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", as
applicable. Co-Borrower information must also be provided (and the appropriate box checked) when
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 or
the
income or assets of the Borrower's spouse or other person who has community
property rights pursuant to state law will not be used as a basis for loan qualification, but his or her liabilities must be considered because the spouse or other person
has community property rights pursuant to applicable law and 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.
If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below):
Borrower
Co-Borrower
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage
VA
Conventional
Other (explain):
Agency Case Number
Lender Case Number
Applied for:
FHA
USDA/Rural
ABC1234
XYZ6543
Housing Service
Amount
Interest Rate
No. of Months
Amortization Type:
Fixed Rate
Other (explain):
$
552,500
3.5 %
360
GPM
ARM (type):
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject Property Address (street, city, state, & ZIP)
No. of Units
123 Any Street, Anytown, USA, 12345
1
Legal Description of Subject Property (attach description if necessary)
Year Built
Single Family Home
2015
Purpose of Loan
Purchase
Construction
Other (explain):
Property will be:
Refinance
Construction-Permanent
Primary Residence
Secondary Residence
Investment
Complete this line if construction or construction-permanent loan.
Year Lot
Original Cost
Amount Existing Liens
(a) Present Value of Lot
(b) Cost of Improvements
Total (a+b)
Acquired
$
$
$
$
$
Complete this line if this is a refinance loan.
Year
Original Cost
Amount Existing Liens
Purpose of Refinance
Describe Improvements
made
to be made
Acquired
$
$
Cost: $
Title will be held in what Name(s)
Manner in which Title will be held
Estate will be held in:
Carlos Salazar
Fee Simple
Leasehold(show
Source of Down Payment Settlement Charges and/or Subordinate Financing (explain)
expiration date)
Salary + Savings
Borrower
III. BORROWER INFORMATION
Co-Borrower
Borrower's Name (include Jr. or Sr. if applicable)
Co-Borrower's Name (include Jr. or Sr. if applicable)
Carlos Salazar
N/A
Social Security Number
Home Phone (incl. area code)
DOB (mm/dd/yyyy)
Yrs. School
Social Security Number
Home Phone (incl. area code)
DOB (mm/dd/yyyy)
Yrs. School
999-99-9999
+1 123-456-7890
1/18/1958
12
N/A
N/A
N/A
N/A
Dependents (not listed by
Dependents (not listed by
Married (includes registered domestic partners)
Co-Borrower)
Married (includes registered domestic partners)
Borrower)
Unmarried (includes single, divorced, widowed)
No.
0
Unmarried (includes single, divorced, widowed)
No.
N/A
Separated
Ages
N/A
Separated
Ages
N/A
Present Address (street, city, state, ZIP/ country)
Own
Rent 5
No. Yrs.
Present Address (street, city, state, ZIP/ country)
Own
Rent
No. Yrs.
456 Any Street, Anytown, USA, 12345
N/A
Mailing Address, if different from Present Address
Mailing Address, if different from Present Address
N/A
If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP)
Own
Rent
No. Yrs.
Former Address (street, city, state, ZIP)
Own
Rent
No. Yrs.
N/A
N/A
Former Address (street, city, state, ZIP)
Own
Rent
No. Yrs.
Former Address (street, city, state, ZIP)
Own
Rent
No. Yrs.
N/A
N/A