Uniform Residential Loan Application
   
   
Mortgage Applied for: VA FHA Conventional FmHAv Other:
   
Agency Case No.: Lender Case No.: Amount: Interest Rate: No. of Months
      $   %  
                   
Amortization Type:
  Fixed Rate GPM ARM (type): Other (explain):


II. PROPERTY INFORMATION AND PURPOSE OF LOAN    
       
Subject Property Address (street, city, state & zip code): No. of Units:
   
       
Legal Description of Subject Property (attach description if necessary): Year Built:
   
       
Purpose of Loan:
  Purchase Refinance Construction: Construction-Permanent Other (explain):
   
Property Will be: Primary Residence Secondary Residence Investment
   
         
  Complete this line if construction or construction-permanent loan.      
  Year Lot Acquired                
Original Cost Amount Existing Liens (a) Present Value of Lot (b) Cost of Improvements Total (a + b)
  $   $   $   $   $
                   
       
  Complete this line if this is a refinance loan.    
  Year Acquired              
Original Cost Amount Existing Liens Purpose of Refinance Describe Improvements made to be made
  $   $     $
                 
Title will be held in what Name(s) Manner in which Title will be held Estate will be held in
      Fee Simple Leasehold
           
Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain): (show expiration date)
   
       


III. BORROWER INFORMATION  
               
Social Security Number Home Phone (incl. area code) Date of Birth Yrs. School
       
               
       
Married Separated Unmarried (including single, divorced, widowed)
       
Dependents (not listed by Co-Borrower) no. ages
   
Present Address (street, city, state, zip code) Own Rent No. Yrs.
   
   
  If residing at present address for less than two years, complete the following.
Former Address (street, city, state, zip code) Own Rent No. Yrs.
   
Former Address (street, city, state, zip code) Own Rent No. Yrs.
 

Name & Address of Employer Yrs. on this job Yrs. in this line of work / profession Position/Title/Type of Business Business Phone
(incl. area code)
 
  Self Employed        
           
           
  If employed in current position for less than two years or if currently employed in more than one position, complete the following:  
Name & Address of Employer Yrs. on this job Yrs. in this line of work / profession Position/Title/Type of Business Business Phone
(incl. area code)
 
  Self Employed        
           
Name & Address of Employer Yrs. on this job Yrs. in this line of work / profession Position/Title/Type of Business Business Phone
(incl. area code)
 
  Self Employed        
           



IV. CO-BORROWER INFORMATION  
               
Social Security Number Home Phone (incl. area code) Date of Birth Yrs. School
       
               
       
Married Separated Unmarried (including single, divorced, widowed)
       
Dependents (not listed by Co-Borrower) no. ages
   
Present Address (street, city, state, zip code) Own Rent No. Yrs.
   
   
  If residing at present address for less than two years, complete the following.
Former Address (street, city, state, zip code) Own Rent No. Yrs.
   
Present Address (street, city, state, zip code) Own Rent No. Yrs.
   

Name & Address of Employer Yrs. on this job Yrs. in this line of work / profession Position/Title/Type of Business Business Phone
(incl. area code)
 
  Self Employed        
           
           
  If employed in current position for less than two years or if currently employed in more than one position, complete the following:  
Name & Address of Employer Yrs. on this job Yrs. in this line of work / profession Position/Title/Type of Business Business Phone
(incl. area code)
 
  Self Employed        
           
Name & Address of Employer Yrs. on this job Yrs. in this line of work / profession Position/Title/Type of Business Business Phone
(incl. area code)
 
  Self Employed        
           

 

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
             
Gross Monthly Income
Borrower
Co-Borrower
Total
Combined Monthly Housing Expense
Present
Proposed
Base Empl. Income*
$
$
$
Rent
$
 
Overtime
First Mortgage (P&I)
$
Bonuses
Other Financing (P&I)
Commissions
Hazard Insurance
Dividends/Interest
Real Estate Taxed
Net Rental Income
Mortgage Insurance
Other (before completing, see the notice in "describe other income," below)
Homeowner Assn. Dues
Other:
Total
$
$
$
Total
$
$
             
*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
 
B/C
Describe Other Income (Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower (B) or Co-Borrower (C) does not choose to have it considered for repaying this loan.)
Monthly Amount
$
$
$
     
 
 




 
 
 
 
 
 
 
 
 
 
 
 
 
Copyright © 2006 Michael Leon & Jill Leon. All rights reserved.