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    UNIFORM RESIDENTIAL LOAN APPLICATION

    This application is designed to be completed by the applicant(s). Applicants should complete this form as "Borrower" or "Co-Borrower" as applicable. Co-borrower information must also be provided (and the appropriate box checked below) when:

    the income or assets of a person other than the "Borrower" (including the Borrowers spouse) will be used as a basis for loan qualification or
    the income or assets of the Borrowers spouse will not be used as a basis for loan qualification, but his or her liabilities must be considered because the Borrower resides in a community property state, or the security property is located in a community property state, or the Borrower is relying on other property located in a community property state as a basis for repayment of the loan.

    I. TYPE OF MORTGAGE AND TERMS OF LOAN

    Mortgage applied for:
    Loan Amount$ Interest Rate
    %    		 No. of Months
    		 Amortization Type:

    II. PROPERTY INFORMATION AND PURPOSE OF LOAN

    Subject Property Address:

    Street: City: St.: Zip code:
    No. of Units: Year Built:
    Purpose of Loan:
    		 Property will be:
    Complete this line if construction or construction-permanent loan.
    Year Acquired Original Cost Existing Liens (a)Present Value of Lot (b)Improvements Total(a+b)
    $ $ $ $ $
    Complete this lines if this is a refinance loan.
    Year
    Acquired    		 Original Cost Existing Liens Purpose of Refinance Describe Improvements
    Made
    To be made
    $ $
    Title will be held in what name(s):
    		 Manner in which title will be held:
    Source of down payment, settlement charges and/or subordinate financing: Estate will be held in:

    III. BORROWER INFORMATION

    Borrower Co-Borrower
    Name (include Jr. or Sr. if applicable)
    		 Name (include Jr. or Sr. if applicable)
    Social Sec. No.
    		 Home Phone
    		 Social Sec. No.
    		 Home Phone
    Age
    		 Yrs. of School
    		 Age
    		 Yrs. of School
    Marital Status

    Married
    Unmarried
    Separated

    		 Dependents

    No.
    Ages

    		 Marital Status

    Married
    Unmarried
    Separated

    		 Addl. Dependents

    No.
    Ages
    Present Address Present Address
    Street
    		 City
    		 Street
    		 City
    State
    		 Zip
    		 State
    		 Zip
    Own Rent No. Yrs. Own Rent No. Yrs.
    If at present address less than two years complete the following:
    Former Address Former Address
    Street
    		 City
    		 Street
    		 City
    State
    		 Zip
    		 State
    		 Zip
    Own Rent No. Yrs. Own Rent No. Yrs.

    IV. EMPLOYMENT INFORMATION

    Borrower Co-Borrower
    Name of Employer..... Self Employed
    		 Name of Employer..... Self Employed
    Address: Address:
    City: City:
    Position/Title Position/Title
    State: Zip: State: Zip:
    Yrs. on Job:
    		 Years in this line of profession:
    		 Yrs. on Job:
    		 Years in this line of profession:
    Business Phone: (inc area code) Business Phone: (inc area code)

    If employed in current position for less than two years or if currently employed in more than one position, complete the following:

    Borrower Co-Borrower
    Name of Employer..... Self Employed
    		 Name of Employer..... Self Employed
    Address: Address:
    City: City:
    Position/Title Position/Title
    State: Zip: State: Zip:
    Yrs. on Job:
    		 Years in this line of profession:
    		 Yrs. on Job:
    		 Years in this line of profession:
    Business Phone: (inc area code) Business Phone: (inc area code)
    Borrower Co-Borrower
    Name of Employer..... Self Employed
    		 Name of Employer..... Self Employed
    Address: Address:
    City: City:
    Position/Title Position/Title
    State: Zip: State: Zip:
    Yrs. on Job:
    		 Years in this line of profession:
    		 Yrs. on Job:
    		 Years in this line of profession:
    Business Phone: (inc area code) Business Phone: (inc area code)

    V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

    Gross Monthly
    Income    		 Borrower Co-Borrower Combined Mthly Housing Exp. Present Proposed
    Base Empl. Income * Rent
    Overtime First Mortgage(P&I)
    Bonuses Other Financing(P&I)
    Commissions Hazard Insurance
    Dividends/Interest Real Estate Taxes
    Net Rental Income Mortgage Insurance
    Other: Homeowner Assn. Dues
      Other:
    Total Total
    * Self employed borrower(s) may be required to provide additional documentation such as tax returns & financial statements.
    Describe other income: Notice: Alimony, Child Support, or separate maintenance need not be revealed if the borrower (b) or co-borrower (c) does not choose to have it considered for repayment of this loan. Monthly Amount
    Submit part 1 of 1003 Application (After submiting part 1, mouse click on back button at top and) CLICK HERE for PART 2