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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).
Agency Case Number
Lender Case Number
Amount - $
Interest Rate - %
No. Of Months
Subject Property Address (street, city, state, & ZIP)
No. of Units
Legal Description of Subject Property (attach description if necessary)
Yrs. employed in this line of work/profession
Described 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.
This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise separate Statements and Schedules are required. If the Co-Borrower section was completed about a non-applicant spouse or other person, this Statement and supporting schedules must be completed about that spouse or other person also.
List checking and savings accounts below
In a face-to-face interviewIn a telephone interviewBy the applicant and submitted by fax or mailBy the applicant and submitted via e-mail or the Internet
Estimated Property Value*
Type of Loan*