Referred to Online Mortgage Application by:

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 (and the appropriate box checked) when the income or assets of a person other than the "Borrower" (including the Borrower's spouse) will be used as a basis for loan qualification or the income or assets of the Borrower's spouse will not be used as a basis for loan qualification, but his or her liabilities must be considered because the Borrower resides in a community property state, the security property is located in a community property state, or the Borrower is relying on other property located in a community property state as a basis for repayment of the loan. I. TYPE OF MORTGAGE AND TERMS OF LOAN Mortgage  VA FHA USDA/Rural Housing Service Applied For: Conventional Other Loan Amount: $ Interest Rate: % No. of Months: Term: Choose One 120 (10 Years) 180 (15 Years) 240 (20 Years) 300 (25 Years) 360 (30 Years) Due In: Amortization Type:  Fixed Rate                        GPM - Rate %  Years                                   ARM   Other   II. PROPERTY INFORMATION AND PURPOSE OF LOAN Subject Property Address:                                    City:   State:   Zip: No. of Units: Purpose of Loan: Purchase  Construction  Refinance - Cashout Refinance - No Cashout  Construction-Permanent  Other Property will be:  Investment Primary  Residence Secondary Residence If this is a refinance loan Purpose of Refinance: Select One Limited Cash-Out Rate/Term Cash-Out/Home Improvement Cash-Out/Debt Consolidation Cash-Out/Other Manner in which Title will be held Choose One Community property Joint tenants Single man Single woman Tenants in common Borrower III. BORROWER INFORMATION Co-Borrower Borrower's Name (include Jr. or Sr. if applicable) First Middle Last Suffix   Co-Borrower's Name (include Jr. or Sr. if applicable) First Middle Last Suffix Social Security # (no dashes) Home Ph. (inc. area code) DOB (MM/DD/YYYY)   Social Security # (no dashes) Home Ph. (inc. area code) DOB (MM/DD/YYYY) Married     Unmarried     Separated Married     Unmarried     Separated Present Address   Own  Rent  No. Years Street City State Zip Present Address   Own  Rent  No. Years Street City State Zip Email: Email: Borrower IV. EMPLOYMENT INFORMATION Co-Borrower Employer       Self Employed Name:     Address: City:        State:       Zip:   Employer       Self Employed Name:     Address:   City:        State:       Zip: If employed in current position for less than two years of if currently employed in more than one position, complete the following: Employer       Self Employed Name:     Address: City:       State: Zip: Dates(MM/DD/YYYY) From To   Employer       Self Employed Name:     Address: City:       State: Zip: Dates(MM/DD/YYYY) From To Monthly Income $   Monthly Income $ V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION Gross Monthly Income Borrower Co-Borrower Combined Monthly Housing Expense Present Base Emp. Income Rent Overtime 1st Mtg (P&I) Bonuses Other Financing (P&I) Commissions Hazard Insurance Dividends/Interest Real Estate Taxes Net Rental Income Mtg Insurance Other (before completing, see the notice in "describe other income," below) HOA Dues     Other Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements. Describe Other Income   Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower(B) or Co-Borrower(C) does not choose to have it considered for repaying this loan. B/C   Monthly Amount B C Choose One Alimony/Child Support Income Automobile/Expense Account Income Foster Care Military Base Pay Military Clothes Allowance Military Combat Pay Military Flight Pay Military Hazard Pay Military Overseas Pay Military Prop Pay Military Quarters Allowance Military Rations Allowance Military Variable Housing Allowance Notes Receivable/Installment Other Income Pension/Retirement Income Real Estate, Mortgage Differential Income Social Security/Disability Income Subject Property Net Cash Flow (two-to-four unit owner-occupied properties) Trust Income Unemployment/Welfare Income VA Benefits (Non-education) $ B C Choose One Alimony/Child Support Income Automobile/Expense Account Income Foster Care Military Base Pay Military Clothes Allowance Military Combat Pay Military Flight Pay Military Hazard Pay Military Overseas Pay Military Prop Pay Military Quarters Allowance Military Rations Allowance Military Variable Housing Allowance Notes Receivable/Installment Other Income Pension/Retirement Income Real Estate, Mortgage Differential Income Social Security/Disability Income Subject Property Net Cash Flow (two-to-four unit owner-occupied properties) Trust Income Unemployment/Welfare Income VA Benefits (Non-education) $ B C Choose One Alimony/Child Support Income Automobile/Expense Account Income Foster Care Military Base Pay Military Clothes Allowance Military Combat Pay Military Flight Pay Military Hazard Pay Military Overseas Pay Military Prop Pay Military Quarters Allowance Military Rations Allowance Military Variable Housing Allowance Notes Receivable/Installment Other Income Pension/Retirement Income Real Estate, Mortgage Differential Income Social Security/Disability Income Subject Property Net Cash Flow (two-to-four unit owner-occupied properties) Trust Income Unemployment/Welfare Income VA Benefits (Non-education) $ VI. ASSETS AND LIABILITIES This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly represented on a combined basis; otherwise, separate Statements and Schedules are required. If the Co-Borrower section was completed about a spouse, this Statement and supporting schedules must be completed about that spouse also. Completed:   Jointly  Not Jointly ASSETS Cash or Market Value Cash Deposit (1) $ Cash Deposit (2) $ List checking and savings accounts below Savings Account $ Checking Account $ Money Market $ Mutual/Trust Fund $ Stocks & Bonds $   $   $ Life Insurance Net Cash Value Face Amount: $ $ Vested interest in retirement fund $ Net worth of business owned $ Automobiles Owned $   $   $ Other Assets $   $   $   $   Liabilities and Pledged Assets. List your monthly payments and unpaid balances for all outstanding debts, including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc.   LIABILITIES Monthly Payment Unpaid Balance Credit Card (1) $ $ Credit Card (2) $ $ Automobile Loans $ $ Personal Loans $ $ Existing Mortgages $ $ Other Debts (1) $ $ Other Debts (2) $ $ Alimony/Child Support/ Separate Maintenance Payments Owed: $   Job Related Expense (child care, union dues, etc.) $ $ Schedule of Real Estate Owned S = Sold PS = Pend. Sale R = Rental Type of Property Present Market Value Gross Rental Income Mortgage Payments Insurance, Maint., Taxes & Misc Net Rental Income S/PS/R S PS R Property 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBILE MULTI SFR TOWN S/PS/R S PS R Property 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBILE MULTI SFR TOWN S/PS/R S PS R Property 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBILE MULTI SFR TOWN List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s): Alternate Name: Creditor Name: Account Number: Alternate Name: Creditor Name: Account Number:       VII. DETAILS OF TRANSACTION                                          VIII. DECLARATIONS a. Purchase Price $ b. Alterations, improvements, repairs $ c. Land (if acquired separately) $ d. Refinance (incl. debts to be paid off) $ e. Estimated prepaid items $ f. Estimated closing costs $ g. PMI, MIP, Funding Fee $ h. Discount (if Borrower will pay) $ i. Subordinate Financing $ j. Borrower's closing costs paid by Seller $ k. Other Credits (explain)   Choose Credit Cash Deposit on sales contract Seller Credit Lender Credit Relocation Funds Employer Assisted Housing Lease Purchase Fund Borrower Paid Fees $ Choose Credit Cash Deposit on sales contract Seller Credit Lender Credit Relocation Funds Employer Assisted Housing Lease Purchase Fund Borrower Paid Fees $ Choose Credit Cash Deposit on sales contract Seller Credit Lender Credit Relocation Funds Employer Assisted Housing Lease Purchase Fund Borrower Paid Fees $ Choose Credit Cash Deposit on sales contract Seller Credit Lender Credit Relocation Funds Employer Assisted Housing Lease Purchase Fund Borrower Paid Fees $   Borrower Co-Borrower a. Are there any outstanding judgments against you? - Y N - Y N b. Have you been declared bankrupt within the past 7 years? - Y N - Y N c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? - Y N - Y N d. Are you a party to a lawsuit? - Y N - Y N e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? - Y N - Y N f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? - Y N - Y N g. Are you obligated to pay alimony, child support, or separate maintenance? - Y N - Y N h. Is any part of the down payment borrowed? - Y N - Y N i. Are you a co-maker or endorser on a note? - Y N - Y N j. Are you a U.S. citizen? - Y N - Y N k. Are you a permanent resident alien? - Y N - Y N l. Do you intend to occupy the property as your primary residence? - Y N - Y N m. Have you had an ownership interest in a property in the last three years? - Y N - Y N m. (1) What type of property did you own - principal residence (PR), second home (SH), or investment property (IP). - PR SH IP - PR SH IP m. (2) How did you hold title to the home - solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O) ? - S SP O - S SP O IX. INFORMATION FOR GOVERNMENT MONITORING PURPOSES The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, bur are encouraged to do so. The law provides that a Lender may discriminate neither on the basis of this information, nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not wish to furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation or surname. If you do not wish to furnish the information, please check the button below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for particular type of loan applied for.) BORROWER   I do not wish to furnish this information. CO-BORROWER   I do not wish to furnish this information. Ethnicity:  Hispanic or Latino  Not Hispanic or Latino Ethnicity:  Hispanic or Latino  Not Hispanic or Latino Race:  American Indian or Alaska Native  Asian               Native Hawaiian or Other Pacific Islander  White               Black or African American Race:  American Indian or Alaska Native  Asian               Native Hawaiian or Other Pacific Islander  White               Black or African American Sex:  Male    Female Sex:  Male    Female X. OTHER HELPFUL INFORMATION DTI: % Down Payment (if any): $ My Credit Is: Excellent Good Fair Poor Where Did You Find Us? Choose One Magazine/Newspaper Radio Television Internet Friend/Family Other Do you authorize us to pull your credit report so we can begin your loan process?  Yes  No Comments: