Uniform Residential Loan Application - vLender

Uniform Residential Loan Application

This applicat ion is designed t o be complet ed by t he applicant (s) w it h t he Lender' s assist ance. A pplicant s should complet e t his f orm as " Borrow er" or " Co-Borrow er,"

as applicable. Co-Borrow er inf ormat ion must also be provided (and t he appropriat e box checked) w hen

t he income or asset s of a person ot her t han t he Borrow er

(including t he Borrow er' s spouse) w ill be used as a basis f or loan qualif icat ion or

t he income or asset s of t he Borrow er' s spouse or ot her person w ho has

community property rights pursuant to state law w ill not be used as a basis for loan qualification, but his or her liabilities must be considered because the spouse or

ot her person has communit y propert y right s pursuant t o applicable law and Borrow er resides in a communit y propert y st at e, t he securit y propert y is locat ed in a

communit y propert y st at e, or t he Borrow er is relying on ot her propert y locat ed in a communit y propert y st at e as a basis f or repayment of t he loan.

If t his is an applicat ion f or joint credit , Borrow er and Co-Borrow er each agree t hat w e int end t o apply f or joint credit (sign below ):

Borrow er

Co-Borrow er

I. TY PE OF M ORTGA GE A ND TERM S OF LOA N

M ortgage A pplied for:

Amount

$

VA

Convent ional

Other (explain):

A gency Case Number

FHA

USDA /Rural Housing Service

Int erest Rat e

No. of M ont hs A mortization

%

Type:

Fixed Rat e GPM

Other (explain): A RM (t ype):

II. PROPERTY INFORM A TION A ND PURPOSE OF LOA N

Subject Propert y A ddress (st reet , cit y, st at e & ZIP)

Legal Descript ion of Subject Propert y (at t ach descript ion if necessary)

Lender Case Number

No. of Units Year Built

Purpose of Loan

Pu rc h as e

Const ruct ion

Other (explain):

Ref inance

Const ruct ion-Permanent

Complete this line if construction or construction-permanent loan.

Year Lot Original Cost A cquired

A mount Exist ing Liens

(a) Present Value of Lot

$

$

Complete this line if this is a refinance loan.

Year

Original Cost

A cquired

A mount Exist ing Liens

$ Purpose of Ref inance

Propert y w ill be: Prim ary Res id en c e

(b) Cost of Improvement s

$

Describe Improvement s

Secondary Res id en c e Total (a + b) $

made

Invest ment to be made

$

$

Title w ill be held in w hat Name(s)

Source of Dow n Payment , Set t lement Charges, and/or Subordinat e Financing (explain)

Cost : $ Manner in w hich Title w ill be held

Est at e w ill be held in:

Fee Simple Leasehold (show expiration date)

Borrow er Borrow er' s Name (include Jr. or Sr. if applicable)

III. BORROW ER INFORM A TION

Co-Borrow er

Co-Borrow er' s Name (include Jr. or Sr. if applicable)

Social Securit y Number Home Phone (incl. area code) DOB (m m /dd/yyyy)

Yrs. School

Social Securit y Number Home Phone (incl. area code) DOB (m m /dd/yyyy)

Yrs. School

M arried

Unm arried (include single, divorced, w idow ed)

Dnoe.pendentasg(ensot list ed by Co-Borrow er)

Separat ed

Present A ddress (st reet , cit y , st at e, ZIP)

Ow n

Rent

No. Yrs.

M arried

Unm arried (include single, divorced, w idow ed)

nDoe.pendentasg(ensot list ed by Borrow er)

Separat ed

Present A ddress (st reet , cit y , st at e, ZIP)

Ow n

Rent

No. Yrs.

M ailing A ddress, if dif f erent f rom Present A ddress

M ailing A ddress, if dif f erent f rom Present A ddress

If residing at present address for less than tw o years, complete the follow ing:

Former A ddress (st reet , cit y , st at e, ZIP)

Ow n

Rent

No. Yrs. Former A ddress (st reet , cit y, st at e, ZIP)

Ow n

Rent

No. Yrs.

Name & A ddress of Employer

Borrow er

Self Em ploy ed

IV . EM PLOY M ENT INFORM A TION

Yrs. on this job

Name & A ddress of Employer

Co-Borrow er

Self Em ploy ed

Yrs. on this job

Yrs. employed in this line of w ork/profession

Yrs. employed in this line of w ork/profession

Posit ion/Tit le/Type of Business

Business Phone (incl. area code)

Posit ion/Tit le/Type of Business

Business Phone (incl. area code)

If employed in current position for less than tw o years or if currently employed in more than one position, complete the follow ing:

Name & A ddress of Employer

Self Em ploy ed

Dates (from - to)

Name & A ddress of Employer

Self Em ploy ed

Dates (from - to)

Posit ion/Tit le/Type of Business Name & A ddress of Employer

M ont hly Income

$ Business Phone (incl. area code)

Self Em ploy ed

Dates (from - to)

Posit ion/Tit le/Type of Business Name & A ddress of Employer

M ont hly Income

$ Business Phone (incl. area code)

Self Em ploy ed

Dates (from - to)

Posit ion/Tit le/Type of Business

M ont hly Income

$ Business Phone (incl. area code)

Posit ion/Tit le/Type of Business

M ont hly Income

$ Business Phone (incl. area code)

Unif orm Resident ial Loan A pplicat ion Fannie M ae/Freddie M ac VMP W olt ers Kluw er Financial Serv ices

Fannie M ae Form 1 0 0 3 7 /0 5 (Rev . 6 /0 9 ) Freddie M ac Form 6 5 7 /0 5 (Rev . 6 /0 9 ) V M P2 1 N (0 9 0 7 ).0 1 Page 1 of 4

Gross M onthly Income

Base Empl. Income* $ Ov ert im e

Borrow er

V . M ONTHLY INCOM E A ND COM BINED HOUSING EX PENSE INFORM A TION

Co-Borrow er $

T ot al $

Combined M onthly Housing Expense Rent

Present $

First M ort gage (P& I)

Bonuses

Ot her Financing (P& I)

Commissions

Hazard Insurance

Dividends/Int erest

Real Est at e Taxes

Net Rent al Income

M ort gage Insurance

Other (before com pleting, see the notice in " describe other incom e," below )

Homeow ner A ssn. Dues Ot her:

Total

$

$

$

Total

$

* Self Employed Borrow er(s) may be required to provide additional documentation such as tax returns and financial statements.

Describe Other Income Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrow er (B)

B/ C

or Co-Borrow er (C) does not choose to have it considered for repaying this loan.

Proposed $

$ Monthly Amount

$

V I. A SSETS A ND LIA BILITIES

This St at ement and any applicable support ing schedules may be complet ed joint ly by bot h married and unmarried Co-Borrow ers if t heir asset s and liabilit ies are

suf f icient ly joined so t hat t he St at ement can be meaningf ully and f airly present ed on a combined basis; ot herw ise, separat e St at ement s and Schedules are required. If

t he Co-Borrow er sect ion w as complet ed about a non-applicant spouse or ot her person, t his St at ement and support ing schedules must be complet ed about t hat spouse

or other person also.

Complet ed

J oint ly

Not Jointly

A SSETS Desc ript ion

Cash deposit t ow ard purchase held by:

Cash or M arket V alue

$

Liabilities and Pledged Assets. List t he credit or' s nam e, address, and account num ber f or all out st anding debt s,

including autom obile loans, revolving charge accounts, real estate loans, alim ony, child support, stock pledges, etc.

Use continuation sheet, if necessary. Indicate by (* ) those liabilities, w hich w ill be satisfied upon sale of real estate

ow ned or upon refinancing of the subject property.

LIA BILITIES

M onthly Payment & M onths Left to Pay

Unpaid Balance

Name and address of Company

$ Payment /M ont hs $

List checking and savings accounts below Name and address of Bank, S& L, or Credit Union

Acct. no. $

Name and address of Bank, S& L, or Credit Union

Acct. no. $

Name and address of Bank, S& L, or Credit Union

Acct. no. $

Name and address of Bank, S& L, or Credit Union

Acct. no. $

St ocks & Bonds (Company name/number & description)

$

Life insurance net cash value

$

Face amount : $

Subtotal Liquid A ssets

$

Real est at e ow ned (ent er market value from schedule of real estate ow ned)

$

Vested interest in retirement fund

$

Net w orth of business(es) ow ned (attach financial statement)

$

A utomobiles ow ned (make and year) $

Ot her A sset s (it emize)

$

Total Assets a. $

Unif orm Resident ial Loan A pplicat ion Fannie M ae/Freddie M ac VMP W olt ers Kluw er Financial Serv ices

Acct. no. Name and address of Company

$ Payment /M ont hs $

Acct. no. Name and address of Company

$ Payment /M ont hs $

Acct. no. Name and address of Company

$ Payment /M ont hs $

Acct. no. Name and address of Company

$ Payment /M ont hs $

Acct. no. Name and address of Company

$ Payment /M ont hs $

Acct. no. Name and address of Company

$ Payment /M ont hs $

Acct. no.

A limony/Child Support /Separat e M aint enance Payment s Ow ed t o:

$

Job-Relat ed Expense (child care, union dues, et c . )

$

Total M onthly Payments

Net W orth (a minus b)

$

$ Total Liabilities b. $

Fannie M ae Form 1 0 0 3 7 /0 5 (Rev . 6 /0 9 ) Freddie M ac Form 6 5 7 /0 5 (Rev . 6 /0 9 ) V M P2 1 N (0 9 0 7 ).0 1 Page 2 of 4

V I. A SSETS A ND LIA BILITIES (cont' d) Schedule of Real Estate Ow ned (If addit ional propert ies are ow ned, use cont inuat ion sheet .)

Propert y A ddress (ent er S if sold, PS if pending sale Type of

or R if rental being held for income)

Propert y

Present M arket Value

Am ount of M ortgages

Gross

& Liens

Rent al Incom e

M ortgage Pay m ent s

Insurance, M aintenance, Taxes & M isc.

Net Rent al Incom e

$

$

$

$

$

$

Totals $

$

$

$

$

$

List any additional names under w hich credit has previously been received and indicate appropriate creditor name(s) and account number(s):

A lternate Name

Credit or Name

A ccount Number

V II. DETA ILS OF TRA NSA CTION

V III. DECLA RA TIONS

a. Purchase price

$

b. A lterations, improvements, repairs

c. Land (if acquired separately)

d. Ref inance (incl. debt s t o be paid of f )

e. Est imat ed prepaid it ems

f . Est imat ed closing cost s

g. PM I, M IP, Funding Fee

h. Discount (if Borrow er w ill pay)

i. Total costs (add items a through h)

j. Subordinate financing

If you answ er "Y es" to any questions a through i, please use continuation sheet for explanation.

a. A re there any outstanding judgments against you?

Borrow er Yes No

Co-Borrow er Yes No

b. Have you been declared bankrupt w ithin the past 7 years?

c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

d. A re you a party to a law suit?

e. Have you directly or indirectly been obligated on any loan w hich resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This w ould include such loans as home mort gage loans, SBA loans, home improvement loans, educat ional loans, manuf act ured (mobile) home loans, any mort gage, f inancial obligat ion, bond, or loan guarant ee. If " Yes," provide details, including date, name, and address of Lender, FHA or VA case number, if any, and reasons f or t he act ion.)

k. Borrow er' s closing cost s paid by Seller l. Ot her Credit s (explain)

f . A re you present ly delinquent or in def ault on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarant ee? If " Yes," give det ails as described in t he preceding quest ion.

g. A re you obligated to pay alimony, child support, or separate m aint enanc e?

h. Is any part of t he dow n payment borrow ed?

i. A re you a co-maker or endorser on a note?

j. A re you a U.S. cit izen?

k. A re you a permanent resident alien?

m. Loan amount (exclude PM I, M IP, Funding Fee f inanced)

n. PM I, M IP, Funding Fee f inanced o. Loan amount (add m & n) p. Cash f rom/t o Borrow er

(subt ract j, k, l & o f rom i)

l. Do you intend to occupy the property as your primary residence? If " Yes," complet e quest ion m below .

m. Have you had an ow nership interest in a property in the last three years? (1) What type of property did you ow n - - principal residence (PR), second home (SH), or invest ment propert y (IP)? (2) How did you hold title to the home - - solely by yourself (S), joint ly w it h your spouse (SP), or joint ly w it h anot her person (O)?

IX . A CKNOW LEDGEM ENT A ND A GREEM ENT

Each of t he undersigned specif ically represent s t o Lender and t o Lender' s act ual or pot ent ial agent s, brokers, processors, at t orney s, insurers, serv icers, successors and assigns and agrees and acknow ledges that: (1 ) the inform ation provided in this application is true and correct as of the date set forth opposite m y signature and that any intentional or negligent m isrepresentation of this inform ation contained in this application m ay result in civil liability, including m onetary dam ages, to any person w ho m ay suffer any loss due to reliance upon any m isrepresentation that I have m ade on this application, and/or in crim inal penalties including, but not lim ited to, fine or im prisonm ent or both under the provisions of Title 1 8 , United States Code, Sec. 1 0 0 1 , et seq.; (2 ) the loan requested pursuant to this application (the " Loan" ) w ill be secured by a m ortgage or deed of trust on the property described in this application; (3 ) the property w ill not be used for any illegal or prohibited purpose or use; (4 ) all statem ents m ade in this application are m ade for the purpose of obtaining a residential m ortgage loan; (5 ) the property w ill be occupied as indicated in this application; (6 ) the Lender, its servicers, successors or assigns m ay retain the original and/or an electronic record of this application, w hether or not the Loan is approved; (7 ) the Lender and its agents, brokers, insurers, servicers, successors, and assigns m ay continuously rely on the inform ation contained in the application, and I am obligated to am end and/or supplem ent the inform ation provided in this application if any of the m aterial facts that I have represented herein should change prior to closing of the Loan; (8 ) in the event that m y paym ents on the Loan becom e delinquent, the Lender, its servicers, successors or assigns m ay, in addition to any other rights and rem edies that it m ay have relating to such delinquency, report m y nam e and account inform ation to one or m ore consum er reporting agencies; (9 ) ow nership of the Loan and/or adm inistration of the Loan account m ay be transferred w ith such notice as m ay be required by law ; (1 0 ) neither Lender nor its agents, brokers, insurers, servicers, successors or assigns has m ade any representation or w arranty, express or im plied, to m e regarding the property or the condition or value of the property; and (1 1 ) m y transm ission of this application as an " electronic record" containing m y " electronic signature," as those term s are defined in applicable federal and/or state law s (excluding audio and video recordings), or m y facsim ile transm ission of this application containing a facsim ile of m y signature, shall be as effective, enforceable and valid as if a paper version of this application w ere delivered containing m y original w ritten signature.

A cknow ledgem ent. Each of t he undersigned hereby acknow ledges t hat any ow ner of t he Loan, it s serv icers, successors and assigns, m ay v erif y or rev erif y any inf orm at ion cont ained in t his applicat ion or obtain any inform ation or data relating to the Loan, for any legitim ate business purpose through any source, including a source nam ed in this application or a consum er reporting agency.

Borrow er' s Signat ure

Dat e

Co-Borrow er' s Signat ure

Dat e

X

X

X . INFORM A TION FOR GOV ERNM ENT M ONITORING PURPOSES

The f ollow ing inf orm at ion is request ed by t he Federal Gov ernm ent f or cert ain t y pes of loans relat ed t o a dw elling in order t o m onit or t he lender' s com pliance w it h equal credit opport unit y , f air housing and hom e m ortgage disclosure law s. You are not required to furnish this inform ation, but are encouraged to do so. The law provides that a lender m ay not discrim inate either on the basis of this inf orm at ion, or on w het her y ou choose t o f urnish it . If y ou f urnish t he inf orm at ion, please prov ide bot h et hnicit y and race. For race, y ou m ay check m ore t han one designat ion. If y ou do not f urnish et hnicit y , race, or sex , under Federal regulat ions, t his lender is required t o not e t he inf orm at ion on t he basis of v isual observ at ion and surnam e if y ou hav e m ade t his applicat ion in person. If y ou do not w ish to furnish the inform ation, please check the box below . (Lender m ust review the above m aterial to assure that the disclosures satisfy all requirem ents to w hich the lender is subject under applicable state law for the particular type of loan applied for.)

BORROW ER

I do not w ish to furnish this inform ation.

Ethnicity: Race:

Hispanic or Latino

Am erican Indian or Alaska Native Native Haw aiian or Ot her Pacif ic Islander

Not Hispanic or Latino

A sian

Black or African Am erican

W hite

Sex:

Fem ale

M ale

To be Completed by Loan Originator:

This information w as provided:

In a f ace-t o-f ace int erview

CO-BORROW ER Ethnicity: Race:

Sex:

I do not w ish to furnish this inform ation.

Hispanic or Latino

Am erican Indian or Alaska Native Native Haw aiian or Ot her Pacif ic Islander

Not Hispanic or Latino

A sian

Black or African Am erican

W hite

Fem ale

M ale

By t he applicant and submit t ed by f ax or mail

Loan Originator' s Signature

In a t elephone int erview

By t he applicant and submit t ed via e-mail or t he Int ernet Date

X

Loan Originator' s Name (print or type)

Loan Originator Identifier

Loan Originator' s Phone Number (including area code)

Loan Origination Company' s Name

Loan Origination Company Identifier

Loan Origination Company' s A ddress

Unif orm Resident ial Loan A pplicat ion Fannie M ae/Freddie M ac VMP W olt ers Kluw er Financial Serv ices

Fannie M ae Form 1 0 0 3 7 /0 5 (Rev . 6 /0 9 ) Freddie M ac Form 6 5 7 /0 5 (Rev . 6 /0 9 ) V M P2 1 N (0 9 0 7 ).0 1 Page 3 of 4

Use this continuation sheet if you need more space to complet e t he Resident ial Loan A pplication. Mark B for Borrow er or C f or Co-Borrow er.

Borrow er: Co-Borrow er:

CONTINUA TION SHEET/RESIDENTIA L LOA N A PPLICA TION

A gency Case Number: Lender Case Number:

I/W e f ully underst and t hat it is a Federal crime punishable by f ine or imprisonment , or bot h, t o know ingly make any f alse st at ement s concerning any of t he above f act s as applicable under t he provisions of Tit le 18, Unit ed St at es Code, Sect ion 1001, et seq.

Borrow er' s Signat ure:

Dat e

Co-Borrow er' s Signat ure:

Dat e

X

X

Unif orm Resident ial Loan A pplicat ion Fannie M ae/Freddie M ac VMP W olt ers Kluw er Financial Serv ices

Fannie M ae Form 1 0 0 3 7 /0 5 (Rev . 6 /0 9 ) Freddie M ac Form 6 5 7 /0 5 (Rev . 6 /0 9 ) V M P2 1 N (0 9 0 7 ).0 1 Page 4 of 4

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