Uniform Residential Loan Application - Part 4 cont'd

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






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. Total costs (add items a through h)  
j. Subordinate financing  
k. Borrower's closing costs paid by seller  
l. Other Credits (explain)



 
m. Loan amount
     (exclude PMI, MIP, Funding Fee financed )
 
n. PMI, MIP, Funding Fee financed  
o. Loan amount (add m & n)  
p. Cash from/to Borrower (subtract j, k, l & o from i)  

 

If you answer "yes" to any questions a through i, please use continuation sheet for explanation. Borrower Co-Borrower
Yes No Yes No
a. Are there any outstanding judgments against you? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
b. Have you been declared bankruptcy within the past 7 years? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
d. Are you a party to a lawsuit? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "Yes," provide details, including date, name and address of Lender, FHA or VA case number, if any, and reasons for the action.) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
f. Are you presently delinquent or in default on any federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee? If "Yes," give details as described in the preceding question. images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
g. Are you obligated to pay alimony, child support, or separate maintenance? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
h. Is any part of the down payment borrowed? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
i. Are you a co-maker or endorser on a note? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
j. Are you a U.S. citizen? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
k. Are you a permanent resident alien? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
l. Do you intend to occupy the property as your primary residence?
If "Yes," complete question m below
images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
m. Have you had an ownership interest in a property in the last 3 years? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
(1) What type of property did you own-principal residence (PR), second home (SH), or investment property (IP)? images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes) images/box.gif (74 bytes)
(2) How did you hold title to the home? Solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
Back          Next Page 4of 5    Borrower. Initial _______   Co-Borrower. Initial _______