Verify and complete the information on this application. If you are applying for this loan with others, each additional Borrower must provide information as directed by your Lender.

Section 1: Borrower Information.

This section asks about your personal information and your income from employment and other sources, such as retirement, that you want considered to qualify for this loan.

1a. Personal Information

Name

First Middle Last Suffix

Social Security Number

(or Individual Taxpayer Identification Number)

Date of Birth

Citizenship

U.S. Citizen

Permanent Resident Alien

Non-Permanent Resident Alien

Alternate Names

List any names by which you are known or any names under which credit was previously received (First, Middle, Last, Suffix)

Type of Credit

I am applying for individual credit.

I am applying for joint credit.

Total Number of Borrowers:

Each Borrower intends to apply for joint credit. Your initials:

List Name(s) of Other Borrower(s) Applying for this Loan

(First, Middle, Last, Suffix) – Use a separator between names

Marital Status

Married

Separated

Unmarried

(Single, Divorced, Widowed, Civil Union, Domestic Partnership, Registered Reciprocal Beneficiary Relationship)

Dependents

(not listed by another Borrower)

Ages of Dependents

Contact information

Home Phone

Cell Phone

Work Phone

Ext.

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How Long at Current Address?

Housing

No primary housing expense

Own

Rent

Cost per Month

If at Current Address for LESS than 2 years, list Former Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How Long at Current Address?

Housing

No primary housing expense

Own

Rent

Cost per Month

Mailing Address (if different from Current Address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

1b. Current Employment/Self-Employment and Income

Employer or Business Name

Phone

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position or Title

Start Date

How long in this line of work?

Check if this statement applies:

I am employed by a family member, property seller, real estate agent, or other party to the transaction.

Check if you are the Business Owner or Self-Employed

Ownership

I have an ownership share of less than 25%.

I have an ownership share of 25% or more.

Monthly Income (or Loss)

Gross Monthly Income

Base

per month

Overtime

per month

Bonus

per month

Commission

per month

Military Entitlements

per month

Other

per month

TOTAL

per month

1c. IF APPLICABLE, Complete Information for Additional Employment/Self-Employment and Income

Employer or Business Name

Phone

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position or Title

Start Date

How long in this line of work?

Check if this statement applies:

I am employed by a family member, property seller, real estate agent, or other party to the transaction.

Check if you are the Business Owner or Self-Employed

Ownership

I have an ownership share of less than 25%.

I have an ownership share of 25% or more.

Monthly Income (or Loss)

Gross Monthly Income

Base

per month

Overtime

per month

Bonus

per month

Commission

per month

Military Entitlements

per month

Other

per month

TOTAL

per month

HR - 1d. IF APPLICABLE, Complete Information for Previous Employment/Self-Employment and Income

Employer or Business Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position or Title

Start Date

End Date

Ownership

Check if you were the Business Owner or Self-Employed

Previous Gross Monthly

HR - 1e. Income from Other Sources

• Alimony • Automobile Allowance • Boarder Income • Capital Gains • Child Support • Disability • Foster Care • Housing or Parsonage • Interest and Dividends • Mortgage Credit Certificate • Mortgage Differential Payments • Notes Receivable • Public Assistance • Retirement (e.g., Pension, IRA) • Royalty Payments • Separate Maintenance • Social Security • Trust • Unemployment Benefits • VA Compensation

NOTE: Reveal alimony, child support, separate maintenance, or other income ONLY IF you want it considered in determining your qualification for this loan.

Income Source #1 (use list above)

Monthly Income

Income Source #2 (use list above)

Monthly Income

Income Source #3 (use list above)

Monthly Income

Income Source #4 (use list above)

Monthly Income

Income Source #5 (use list above)

Monthly Income

TOTAL (from above)

Section 2: Financial Information — Assets and Liabilities.

This section asks about things you own that are worth money and that you want considered to qualify for this loan. It then asks about your liabilities (or debts) that you pay each month, such as credit cards, alimony, or other expenses.

2a. Assets – Bank Accounts, Retirement, and Other Accounts You Have

Include all accounts below. Under Account Type, choose from the types listed here:
• Checking • Savings • Money Market • Certificate of Deposit • Mutual Fund • Stocks • Stock Options • Bonds • Retirement (e.g., 401k, IRA) • Bridge Loan Proceeds • Individual Development Account • Trust Account • Cash Value of Life Insurance (used for the transaction)

Account Type

Financial Institution

Account Number

Cash or Market Value

Account Type

Financial Institution

Account Number

Cash or Market Value

Account Type

Financial Institution

Account Number

Cash or Market Value

Account Type

Financial Institution

Account Number

Cash or Market Value

Account Type

Financial Institution

Account Number

Cash or Market Value

TOTAL from Above

2b. Other Assets and Credits You Have

Include all accounts below. Under Account Type, choose from the types listed here:
Assets
• Proceeds from Real Estate Property to be sold on or before closing • Proceeds from Sale of Non-Real Estate Asset • Secured Borrowed Funds • Unsecured Borrowed Funds • Other
Credits
• Earnest Money • Employer Assistance • Lot Equity • Relocation Funds • Rent Credit • Sweat Equity • Trade Equity

2b. Assets

I do have other Assets and Credits

Assets or Credit Type (use list above)

Cash or Market Value

Assets or Credit Type (use list above)

Cash or Market Value

Assets or Credit Type (use list above)

Cash or Market Value

Assets or Credit Type (use list above)

Cash or Market Value

TOTAL from Above

2c. Liabilities – Credit Cards, Other Debts, and Leases that You Owe

List all liabilities below (except real estate) and include deferred payments. Under Account Type, choose from the types listed here:
• Revolving (e.g., credit cards) • Installment (e.g., car, student, personal loans) • Open 30-Day (balance paid monthly) • Lease (not real estate) • Other

2c. Liabilities

I do have other Liabilities (Credit Cards, Other Debts, and Leases that You Owe)

Account Type (use list above)

Company Name

Account Number

Unpaid Balance

Untitled

To be paid off at or before closing

Monthly Payment

Account Type (use list above)

Company Name

Account Number

Unpaid Balance

Untitled

To be paid off at or before closing

Monthly Payment

Account Type (use list above)

Company Name

Account Number

Unpaid Balance

Untitled

To be paid off at or before closing

Monthly Payment

Account Type (use list above)

Company Name

Account Number

Unpaid Balance

Untitled

To be paid off at or before closing

Monthly Payment

Account Type (use list above)

Company Name

Account Number

Unpaid Balance

Untitled

To be paid off at or before closing

Monthly Payment

2d. Other Liabilities and Expenses

Include all other liabilities and expenses below. Choose from the types listed here:
• Alimony • Child Support • Separate Maintenance • Job Related Expenses • Other

2d. Other Liabilities

I DO have other Liabilities (Alimony, child support, separate maintenance, job related expenses, other)

Liability / Expense

Monthly Payment

Liability / Expense

Monthly Payment

Liability / Expense

Monthly Payment

Section 3: Financial Information — Real Estate.

This section asks you to list all properties you currently own and what you owe on them.

S3. RE Ownership

I own Real Estate

I do not own any Real Estate

3a. Property You Own

If you are refinancing, list the property you are refinancing FIRST.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Property Value

Status

Intended Occupancy

Monthly Insurance,Taxes, Association Dues, etc.

if not included in Monthly Mortgage Payment

Monthly Rental Income

For 2-4 Unit Primary or Investment Property

Mortgage Loans on this Property

Does not apply

Creditor Name

Account Number

Monthly Mortgage Payment

Unpaid Balance

Untitled

To be paid off at or before closing

Type

Credit Limit

if applicable

Creditor Name

Account Number

Monthly Mortgage Payment

Unpaid Balance

Untitled

To be paid off at or before closing

Type

Credit Limit

if applicable

3b. IF APPLICABLE, Complete Information for Additional Property

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Property Value

Status

Intended Occupancy

Monthly Insurance,Taxes, Association Dues, etc.

if not included in Monthly Mortgage Payment

Monthly Rental Income

For 2-4 Unit Primary or Investment Property

Mortgage Loans on this Property

Does not apply

Creditor Name

Account Number

Monthly Mortgage Payment

Unpaid Balance

Untitled

To be paid off at or before closing

Type

Credit Limit

if applicable

Creditor Name

Account Number

Monthly Mortgage Payment

Unpaid Balance

Untitled

To be paid off at or before closing

Type

Credit Limit

if applicable

3c. IF APPLICABLE, Complete Information for Additional Property

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Property Value

Status

Intended Occupancy

Monthly Insurance,Taxes, Association Dues, etc.

if not included in Monthly Mortgage Payment

Monthly Rental Income

For 2-4 Unit Primary or Investment Property

Mortgage Loans on this Property

Does not apply

Creditor Name

Account Number

Monthly Mortgage Payment

Unpaid Balance

Untitled

To be paid off at or before closing

Type

Credit Limit

if applicable

Creditor Name

Account Number

Monthly Mortgage Payment

Unpaid Balance

Untitled

To be paid off at or before closing

Type

Credit Limit

if applicable

Section 4: Loan and Property Information.

This section asks about the loan’s purpose and the property you want to purchase or refinance.

4a. Loan and Property Information

Loan Amount

Loan Purpose

Purchase

Refinance

Other

PropertyAddress

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Units

Property Value

Occupancy

Primary Residence

Second Home

Investment Property

FHA Secondary Residence

1. Mixed-Use Property.

Yes

If you will occupy the property, will you set aside space within the property to operate your own business? (e.g., daycare facility, medical office, beauty/barber shop)

2. Manufactured Home.

Yes

Is the property a manufactured home? (e.g., a factory built dwelling built on a permanent chassis)

4b. Other New Mortgage Loans on the Property You are Buying or Refinancing

4b. Other Mortgage

Does not apply

Creditor Name

Lien Type

First Lien

Subordinate Lien

Monthly Payment

Loan Amount/Amount to be Drawn

Credit Limit

if applicable

Creditor Name

Lien Type

First Lien

Subordinate Lien

Monthly Payment

Loan Amount/Amount to be Drawn

Credit Limit

if applicable

4c. Rental Income on the Property You Want to Purchase

For Purchase Only
Complete if the property is a 2-4 Unit Primary Residence or an Investment Property

4c. Rental Income

Does not apply

Expected Monthly Rental Income

4d. Gifts or Grants You Have Been Given or Will Receive for this Loan

Include all gifts and grants below. Under Source, choose from the sources listed here:
• Community Nonprofit • Employer • Federal Agency • Local Agency • Relative • Religious Nonprofit • State Agency • Unmarried Partner • Lender • Other

4d. Gifts or Grants

Does not apply

Asset Type

Deposited/Not Deposited

Deposited

Not Deposited

Source

Cash or Market Value

Asset Type

Deposited/Not Deposited

Deposited

Not Deposited

Source

Cash or Market Value

Section 5: Declarations.

This section asks you specific questions about the property, your funding, and your past financial history.

5a. About this Property and Your Money for this Loan

A. Will you occupy the property as your primary residence?

Yes

If YES, have you had an ownership interest in another property in the last three years?

Yes

(If YES) What type of property did you own: primary residence (PR), FHA secondary residence (SR), second home (SH), or investment property (IP)?

(If YES) How did you hold title to the property: by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?

B. If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property?

Yes

C. Are you borrowing any money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application?

Yes

If YES, what is the amount of this money?

D. 1. Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application?

Yes

2. Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan that is not disclosed on this application?

Yes

E. Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g., the Property Assessed Clean Energy Program)?

Yes

5b. About Your Finances

F. Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?

Yes

G. Are there any outstanding judgments against you?

Yes

H. Are you currently delinquent or in default on a Federal debt?

Yes

I. Are you a party to a lawsuit in which you potentially have any personal financial liability?

Yes

J. Have you conveyed title to any property in lieu of foreclosure in the past 7 years?

Yes

K. Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?

Yes

L. Have you had property foreclosed upon in the last 7 years?

Yes

M. Have you declared bankruptcy within the past 7 years?

Yes

If YES, identify the type(s) of bankruptcy:

Chapter 7

Chapter 11

Chapter 12

Chapter 13

Section 6: Acknowledgments and Agreements.

This section tells you about your legal obligations when you sign this application.

Acknowledgments and Agreements

Definitions:
• "Lender" includes the Lender’s agents, service providers, and any of their successors and assigns.
• "Other Loan Participants" includes (i) any actual or potential owners of a loan resulting from this application (the “Loan”), (ii) acquirers of any beneficial or other interest in the Loan, (iii) any mortgage insurer, (iv) any guarantor, (v) any servicer of the Loan, and (vi) any of these parties' service providers, successors or assigns.

I agree to, acknowledge, and represent the following:
(1) The Complete Information for this Application
• The information I have provided in this application is true, accurate, and complete as of the date I signed this application.
• If the information I submitted changes or I have new information before closing of the Loan, I must change and supplement this application, including providing any updated/supplemented real estate sales contract.
• For purchase transactions: The terms and conditions of any real estate sales contract signed by me in connection with this application are true, accurate, and complete to the best of my knowledge and belief. I have not entered into any other agreement, written or oral, in connection with this real estate transaction.
• The Lender and Other Loan Participants may rely on the information contained in the application before and after closing of the Loan.
• Any intentional or negligent misrepresentation of information may result in the imposition of:
(a) civil liability on me, including monetary damages, if a person suffers any loss because the person relied on any misrepresentation that I have made on this application, and/or
(b) criminal penalties on me including, but not limited to, fine or imprisonment or both under the provisions of Federal law (18 U.S.C. §§ 1001 et seq.).

(2) The Property’s Security
The Loan I have applied for in this application will be secured by a mortgage or deed of trust which provides the Lender a security interest in the property described in this application.

(3) The Property’s Appraisal, Value, and Condition
• Any appraisal or value of the property obtained by the Lender is for use by the Lender and Other Loan Participants.
• The Lender and Other Loan Participants have not made any representation or warranty, express or implied, to me about the property, its condition, or its value.

(4) Electronic Records and Signatures
• The Lender and Other Loan Participants may keep any paper record and/or electronic record of this application, whether or not the Loan is approved.
• If this application is created as (or converted into) an “electronic application”, I consent to the use of “electronic records” and “electronic signatures” as the terms are defined in and governed by applicable Federal and/or state electronic transactions laws.
• I intend to sign and have signed this application either using my:
(a) electronic signature; or
(b) a written signature and agree that if a paper version of this application is converted into an electronic application, the application will be an electronic record, and the representation of my written signature on this application will be my binding electronic signature.
• I agree that the application, if delivered or transmitted to the Lender or Other Loan Participants as an electronic record with my electronic signature, will be as effective and enforceable as a paper application signed by me in writing.

(5) Delinquency
• The Lender and Other Loan Participants may report information about my account to credit bureaus. Late payments, missed payments, or other defaults on my account may be reflected in my credit report and will likely affect my credit score.
• If I have trouble making my payments I understand that I may contact a HUD-approved housing counseling organization for advice about actions I can take to meet my mortgage obligations.

(6) Authorization for Use and Sharing of Information
By signing below, in addition to the representations and agreements made above, I expressly authorize the Lender and Other Loan Participants to obtain, use, and share with each other (i) the loan application and related loan information and documentation, (ii) a consumer credit report on me, and (iii) my tax return information, as necessary to perform the actions listed below, for so long as they have an interest in my loan or its servicing:
(a) process and underwrite my loan;
(b) verify any data contained in my consumer credit report, my loan application and other information supporting my loan application;
(c) inform credit and investment decisions by the Lender and Other Loan Participants;
(d) perform audit, quality control, and legal compliance analysis and reviews;
(e) perform analysis and modeling for risk assessments;
(f) monitor the account for this loan for potential delinquencies and determine any assistance that may be available to me; and
(g) other actions permissible under applicable law.

Borrower Signature(Required)

First Middle Last

Date(Required)

Additional Borrower Signature

First Middle Last

Date

Section 7: Military Service.

This section asks questions about your (or your deceased spouse's) military service.

Military Service of Borrower

Military Service – Did you (or your deceased spouse) ever serve, or are you currently serving, in the United States Armed Forces?

Yes

If YES, check all that apply:

Currently serving on active duty - Complete expiration date on the right

Currently retired, discharged, or separated from service

Only period of service was as a non-activated member of the Reserve or National GuardOnly period of service was as a non-activated member of the Reserve or National Guard

Surviving spouse

Projected military expiration date:

Section 8: Demographic Information.

This section asks about your ethnicity, sex, and race.

Demographic Information of Borrower

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race." The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.

Ethnicity - Check one or more

Hispanic or Latino

Not Hispanic or Latino

I do not wish to provide this information

Hispanic or Latino

Mexican

Puerto Rican

Cuban

Other

If OTHER Hispanic or Latino:

For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.

Race: Check one or more

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

I do not wish to provide this information

If American Indian or Alaska Native - Name of enrolled or principal tribe:

If Asian

Asian Indian

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian

If OTHER Asian - Which race:

For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.

If Native Hawaiian or Other Pacific Islander:

Native Hawaiian

Guamanian or Chamorro

Samoan

Other Pacific Islander

If Other Pacific Islander - Which race:

For example: Fijian, Tongan, and so on.

Sex

Female

Male

I do not wish to provide this information

Section 9: Uniform Residential Loan Application — Unmarried Addendum

9a. For Borrower Selecting the Unmarried Status

Lenders Instructions for Using the Unmarried Addendum
The Lender may use the Unmarried Addendum only when a Borrower selected “Unmarried” in Section 1 and the information collected is necessary to determine how State property laws directly or indirectly affecting creditworthiness apply, including ensuring clear title.

For example, the Lender may use the Unmarried Addendum when the Borrower resides in a State that recognizes civil unions, domestic partnerships, or registered reciprocal beneficiary relationships or when the property is located in such a State. “State” means any state, the District of Columbia, the Commonwealth of Puerto Rico, or any territory or possession of the United States.

If you selected “Unmarried” in Section 1, is there a person who is not your legal spouse but who currently has real property rights similar to those of a legal spouse?

Yes

If YES, indicate the type of relationship and the State in which the relationship was formed.

Civil Union

Domestic Partnership

Registered Reciprocal Beneficiary Relationship

Other

For example, indicate if you are in a civil union, domestic partnership, registered reciprocal beneficiary relationship, or other relationship recognized by the State in which you currently reside or where the property is located.

State:

Section 10: Uniform Residential Loan Application — Continuation

10a. Continuation

Use this continuation sheet if you need more space to complete the Uniform Residential Loan Application.

Borrower Name

First Middle Last Suffix

Additional Information

I/We fully understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of federal law (18 U.S.C. §§ 1001 et seq.).

Additional Borrower Name

First Middle Last Suffix

Additional Information

Borrower Signature(Required)

First Middle Last

Date(Required)

Additional Borrower Signature

First Middle Last

Date

Uniform Residential Loan Application — Additional Borrower

Verify and complete the information on this application as directed by your Lender.

Section 1: Borrower Information.

This section asks about your personal information and your income from employment and other sources, such as retirement, that you want considered to qualify for this loan.

11a. Personal Information

Name

First Middle Last Suffix

Social Security Number

(or Individual Taxpayer Identification Number)

Date of Birth

Citizenship

U.S. Citizen

Permanent Resident Alien

Non-Permanent Resident Alien

Alternate Names

List any names by which you are known or any names under which credit was previously received (First, Middle, Last, Suffix)

Type of Credit

I am applying for individual credit.

I am applying for joint credit.

Total Number of Borrowers:

Each Borrower intends to apply for joint credit. Your initials:

List Name(s) of Other Borrower(s) Applying for this Loan

(First, Middle, Last, Suffix) – Use a separator between names

Marital Status

Married

Separated

Unmarried

(Single, Divorced, Widowed, Civil Union, Domestic Partnership, Registered Reciprocal Beneficiary Relationship)

Dependents

(not listed by another Borrower)

Ages of Dependents

Home Phone

Cell Phone

Work Phone

Ext.

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How Long at Current Address?

Housing

No primary housing expense

Own

Rent

Cost per Month

If at Current Address for LESS than 2 years, list Former Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How Long at Current Address?

Housing

No primary housing expense

Own

Rent

Cost per Month

Mailing Address (if different from Current Address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

11b. Current Employment/Self-Employment and Income

Employer or Business Name

Phone

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position or Title

Start Date

How long in this line of work?

Check if this statement applies:

I am employed by a family member, property seller, real estate agent, or other party to the transaction.

Check if you are the Business Owner or Self-Employed

Ownership

I have an ownership share of less than 25%.

I have an ownership share of 25% or more.

Monthly Income (or Loss)

Gross Monthly Income

Base

per month

Overtime

per month

Bonus

per month

Commission

per month

Military Entitlements

per month

Other

per month

TOTAL

per month

11c. IF APPLICABLE, Complete Information for Additional Employment/Self-Employment and Income

Employer or Business Name

Phone

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position or Title

Start Date

How long in this line of work?

Check if this statement applies:

I am employed by a family member, property seller, real estate agent, or other party to the transaction.

Check if you are the Business Owner or Self-Employed

Ownership

I have an ownership share of less than 25%.

I have an ownership share of 25% or more.

Monthly Income (or Loss)

Base

per month

Overtime

per month

Bonus

per month

Commission

per month

Military Entitlements

per month

Other

per month

TOTAL

per month

HR - 11d. IF APPLICABLE, Complete Information for Previous Employment/Self-Employment and Income

Employer or Business Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position or Title

Start Date

End Date

Ownership

Check if you were the Business Owner or Self-Employed

Previous Gross Monthly

HR - 11e. Income from Other Sources

Income Source #1 (use list above)

Monthly Income

Income Source #2 (use list above)

Monthly Income

Income Source #3 (use list above)

Monthly Income

Income Source #4 (use list above)

Monthly Income

Income Source #5 (use list above)

Monthly Income

TOTAL (from above)

Section 12: Financial Information — Assets and Liabilities.

My information for Section 12 is listed on the Uniform Residential Loan Application with:

(insert name of Borrower)

Section 13: Financial Information — Real Estate.

My information for Section 13 is listed on the Uniform Residential Loan Application with:

(insert name of Borrower)

Section 14: Loan and Property Information.

This section asks about the loan’s purpose and the property you want to purchase or refinance.

4a. Loan and Property Information

My information for Section 14 is listed on the Uniform Residential Loan Application with:

(insert name of Borrower)

Section 15: Declarations.

This section asks you specific questions about the property, your funding, and your past financial history.

15a. About this Property and Your Money for this Loan

A. Will you occupy the property as your primary residence?

Yes

If YES, have you had an ownership interest in another property in the last three years?

Yes

(If YES) What type of property did you own: primary residence (PR), FHA secondary residence (SR), second home (SH), or investment property (IP)?

(If YES) How did you hold title to the property: by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?

B. If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property?

Yes

If YES, what is the amount of this money?

Yes

2. Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan that is not disclosed on this application?

Yes

15b. About Your Finances

F. Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?

Yes

G. Are there any outstanding judgments against you?

Yes

H. Are you currently delinquent or in default on a Federal debt?

Yes

I. Are you a party to a lawsuit in which you potentially have any personal financial liability?

Yes

J. Have you conveyed title to any property in lieu of foreclosure in the past 7 years?

Yes

L. Have you had property foreclosed upon in the last 7 years?

Yes

M. Have you declared bankruptcy within the past 7 years?

Yes

If YES, identify the type(s) of bankruptcy:

Chapter 7

Chapter 11

Chapter 12

Chapter 13

Section 16: Acknowledgments and Agreements.

My information for Section 16 is listed on the Uniform Residential Loan Application with:

(insert name of Borrower)

Section 17: Military Service.

This section asks questions about your (or your deceased spouse's) military service.

Military Service of Borrower

Military Service – Did you (or your deceased spouse) ever serve, or are you currently serving, in the United States Armed Forces?

Yes

If YES, check all that apply:

Currently serving on active duty - Complete expiration date on the right

Currently retired, discharged, or separated from service

Only period of service was as a non-activated member of the Reserve or National GuardOnly period of service was as a non-activated member of the Reserve or National Guard

Surviving spouse

Projected military expiration date:

Section 18: Demographic Information.

This section asks about your ethnicity, sex, and race.

Demographic Information of Borrower

Ethnicity - Check one or more

Hispanic or Latino

Not Hispanic or Latino

I do not wish to provide this information

Hispanic or Latino

Mexican

Puerto Rican

Cuban

Other

If OTHER Hispanic or Latino:

For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.

Race: Check one or more

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

I do not wish to provide this information

If American Indian or Alaska Native - Name of enrolled or principal tribe:

If Asian

Asian Indian

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian

If OTHER Asian - Which race:

For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.

If Native Hawaiian or Other Pacific Islander:

Native Hawaiian

Guamanian or Chamorro

Samoan

Other Pacific Islander

If Other Pacific Islander - Which race:

For example: Fijian, Tongan, and so on.

Sex

Female

Male

I do not wish to provide this information

Banking Sign In

Uniform Residential Loan Application

Section 1: Borrower Information.

1a. Personal Information

Contact information

1b. Current Employment/Self-Employment and Income

Gross Monthly Income

1c. IF APPLICABLE, Complete Information for Additional Employment/Self-Employment and Income

Gross Monthly Income

HR - 1d. IF APPLICABLE, Complete Information for Previous Employment/Self-Employment and Income

HR - 1e. Income from Other Sources

Section 2: Financial Information — Assets and Liabilities.

2a. Assets – Bank Accounts, Retirement, and Other Accounts You Have

2b. Other Assets and Credits You Have

2c. Liabilities – Credit Cards, Other Debts, and Leases that You Owe

2d. Other Liabilities and Expenses

Section 3: Financial Information — Real Estate.

3a. Property You Own

3b. IF APPLICABLE, Complete Information for Additional Property

3c. IF APPLICABLE, Complete Information for Additional Property

Section 4: Loan and Property Information.

4a. Loan and Property Information

4b. Other New Mortgage Loans on the Property You are Buying or Refinancing

4c. Rental Income on the Property You Want to Purchase

4d. Gifts or Grants You Have Been Given or Will Receive for this Loan

Section 5: Declarations.

5a. About this Property and Your Money for this Loan

5b. About Your Finances

Section 6: Acknowledgments and Agreements.

Acknowledgments and Agreements

Section 7: Military Service.

Military Service of Borrower

Section 8: Demographic Information.

Demographic Information of Borrower

Section 9: Uniform Residential Loan Application — Unmarried Addendum

9a. For Borrower Selecting the Unmarried Status

Section 10: Uniform Residential Loan Application — Continuation

10a. Continuation

Uniform Residential Loan Application — Additional Borrower

Section 1: Borrower Information.

11a. Personal Information

11b. Current Employment/Self-Employment and Income

Gross Monthly Income

11c. IF APPLICABLE, Complete Information for Additional Employment/Self-Employment and Income

HR - 11d. IF APPLICABLE, Complete Information for Previous Employment/Self-Employment and Income

HR - 11e. Income from Other Sources

Section 12: Financial Information — Assets and Liabilities.

Section 13: Financial Information — Real Estate.

Section 14: Loan and Property Information.

4a. Loan and Property Information

Section 15: Declarations.

15a. About this Property and Your Money for this Loan

15b. About Your Finances

Section 16: Acknowledgments and Agreements.

Section 17: Military Service.

Military Service of Borrower

Section 18: Demographic Information.

Demographic Information of Borrower