1003 Christi Cronk

Mortgage Applied For

VA
FHA
Conventional
USDA

Agency Case Number

Lender Case Number

Loan Amount

Interest Rate

No. Of Months

Term of the loan,

Amortization Type

Fixed Rate
ARM
GPM

Subject Property

Subject Property Address

Street Address Address Line 2 City State ZIP Code

No. Of Units

1
2
3
4

Year Built

Legal Description of Subject Property

Purpose Of Loan*

Property Will Be*

Primary Residence
Secondary Residence
Investment

Home Description

Your Credit Profile

Year Lot Acquired

Original Cost

Amount Existing Liens

(a) Present Value of Lot

(b) Cost of Improvements

If Refinance Complete this Section

Year Acquired

Original Cost

Amount Existing Liens

Purpose Of Refinance

Cash-Out/Debt Consolidation
Cash-Out/Home Improvement
Cash-Out/Other
Limited Cash-Out
No Cash-Out/FHA Streamlined Refinance
No Cash-Out/FRE Owned Refinance
No Cash-Out/Other
No Cash-Out/Streamlined Refinance
Change In Rate/Term

Improvements

Made
To Be Made

Cost

Cost of Improvements

Describe Improvements

Title & Down Payment

Titleholder Name

Manner In which Title will be held

Estate will be held in

Fee Simple
Leasehold

Source of Down Payment (AU)

Checking Or Savings
Deposit on Sales Contract
Equity on Property Sold
Gift

Down Payment Amount (AU)

Down Payment Explanation

Employment

Employer Name-Borrower

Position or Title

Self Employed - Borrower

Yes
No

Years At Job - Borrower

Work Phone Number

Co Borrower Employment

Employer Name Co-Borrower

Position or Title Co-Borrower

Self Employed - Co Borrower

Yes
No

Years At Job - Co Borrower

Work Phone Number Co Borrower

Income-Borrower

Monthly Employment Income (Not Including Overtime)

Overtime Pay

Average Overtime Pay

Commissions

Dividends/Interest

Net Rental Income

Income-Co-Borrower

Monthly Employment Income (Not Including Overtime) Co - Borrower

Overtime Pay Co - Borrower

Average Overtime Pay

Commissions Co - Borrower

Dividends/Interest Co - Borrower

Net Rental Income Co - Borrower

Present (MONTHLY) Housing Expense

Rent

First Mortgage (P&I)

Other Financing (P&I)

Hazard Insurance (Monthly)

Real Estate Taxes (Monthly)

Mortgage Insurance Monthly

Association Dues (Monthly)

Other Monthly

Assets

Deposit Held By Seller

Name Of Primary Bank

Balance In Bank Account

Name Of Other Bank/Financial Institution

Balance Of Other Bank/Financial Institution

Balance Of Stocks/Bonds/Mutual Funds

Balance Of Retirements Accounts (IRA/401k/403b etc)

Cash Value of Life Insurance

Real Estate Owned (Value)

Net worth of Businesses owned

Combined Value of automobiles owned

Liabilities

liabilities

Company	Payment	Unpaid Balance

Click the Plus button at the right to add additional liabilities.

Alimony/Child Support/Separate Maintenance Payments

Job Related Expenses

Child Care, Union dues, etc.

Real Estate Owned

Address	S=Sold, PS=Pending Sale, R=Rental	Market Value	Liens Balance	Gross Rental Income	Mortgage Payments	Monthly Insurance, taxes, expenses

click the Plus at the right button to add more.

Borrower's Name*

First Last

Home Phone

Mobile Phone

Borrower Email

Present Address

Street Address Address Line 2 Residence City Residence State / Province Residence ZIP / Postal Code

Borrower

Own/Rent present home

Own
Rent

Borrower Mailing Address (if different from present address)

Borrower Mailing Street Address Borrower Mailing Address Line 2 Borrower Mailing City Borrower Mailing State Borrower Mailing Zip Code

Number of years in present Home

Social Security Number

DOB-Borrower*

Date Of Birth

Years of School

Borrower*

Married
Separated
Unmarried

Dependents (not listed by Co-Borrower)

Number of Dependents

Ages of Dependents

Is there a coborrower on this loan?

Yes
No

Co Borrower

Co-Borrower's Name

First Last

Co-Borrower's Home Phone

Co-Borrower's Mobile Phone

Co Borrower Email

Co-Borrower Social Security Number

Co borrower

DOB-CoBorrower*

Date Of Birth Co Borrower

CoBorrower Years of School

coborrower

Co Borrower*

Married
Separated
Unmarried

Dependents (not listed by Borrower)

Number of Dependents

CoBorrower Ages of Dependents

Co Borrower Present Address (If different from Borrower)

Co Street Address Co City Co State Co Zip Postal Code

Own/Rent Present Home Coborrower

Own
Rent

Co-Borrower Mailing Address (if different from present address)

Mailing Street Address Mailing Address Line 2 Mailing City Mailing State / Province Mailing ZIP / Postal Code

Street Address

Number of years in present Home - Coborrower

Former Address

If at present address less than 2 years.

Former Address - Borrower (if less than 2 years)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Former Address - Co-Borrower (if less than 2 years)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Details of transaction

Purchase Price

Alterations, improvements, repairs

Land (if acquired separately)

Refinance (include debts to be fully paid off)

Declarations - Borrower

Any Outstanding Judgments against you?*

Yes
No

Have you declared bankruptcy within the past 7 years?*

Yes
No

Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?*

Yes
No

Are You a party to a lawsuit?*

Yes
No

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

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?*

Yes
No

Are you obligated to pay alimony, child support, or separate maintenance?*

Yes
No

Is any part of the down payment borrowed?*

Yes
No

Are you a co-maker or endorser on a note?*

Yes
No

Are you a US Citizen?*

Yes
No

Are you a Permanent Resident Alien?*

Yes
No

Do you intend to occupy the property as your primary residence?*

Yes
No

Have you had an ownership interest in a property in the last three years?*

Yes
No

Declarations - Co Borrower

Co Borrower Any Outstanding Judgments against you?*

Yes
No

Co Borrower Have you declared bankruptcy within the past 7 years?*

Yes
No

Co Borrower Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?*

Yes
No

Co Borrower Are You a party to a lawsuit?*

Yes
No

Co Borrower 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

Co Borrower 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

Co Borrower Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?*

Yes
No

Co Borrower Are you obligated to pay alimony, child support, or separate maintenance?*

Yes
No

Co Borrower Is any part of the down payment borrowed?*

Yes
No

Co Borrower Are you a co-maker or endorser on a note?*

Yes
No

Co Borrower Are you a US Citizen?*

Yes
No

Co Borrower Are you a Permanent Resident Alien?*

Yes
No

Co Borrower Do you intend to occupy the property as your primary residence?*

Yes
No

Co Borrower Have you had an ownership interest in a property in the last three years?*

Yes
No

Name

This field is for validation purposes and should be left unchanged.

1003 Christi Cronk

1003 Full Christi Cronk

Subject Property

If Refinance Complete this Section

Title & Down Payment

Employment

Co Borrower Employment

Income-Borrower

Income-Co-Borrower

Present (MONTHLY) Housing Expense

Assets

Liabilities

Real Estate Owned

Co Borrower

Former Address

Details of transaction

Declarations - Borrower

Declarations - Co Borrower

Like this:

1003 Christi Cronk

1003 Full Christi Cronk

Subject Property

If Refinance Complete this Section

Title & Down Payment

Employment

Co Borrower Employment

Income-Borrower

Income-Co-Borrower

Present (MONTHLY) Housing Expense

Assets

Liabilities

Real Estate Owned

Co Borrower

Former Address

Details of transaction

Declarations - Borrower

Declarations - Co Borrower

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