Uniform Residential Loan Application : Co-Borrower

Uniform Residential Loan Application : Additional Borrower

Please fill-out this form completely and accurately. If you are not legally married to Borrower, please do not use this Additional Borrower Form. Go back and use the Borrower Form instead. Do not refresh the page so as not to lose any of your answers.

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 *

* Each Borrower must provide different working email addresses.

7. Marital Status *

If you are not married to Borrower, please stop and use the Borrower Form instead.

8. Number and Ages of Dependents *

* Please input 0 for none.

9. Type of Credit. I am applying for *

What is the Name of Your Spouse Whom you are Applying Credit With?

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

10. Current Address *

Address Line 2 *

Date When You Started Living in This Address? *

Monthly Mortgage / Rent *

Please input 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 input 0 if living free.

12. Current Employment/Self-Employment and Income *

Address *

Employment Address *

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

Employment Address (copy) *

* Please input N/A if not applicable

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

* Please input 0 if none.

15. Section 2: Financial Information - Assets and Liabilities. My information for Section 2 is listed on the Uniform Residential Application with: *

16. Section 3: Financial Information - Real Estate. My information for Section 3 is listed on the Uniform Residential Application with: *

17. Section 4: Loan and Property Information. My information for Section 4 is listed on the Uniform Residential Application with: *

18. 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: *

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

20. Demographic Information: Ethnicity. *

21. Demographic Information: Race *

22. Demographic Information: Sex *

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