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.
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 *

Draw It
Type It
Clear

Co-Borrower

Draw It
Type It
Clear

TYPE OF MORTGAGE AND TERMS OF LOAN

Amount ($) *

Interest Rate *

No. of Months *

PROPERTY INFORMATION AND PURPOSE OF LOAN

Subject Property Address *

Legal Description of Subject Property *

No. of Units *

Year Built *

Title will be Held in what Name(s)

Purpose of Loan:

Estimated Property Value ($) *

BORROWER INFORMATION

Borrower's Name *

SSN *

Home Phone *

DOB *

Years of School *

Marital Status *

No. of Dependents *

Present Address *

Own or Rent *

No. of Yrs *

Mailing Address (if different)

Co-Borrower's Name

SSN

Home Phone

DOB

Years of School

Marital Status

No. of Dependents

Present Address

Own or Rent

No. of Yrs.

Mailing Address (if different)

EMPLOYMENT INFORMATION

Borrower Name & Address of Employer *

Position or Title *

Yrs. on this job *

Yrs. in this line of work or profession *

Business Phone Number *

Monthly Base Income ($) *

Overtime ($) *

Bonuses ($) *

Commissions ($) *

Dividens / Interest ($) *

Net Rental Income ($) *

Other ($) *

Total Monthly Income ($) *

Co-Borrower Name & Address of Employer

Position or Title

Yrs. on this job

Yrs. in this line of work or profession

Business Phone Number

Monthly Base Income ($)

Overtime ($)

Bonuses ($)

Commissions ($)

Dividens / Interest ($)

Net Rental Income ($)

Other ($)

Total Monthly Income ($)

Combined Monthly Housing Expenses

Rent ($) *

First Mortgage ($) *

Hazard Insurance ($) *

Real Estate Taxes ($) *

Other ($) *

Total (%) *

HOA Dues ($) *

ASSETS AND LIABILITIES

Checking & Savings Accounts

Name of Bank, Credit Union, or S & L *

Address *

Balance ($) *

Add Remove

LIABILITIES

Name & Address of Company

Monthly Payment & Months Left to Pay ($)

Unpaid Balance ($)

Add Remove

Total Monthly Payments ($)

Total Liabilities ($)

Has Borrower or Co-Borrower filed bankruptcy in the last three years?

The information contained herein is true and correct to the best of my/our knowledge.