| VI.
ASSESTS AND LIABIILTES (cont.) |
Schedule of Real Estate Owned (if
additional properties are owned, use continuation sheet.)
|
| Property Address (enter S
if sold, PS if pending sale or R if rental being held for income)
|
Type of Property |
Present Market
Value |
Amount of Mortgage &
Liens |
Gross Rental
Income |
Mortgage Payments |
Insurance, Maintenance,
Taxes & Misc . |
Net Rental
Income |
|
. |
SFR |
$ 425000 |
$ 179000 |
$ |
$ 1113 |
$ 396 |
$ |
|
R |
CONDO |
$ 75000 |
$ 52500 |
$ 600 |
$ 225 |
$ 150 |
$ 225 |
|
R |
CONDO |
$ 85000 |
$ 57000 |
$ 550 |
$ 250 |
$ 150 |
$ 150 |
|
R |
2-4PLX |
$ 310000 |
$ 232000 |
$ 1750 |
$ 1025 |
$ 350 |
$ 375 |
| . |
Totals |
$ 895000 |
$ 520500 |
$ 2900 |
$ 2613 |
$ 1046 |
$750 |
List any additional names under which credit has previously been
received and indicate appropriate creditor name(s) and account
number(s):
| Alternate Name |
Creditor Name |
Account Number |
|
|
|
|
|
|
| VII.
DETAILS OF TRANSACTION |
VIII.
DECLARATIONS |
| a. Purchase Price |
$ 455000 |
If you answer "yes" to any questions a
through i, please use continuation sheet for explanation. |
Borrower |
Co-
Borrower |
| b. Alterations, improvements, repairs |
$ |
. |
Yes |
No |
Yes |
No |
| c. Land (if acquired separately) |
$ |
a. Are there any outstanding judgments
against you? |
 |
 |
|
|
| d. Refinance (incl. debts to be paid
off) |
$ |
b. Have you been declared bankruptcy
within the past 7 years? |
|
|
|
|
| e. Estimated prepaid items |
$ |
c. Have you had property foreclosed upon
or given title or deed in lieu thereof in the last 7
years? |
|
|
|
|
| f. Estimated closing costs |
$ |
d. Are you a party to a
lawsuit? |
|
|
|
|
| g. PMI, MIP, Funding Fee |
$ |
e. Have you directly or indirectly been
obligated on any loan which resulted in foreclosure, transfer of
title in lieu of foreclosure, or judgment? (This would include such
loans as home mortgage loans, SBA loans, home improvement loans,
educational loans, manufactured (mobile) home loans, any mortgage,
financial obligation, bond, or loan guarantee. If "Yes," provide
details, including date, name and address of Lender, FHA or VA case
number, if any, and reasons for the action .) |
|
|
|
|
| h. Discount (if Borrower will pay) |
$ |
f. Are you presently delinquent or in
default on any federal debt or any other loan, mortgage, financial
obligation bond, or loan guarantee? If "Yes," give details as
described in the preceding question. |
|
|
|
|
| i. Total costs (add items a through h)
|
$ |
g. Are you obligated to pay alimony,
child support, or separate maintenance? |
|
|
|
|
| j. Subordinate financing |
$ |
h. Is any part of the down payment
borrowed? |
|
|
|
|
| k. Borrower's closing costs paid by
seller |
$ |
i. Are you a co-maker or endorser on a
note?
----------------------------------------------------------------- |
|
|
|
|
| l. Other Credits (explain) |
$ |
j. Are you a U.S. citizen? |
|
|
|
|
| m. Loan amount (exclude PMI, MIP, Funding Fee
financed ) |
$ 320000 |
k. Are you a permanent resident alien?
|
|
|
|
|
| n. PMI, MIP, Funding Fee financed |
$ |
l. Do you intend to occupy the property
as your primary residence?
If "Yes," complete question m
below |
|
|
|
|
| o. Loan amount (add m & n) |
$ 320000 |
m. Have you had an ownership interest in
a property in the last 3 years? |
|
|
|
|
| p. Cash from/to Borrower (subtract j, k, l & o
from i) |
$ |
(1) What type of property did you
own-principal residence (PR), second home (SH), or investment
property (IP)? |
PR |
______ |
|
|
(2) How did you hold title to the home?
Soley by yourself (S), jointly with your spouse (SP), or jointly
with another person (O)? |
S |
______ |
| IX.
ACKNOWLEDGMENT AND AGREEMENT |
| Each of the undersigned specifically
represents to Lender and to Lender's actual or potential agents,
brokers, processors, attorneys, insurers, servicers, successors and
assigns and agrees and acknowledges that: (1) the information
provided in this application is true and correct as of the date set
forth opposite my signature and that any intentional or negligent
misrepresentation of this information contained in this application
may result in civil liability, including monetary damages, to any
person who may suffer any loss due to reliance upon any
misrepresentation that I have made on this application, and/or in
criminal penalties including, but not limited to, fine or
imprisonment or both under the provisions of Title 18, United States
Code, Sec. 1001, et seq.; (2) the loan requested pursuant to this
application (the "Loan") will be secured by a mortgage or deed of
trust on the property described herein; (3) the property will not be
used for any illegal or prohibited purpose or use; (4) all
statements made in this application are made for the purpose of
obtaining a residential mortgage loan; (5) the property will be
occupied as indicated herein; (6) any owner or servicer of the Loan
may verify or reverify any information contained in the application
from any source named in this application, and Lender, its
successors or assigns may retain the original and/or an electronic
record of this application, even if the Loan is not approved; (7)
the Lender and its agents, brokers, insurers, servicers, successors
and assigns may continuously rely on the information contained in
the application, and I am obligated to amend and/or supplement the
information provided in this application if any of the material
facts that I have represented herein should change prior to closing
of the Loan; (8) in the event that my payments on the Loan become
delinquent, the owner or servicer of the Loan may, in addition to
any other rights and remedies that it may have relating to such
delinquency, report my name and account information to one or more
consumer credit reporting agencies; (9) ownership of the Loan and/or
administration of the Loan account may be transferred with such
notice as may be required by law; (10) neither Lender nor its
agents, brokers, insurers, servicers, successors or assigns has made
any representation or warranty, express or implied, to me regarding
the property or the condition or value of the property; and (11) my
transmission of this application as an "electronic record"
containing my "electronic signature," as those terms are defined in
applicable federal and/or state laws (excluding audio and video
recordings), or my facsimile transmission of this application
containing a facsimile of my signature, shall be as effective,
enforceable and valid as if a paper version of this application were
delivered containing my original written signature. |
Borrower's
Signature
X |
Date |
Co-Borrower's
Signature
X |
Date |
| X.
INFORMATION FOR GOVERNMENT MONITORING PURPOSES |
| The following information is requested
by the Federal Government for certain types of loans related to a
dwelling in order to monitor the lender's compliance with equal
credit opportunity, fair housing, and home mortgage disclosure laws.
You are not required to furnish this information, but are encouraged
to do so. The law provides that a lender may discriminate neither on
the basis of this information, nor on whether you choose to furnish
it. If you furnish the information, please provide both ethnicity
and race. For race, you may check more than one designation. If you
do not wish to furnish ethnicity, race, or sex, under Federal
regulations, this lender is required to note the information on the
basis of visual observation or surname. If you do not wish to
furnish the information, please check the box below. (Lender must
review the above material to assure that the disclosures satisfy all
requirements to which the lender is subject under applicable state
law for the particular type of loan applied for). |
| BORROWER |
I do not wish to furnish this information
|
CO-BORROWER |
I do not wish to furnish this information
|
| Ethnicity: |
| Hispanic or
Latino |
Not Hispanic or
Latino | |
Ethnicity: |
| Hispanic or
Latino |
Not Hispanic or
Latino | |
| Race: |
|
American Indian or Alaska
Native | |
|
Asian | |
|
Black or African
American | |
|
Native Hawaiian or Other
Pacific Islander | |
|
White | |
| |
Race: |
|
American Indian or Alaska
Native | |
|
Asian | |
|
Black or African
American | |
|
Native Hawaiian or Other
Pacific Islander | |
|
White | |
| |
| Sex: |
Female Male |
Sex: |
Female Male |
To be Completed by
Interviewer
This application was taken by:
Face-to-face interview
Mail
Telephone
Internet |
Interviewer's Name (print or type)
__________________________________________
Interviewer's
Signature / Date
__________________________________________
Interviewer's Phone
Number (incl. area
code)
__________________________________________ |
Name and Address
Interviewer's Employer
|
|