Borrower Employer Address:

Borrower Employer City:

Borrower Employer State:

Borrower Employer Zip:

Borrower Position:

Borrower Self-Employed:

Yes

No

Borrower Employer Phone:
(with Area Code)

Borrower Years On This Job:

Borrower Years Employed In This Line Of Work:

If employed in current position for less than two years or if currently employed in more than one position, complete the following:

Borrower Previous Employer Name:

Borrower Previous Employer Address:

Borrower Previous Employer City:

Borrower Previous Employer State:

Borrower Previous Employer Zip:

Borrower Previous Dates Employed:
(starting from / until when)

Borrower Previous Monthly Income:

III. CO-BORROWER INFORMATION

The following information pertains to the co-borrower. If you are applying individually, please skip the CO-BORROWER INFORMATION, and proceed to the MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION.

Co-Borrower First Name:

Co-Borrower Last Name:

Co-Borrower Salutation

Jr.

Sr.

Not Applicable

Co-Borrower Social Security Number:

Co-Borrower Home Phone:Borrower Home Phone:
(with Area Code)

Co-Borrower Age:

Co-Borrower Years Of School:

Co-Borrower Marital Status:

Married	Separated
Unmarried (single, divorced, widowed)

Co-Borrower Number Of Dependents:
(not listed by Co-Borrower)

Co-Borrower Age Of Dependents:
(not listed by Co-Borrower)

Co-Borrower E-Mail Address:

Please provide your complete e-mail address: name@domain.com

Co-Borrower Present Address:

Co-Borrower Present City:

Co-Borrower Present State:

Co-Borrower Present Zip:

Co-Borrower Present Address Status:

Own

Rent

Co-Borrower Number Of Years At Present Address:

If residing at present address for less than two years, complete the following:

Co-Borrower Former Address:

Co-Borrower Former City:

Co-Borrower Former State:

Co-Borrower Former Zip:

Co-Borrower Former Address Status:

Own

Rent

Co-Borrower Number Of Years At Former Address:

IV. CO-BORROWER EMPLOYMENT INFORMATION

Co-Borrower Employer Name:

Co-Borrower Employer Address:

Co-Borrower Employer City:

Co-Borrower Employer State:

Co-Borrower Employer Zip:

Co-Borrower Position:

Co-Borrower Self-Employed:

Yes

No

Co-Borrower Employer Phone:
(with Area Code)

Co-Borrower Years On This Job:

Co-Borrower Years Employed In This Line Of Work:

If employed in current position for less than two years or if currently employed in more than one position, complete the following:

Co-Borrower Previous Employer Name:

Co-Borrower Previous Employer Address:

Co-Borrower Previous Employer City:

Co-Borrower Previous Employer State:

Co-Borrower Previous Employer Zip:

Co-Borrower Previous Dates Employed:
(starting from / until when)

Co-Borrower Previous Monthly Income:

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

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 represented 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.

Base Employee Income:

Overtime:

Bonuses:

Commissions:

Dividends:

Other:

Explanation: Please explain "other income," such as alimony, child support, or separate maintenance income. Self-employed borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

VI. ASSETS