URLA Detailed Loan Application 1003 Advanced new Mortgage Applied For VA FHA Conventional USDA HiddenAgency Case Number HiddenLender Case Number Loan AmountInterest RateNo. Of Months Term of the loan, Amortization Type Fixed Rate ARM GPM Subject PropertySubject Property Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code No. Of Units 1 2 3 4 Year Built HiddenLegal Description of Subject PropertyPurpose Of Loan* Purchase Refinance Construction Construction-Permanent Property Will Be* Primary Residence Secondary Residence Investment Home DescriptionSingle FamilyMulti FamilyCondoTownhouseMobile / ManufacturedYour Credit ProfileSelectExcellent (720+)Good (719-680)Average (679-640)Fair (639-590)Poor (590 and Less)Year Lot Acquired Original CostAmount Existing Liens(a) Present Value of Lot(b) Cost of ImprovementsIf Refinance Complete this SectionYear Acquired Original CostAmount Existing LiensPurpose 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 CostCost of ImprovementsDescribe Improvements Title & Down PaymentHiddenTitleholder Name Manner In which Title will be held Joint Tenancy JWROS Periodic Tenancy Remainderman with Life Estate Single Tenancy at Sufferance Tenancy at Will Tenancy for Life Tenancy for Years Tenancy in Common Tenancy in Partnership Tenants by the Entirety Tenants in Severalty 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 EmploymentEmployer Name-Borrower Position or Title Self Employed - Borrower Yes No Years At Job - Borrower Work Phone NumberCo Borrower EmploymentEmployer Name Co-Borrower Position or Title Co-Borrower Self Employed - Co Borrower Yes No Years At Job - Co Borrower Work Phone Number Co BorrowerIncome-BorrowerMonthly Employment Income (Not Including Overtime)Overtime PayAverage Overtime PayCommissionsDividends/InterestNet Rental IncomeIncome-Co-BorrowerMonthly Employment Income (Not Including Overtime) Co - BorrowerOvertime Pay Co - BorrowerAverage Overtime PayCommissions Co - BorrowerDividends/Interest Co - BorrowerNet Rental Income Co - BorrowerPresent (MONTHLY) Housing ExpenseRentFirst Mortgage (P&I)Other Financing (P&I)Hazard Insurance (Monthly)Real Estate Taxes (Monthly)Mortgage Insurance MonthlyAssociation Dues (Monthly)Other MonthlyAssetsDeposit Held By SellerName Of Primary Bank Balance In Bank AccountName Of Other Bank/Financial Institution Balance Of Other Bank/Financial InstitutionBalance Of Stocks/Bonds/Mutual FundsBalance Of Retirements Accounts (IRA/401k/403b etc)Cash Value of Life InsuranceReal Estate Owned (Value)Net worth of Businesses ownedCombined Value of automobiles ownedLiabilitiesLiabilitiesCompanyPaymentUnpaid Balance Click the Plus button at the right to add additional liabilities.Alimony/Child Support/Separate Maintenance PaymentsJob Related ExpensesChild Care, Union dues, etc.Real Estate OwnedReal Estate OwnedAddressS=Sold, PS=Pending Sale, R=RentalMarket ValueLiens BalanceGross Rental IncomeMortgage PaymentsMonthly Insurance, taxes, expenses click the Plus at the right button to add more.Borrower's Name* First Last Home Phone*Mobile PhoneBorrower Email Present Address* Street Address Address Line 2 Residence City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Residence State / Province Residence ZIP / Postal Code BorrowerOwn/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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Borrower Mailing State Borrower Mailing Zip Code Number of years in present Home Social Security Number DOB-Borrower* MM slash DD slash YYYY Date Of BirthYears of School Borrower* Married Separated Unmarried Dependents (not listed by Co-Borrower) Number of DependentsAges of Dependents Is there a coborrower on this loan? Yes No Co BorrowerCo-Borrower's Name First Last Co-Borrower's Home PhoneCo-Borrower's Mobile PhoneCo Borrower Email Co-Borrower Social Security Number Co borrowerDOB-CoBorrower* MM slash DD slash YYYY Date Of Birth Co BorrowerCoBorrower Years of School coborrowerCo Borrower* Married Separated Unmarried Dependents (not listed by Borrower) Number of DependentsCoBorrower Ages of Dependents Co Borrower Present Address (If different from Borrower) Co Street Address Co City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Mailing State / Province Mailing ZIP / Postal Code Street AddressNumber of years in present Home - Coborrower Former AddressIf 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Former Address - Co-Borrower (if less than 2 years) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Details of transactionPurchase PriceAlterations, improvements, repairsLand (if acquired separately)Refinance (include debts to be fully paid off)Declarations - BorrowerAny 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 BorrowerCo 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 NameThis field is for validation purposes and should be left unchanged.
