|
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
|
Subject Property Address (street
, city, state,&ZIP)
| No. of
Units
|
Legal Description of Subject
Property (attach description if necessary)
| Year Built |
Purpose of Loan  Purchase Construction
Other (explain):
Refinance
Construction-Permanent |
Property will be:
Primary Residence Secondary
Residence Investment |
|
Complete this line if construction or
construction-permanent loan.
|
Year Lot
Acquired |
Original Cost
$ |
Amount Existing Liens
$ |
(a) Present Value of Lot
$ |
(b) Cost of Improvements
$ |
Total (a+b)
$ |
|
Complete this line if this is a refinance
loan.
|
Year
Acquired |
Original Cost
$ |
Amount Existing Liens
$ |
Purpose of Refinance
|
Describe Improvements made to be made
Cost
$ |
|
Borrower
IV.
EMPLOYMENT INFORMATION
Co-Borrower
|
Borrower's Name (include Jr. or Sr. if
applicable)
|
Co-Borrower's Name (include Jr. or Sr. if
applicable
|
Social Security #
|
Home Phone (incl. area code)
|
Age
|
Yrs. School
|
Social Security
#
|
Home Phone (incl. area code)
|
Age
|
Yrs. School
|
Married
Unmarried (include
single divorced, widowed)
Separated |
Dependents
(not listed by Co-
Borrower)
no.__ ages____
|
Married
Unmarried (include
single divorced, widowed)
Separated |
Dependents
(not listed by Borrower)
no.__ ages____
|
|
If residing at present address for less
than two years, complete the following:
|
| Former Address (street, city, state, ZIP)
Own
Rent ____No. Yrs. |
Former Address (street, city, state, ZIP) Own Rent
____No. Yrs. |
| Former Address (street, city, state, ZIP)
Own
Rent ____No. Yrs. |
Former Address (street, city, state, ZIP) Own Rent
____No. Yrs. |
| Borrower
IV.
EMPLOYMENT INFORMATION
Co-Borrower |
| Name and Address of Employer Self Employed (check above box)
|
Yrs. on this job
|
Name and Address of Employer Self Employed (check above box)
|
Yrs. on this job
|
Yrs. employed
in this line
of
work/profession |
Yrs. employed
in this line
of
work/profession |
| Position/Title/Type of
Business |
Business Phone (incl. area code)
|
Position/Title/Type of
Business |
Business Phone (incl. area code)
|
|
If employed in current position for less
than two years or if currently employed in more than one position, complete
the following:
|
| Name and Address of Employer Self Employed (check above box)
|
Dates(from-to)
|
Name and Address of
Employer Self Employed (check above box)
|
Dates(from-to)
|
Monthly Income
$ |
Monthly Income
$ |
| Position/Title/Type of
Business |
Business Phone (incl. area code)
|
Position/Title/Type of
Business |
Business Phone (incl. area code)
|
| Name and Address of
Employer Self Employed (check above box)
|
Dates(from-to)
|
Name and Address of
Employer Self Employed (check above box)
|
Dates(from-to)
|
Monthly Income
$ |
Monthly Income
$ |
Position/Title/Type of
Business
. |
Business Phone (incl. area code)
|
Position/Title/Type of
Business
|
Business Phone (incl. area code)
|