| VI. ASSESTS AND
LIABIILTES (cont.) |
Schedule of Real Estate Owned (if
additional properties are owned, use continuation sheet.)
|
| Property Address
(enter S if sold, PS if pending sale or R if rental being held for income)
|
Type of Property |
Present Market Value |
Amount of Mortgage & Liens |
Gross Rental Income |
Mortgage Payments |
Insurance, Maintenance, Taxes & Misc
. |
Net Rental Income |
| . |
. |
. |
$ |
$ |
$ |
$ |
$ |
$ |
| . |
. |
. |
$ |
$ |
$ |
$ |
$ |
$ |
| . |
. |
. |
$ |
$ |
$ |
$ |
$ |
$ |
| . |
Totals |
$ |
$ |
$ |
$ |
$ |
$ |
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 |
$ |
If you answer "yes" to any questions a
through i, please use continuation sheet for explanation. |
Borrower |
Co-Borrower |
| b. Alterations, improvements, repairs |
$ |
. |
Yes |
No |
Yes |
No |
| c. Land (if acquired separately) |
$ |
a. Are there any outstanding judgments against
you? |
 |
|
|
|
| d. Refinance (incl. debts to be paid off) |
$ |
b. Have you been declared bankruptcy within the
past 7 years? |
|
|
|
|
| e. Estimated prepaid items |
$ |
c. Have you had property foreclosed upon or
given title or deed in lieu thereof in the last 7 years? |
|
|
|
|
| f. Estimated closing costs |
$ |
d. Are you a party to a lawsuit? |
|
|
|
|
| g. PMI, MIP, Funding Fee |
$ |
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
.) |
|
|
|
|
| h. Discount (if Borrower will pay) |
$ |
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. |
|
|
|
|
| i. Total costs (add items a through h)
|
$ |
g. Are you obligated to pay alimony, child
support, or separate maintenance? |
|
|
|
|
| j. Subordinate financing |
$ |
h. Is any part of the down payment borrowed?
|
|
|
|
|
| k. Borrower's closing costs paid by seller |
$ |
i. Are you a co-maker or endorser on a note?
----------------------------------------------------------------- |
|
|
|
|
| l. Other Credits (explain) -
-
|
$ |
j. Are you a U.S. citizen? |
|
|
|
|
| m. Loan amount (exclude PMI, MIP, Funding Fee financed
) |
$ |
k. Are you a permanent resident alien?
|
|
|
|
|
| n. PMI, MIP, Funding Fee financed |
$ |
l. Do you intend to occupy the property as your
primary residence?
If "Yes," complete question m below |
|
|
|
|
| o. Loan amount (add m & n) |
$ |
m. Have you had an ownership interest in a
property in the last 3 years? |
|
|
|
|
| p. Cash from/to Borrower (subtract j, k, l & o from i)
|
$ |
(1) What type of property did you own-principal
residence (PR), second home (SH), or investment property (IP)? |
______ |
______ |
|
|
(2) How did you hold title to the home? Soley by
yourself (S), jointly with your spouse (SP), or jointly with another person
(O)? |
______ |
______ |
| IX. ACKNOWLEDGMENT
AND AGREEMENT |
The undersigned specifically acknowledge(s)
and agree(s) that: (1) the loan requested by this application will be
secured by a first mortgage or deed of trust on the property described
herein; (2) the property will not be used for any illegal or prohibited
purpose or use; (3) all statements made in this application are made for the
purpose of obtaining the loan indicated herein; (4) occupation of the
property will be as indicated above; (5) verification or reverification of
any information contained in the application may be made at any time by the
Lender, its agents, successors and assigns, either directly or through a
credit reporting agency, from any source named in this application, and the
original copy of this application will be retained by the Lender, even if
the loan is not approved; (6) the Lender, its agents, successors and assigns
will rely on the information contained in the application and I/we have a
continuing obligation to amend and/or supplement the information provided in
this application if any of the material facts which I/we have represented
herein should change prior to closing; (7) in the event my/our payments on
the loan indicated in this application become delinquent, the Lender, its
agents, successors and assigns, may in addition to all their other rights
and remedies, report my/our name(s) and account information to a credit
reporting agency; (8) be transferred to an agent, successor or assign of the
Lender with prior notice to me; (9) the Lender, its agents, successors and
assigns make no representation or warranties, express or implied, to the
Borrower(s) regarding the property, the condition of the property, or the
value of the property.
Certification: I/We certify that the information provide in this
application is true and correct as of the date set forth opposite my/our
signature(s) on this application and acknowledge my/our understanding that
any intentional or negligent misrepresentation(s) of the information
contained in this application may result in civil liability and/or criminal
penalties including, but not limited to, fine or imprisonment or both under
the provisions of Title 18, United States Code, Section 1001, et seq. and
liability for monetary damages to the Lender, its agents, successors and
assigns, insurers and any other person may suffer any loss due to reliance
upon any misrepresentation which I/we have made on this application.
|
Borrower's
Signature
X |
Date |
Co-Borrower's
Signature
X |
Date |
| X. 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, but are encouraged to do so. The law provides that a
lender may neither discriminate on the basis of this information, nor on
whether you choose to furnish it. However, if you choose not to furnish it,
under Federal regulations this Lender is required to note race and sex on
the basis of visual observation or surname. If you do not wish to furnish
the above information, please check the box below. Lender must review the
above material to assure that the disclosure satisfy all requirements to
which the Lender is subject under applicable state law for the particular
type of loan applied for. |
| BORROWER |
CO-BORROWER |
Race/National
Origin: |
I do not
wish to furnish this information
American Indian or Alaskan Native
Asian or Pacific Islander
Black, not of Hispanic origin
Hispanic
White, not of Hispanic origin
Other (specify) _________________
|
Race/National
Origin: |
I do not
wish to furnish this information
American Indian or Alaskan Native
Asian or Pacific Islander
Black, not of Hispanic origin
Hispanic
White, not of Hispanic origin
Other (specify) _________________
|
| Sex: |
Female
Male |
Sex: |
Female
Male |
To be Completed by Interviewer
This application was taken by:
face-to-face interview
by mail
by telephone
|
Interviewer's Name (print or type)
_______________________________________________________________________
Interviewer's Signature / Date
_______________________________________________________________________
Interviewer's Phone Number (incl. area code)
Gregory M. Steele_(815) 397=8797___________________________________________ |
Mortgage Solutions
2222 East State St. Suite A108
Rockford, IL 61104
Phone (815) 397-8797
Fax (815) 397-5156
Email: Greg@Steele.com
|
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