Borrower Co-Borrower Total
* Base Employment Income:
Overtime:
Bonus:
Commission Income:
Dividends / Interest:
Net Rental Income:
Total Income:
Borrower Co-Borrower
Are there any judgements against you?
Yes
No
Yes
No
Have you been declared bankrupt
within the past 7 years?
Yes
No
Yes
No
Have you had property foreclosed
upon or given title or deed in lieu thereof
in the past 7 years?
Yes
No
Yes
No
Are you a party to a lawsuit?
Yes
No
Yes
No
Are you obligated to pay alimony,
child support, or separate maintenance?
Yes
No
Yes
No
Is any part of the down payment
borrowed?
Yes
No
Yes
No
Are you a co-maker or endorser
on a note?
Yes
No
Yes
No
Are you a U.S. citizen?
Yes
No
Yes
No
Are you a permanent resident
alien?
Yes
No
Yes
No
Do you intend to occupy the
property as your primary residence?
Yes
No
Yes
No
If "Yes," have you
had an ownership interest in a property
in the last 3 years?
Yes
No
Yes
No
(1) What type
of property did you own-principal residence
(PR), second home (SH), or investment property
(IP)?
(2) How did
you hold title to the home-solely by yourself
(S), jointly with your spouse (SP), or jointly
with another person (O)?
* Social Security Number
Have you directly or indirectly
been obligated on any loan, which resulted
in foreclosure, transfer of title in lieu
of foreclosure, or judgement?
Yes
No
Yes
No
This
would include such loans as home mortgage
loans, SBA loans, home improvement loans,
educational loans, manufactured (mobile)
home loans, any mortgages, financial obligation,
bond, or loan guarantee. If "yes"
provide details, name and address of the
Lender, FHA or VA case number, if any, and
reasons of action in the text box below.
Are you presently delinquent
of in default on any Federal debt or any
other loan, mortgage, financial obligation
bond, or loan guarantee?
Yes
No
Yes
No
If
"yes" provide details, name
and address of the Lender, FHA or VA case
number, if any, and reasons of action
in the text box.