Purpose of Loan:PurchaseRefinanceProperty will be:Primary ResidenceSecondary ResidenceInvestmentBorrowerBorrower's Name:FirstLastSocial Security Number:Phone:-Area CodePhone NumberDate of Birth:Select:Select valueMarriedUnmarriedSeparatedPresent Address:Street AddressCityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryDo you:OwnRentNo. of Dependents:Ages:Name & Address of Employer:Position/TitIe/Type of Business:Years on this job:Yrs. employed in this
line of Work/profession:Business Phone:-Area CodePhone NumberBase Empl. Income:Co-BorrowerCo-Borrower Name: FirstLastCo-Borrower Social Security Number:Co-Borrower Phone:-Area CodePhone NumberCo-Borrower Date of Birth:Co-Borrower Select:Select valueMarriedUnmarriedSeparatedCo-Borrower Name & Address of Employer: Co-Borrower do you: OwnRentCo-Borrower No. of Dependents: Dependent Ages:If you answer "Yes" to any questions a through i, please use comments box below for explanation.a. Are there any outstanding judgements against you? Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: Nob. Have you been declared bankrupt within the past 7 years? Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: Noc. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: Noe. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer
of title in lieu of foreclosure, or judgment? Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: Nod. Are you part of a lawsuit? Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: Noi. Are you a co-maker or endorser on a note? Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: Nof. 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.Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: Nog. Are you obligated to pay alimony, child support, or separate maintenance? Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: Noj. Are you a U.S. citizen?Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: Nok. Are you a permanent resident alien? Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: NoI. Do you intend to occupy the property as your primary residence? If “Yes,” complete question m below.Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: Nom. Have you had an ownership interest in a property in the last three years? Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: No(1) What type of property did you own?Principal Residence (PR)Second Home (SH)Investment Property (IP)h. Is any part of the down payment borrowed?Borrower: YesBorrower: NoCo-Borrower: YesCo-Borrower: No(2) How did you hold title to the home?Solely by yourself (S)Jointly with spouse (SP)Jointly with another person (O)Word Verification:type_submit_reset_57SubmitReset
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