| Uniform
Residential Loan Application |
| Property
information and purpose of loan: |
| Current
term: |
Years |
Current
interest rate: |
% |
| Purpose
of loan: |
|
Property
will be: |
|
| Year
acquired: |
|
Amount
owed on mortgage: |
|
| Purpose
of refinance: |
|
Current
mortgage payment: |
|
| |
|
|
|
| Borrower
information: |
| Please
enter your full name: |
|
Social
security number: |
|
| Home
phone: |
|
Age: |
|
| Marital
status: |
|
|
|
| Present
address: (street, city, state, zipcode) |
Own: |
|
Rent: |
|
|
|
Number
of years: |
|
| |
|
|
|
| Employment
information: |
| Name
and address of employer: (street, city, state, zipcode) |
Select
one: |
|
|
|
Years
on this job: |
|
| Position
/ Title / Type of Business: |
|
Business
phone: |
|
| Estimated
home value: |
|
|
|
| Co-Borrower
information: |
| Please
enter your full name: |
|
Social
security number: |
|
| Home
phone: |
|
Age: |
|
| Marital
status: |
|
|
|
| Present
address: (street, city, state, zipcode) |
Own: |
|
Rent: |
|
|
|
Number
of years: |
|
| |
|
|
|
| Employment
information: |
| Name
and address of employer: (street, city, state, zipcode) |
Select
one: |
|
|
|
Years
on this job: |
|
| Position
/ Title / Type of Business: |
|
Business
phone: |
|
| |
|
|
|
| Monthly
income and combined housing expense information: |
| Gross
monthly income: |
|
| Assets
and liabilities: |
| Amount
on each account type (fill all that apply)
|
Type
in the name and address of current bank (s) where
mortgage is held:
|
|
| How
would you describe your credit history: |
|
| Declarations: |
| Have
you been declared bankrupt within the past 7 years: |
|
| Legal
status: |
|
|
|
|
