Uniform Residential Loan Application : Borrower

Uniform Residential Loan Application - Borrower

Please fill-out this form completely and accurately. Do not refresh the page so as not to lose any of your answers. For Married Borrowers, the main Borrower should use this form and the spouse should use the Uniform Residential Loan Application - Additional Borrower Form.

1. Name *

Altername Names

* List any names by which you are known or any names under which credit was previously received.

2. Social Security Number *

3. Date of Birth *

4. Citizenship *

5. Contact Information *

* Home Phone, Cellphone or Work Phone

6. Email Address *

Confirm Email

7. Marital Status *

* Unmarried means single, divorced, widowed, civil union, domestic partnership, registered reciprocal beneficiary relationship.

8. Number and Ages of Dependents *

* Please input 0 for none.

9. Type of Credit. I am applying for *

If applying for joint credit, please list the name (s) of other Borrowers applying for this loan:

* Please separate with a comma for more than one names.

10. Current Address *

Address Line 2 *

Date When you Started Living in This Address? *

Owned or Rent? *

Monthly Mortgage / Rent: *

Please enter 0 if living free.

11. If at Current Address for less than two years, list Former Address *

* Please input N/A if not applicable

Address Line 2 *

* Please input N/A if not applicable

Date When you Started Living in This Address? *

* Please input N/A if not applicable

Owned or Rent? *

Monthly Mortgage / Rent: *

Please enter 0 if living free.

12. Current Employment/Self-Employment and Income *

Address *

Address Line 2 *

Work Phone Number *

Position or Title *

Start Date *

How Long in This Line of Work? *

Gross Monthly Income (Please refer to your paystub) *

Is this a Business or Self Employed? *

13. If Current Employment is less than 2 years, please provide additional employment/self-employment and income *

* Please input N/A if not applicable

Complete Address *

* Please input N/A if not applicable

Address Line 2 (copy) (copy) *

* Please input N/A if not applicable

Work Phone Number *

* Please input N/A if not applicable

Position or Title *

* Please input N/A if not applicable

Start Date *

* Please input N/A if not applicable

End Date *

* Please input N/A if not applicable

How Long in This Line of Work? *

* Please input N/A if not applicable

Gross Monthly Income (Please refer to your paystub) *

* Please input N/A if not applicable

Is this a Business or Self Employed? *

Monthly Income

* Monthly income from other sources. Please input 0 if none.

Total Amount of Assets *

* Please note that you need to submit supporting documents like your bank statements on all your accounts for the past 60 days. Please input 0 if none.

16. Liabilities - Credit Cards, Other Debts, Car Loan, Student Loan, Personal Loan and Leases That you owe. *

* Please indicate the monthly payment on all of your known liabilities.

17. Credit Report *

* You need to fill-out and sign a Credit Card Authorization to run your credit.

Other Liabilities

* Please input 0 if none.

19. Do you own a Real Property? *

* If YES, list the property/ies that you own in the succeeding fields.

20. Real Property That you own (Please input N/A if not applicable.) *

City, State and Zip *

Property Value *

* Input 0 if none.

Do you Have Mortgage Loan in This Property? *

* If YES, you will be asked to provide the most recent mortgage statement for this property.

21. Other Additional Property, if any

* Please input N/A if not applicable

22. Section 4- Loan and Property Information *

- Property Type *

- For Purchase: Amount of Property *

* Please input N/A if not applicable

- For Purchase: Down Payment *

* FHA - 3.5% | Conventional - 5%, 10% or 20%
** Please input 0 if not applicable

- Total Loan Amount *

* For refinance, please indicate the outstanding balance/principal.

- Will you Receive Cash Gift for This Loan?

23. Section 5 - A. Declarations: Will you Occupy the Property as Your Primary Residence? *

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

- If YES, what type of property did you own? *

- If YES, how did you hold title to the property? *

B. If this is a purchase transaction, do you have a family relationship or business affiliation with the seller of the property? *

C. Are you borrowing any money for this real estate transaction (e.g. money for closing costs or down payment) or obtaining any money from another party such as seller or realtor, that you have not disclosed on this loan application? *

If YES, what is the amount of this money? *

* Please input 0 for none.

D. Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application? *

- Have you or will you be applying for a new credit (e.g. installment loan, credit card, etc.) on or before closing this loan that is not disclosed in this application? *

E. Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g. the Property Assessed Clean Energy Program)? *

F. Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application? *

G. Are there any outstanding judgement against you? *

H. Are you currently delinquent or in default on a Federal debt? *

I. Are you a party to a lawsuit in which you potentially have any financial liability? *

J. Have you conveyed title to any property in lieu of foreclosure in the past 7 years? *

K. Within the past 7 years, have you completed a foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due? *

L. Have you had property foreclosed upon in the last 7 years? *

M. Have you declared bankruptcy within the past 7 years? *

If YES, identify the type(s) of bankruptcy: *

24. Military Service. Did you (or your deceased spouse) ever serve, or is currently serving in the United States Armed Forces? *

25. Demographic Information: Ethnicity. *

26. Demographic Information: Race *

27. Demographic Information: Sex *

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