MORTGAGE LOAN APPLICATION



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|2285 Mass Ave, Suit 204 |

|Cambridge MA 02140 |

|Phone: 617.680.8828 |

|Fax: 617.812.8020 |

|MA License: MB 5996 |

|“*” are required fields. Mortgage Loan Application for Purchase |

|1. Basic Information |

|  |Borrower 1 |Borrower 2 |

|* FULL NAME (FIRST / MIDDLE / LAST) | | |

|* AGE | | |

|* DATE OF BIRTH | | |

|* SOCIAL SECURITY NUMBER | | |

|* NUMBER OF DEPENDENTS | | |

|* AGE OF DEPENDENTS | | |

|*MARITAL STATUS | | |

|* YEARS OF SCHOOL COMPLETED( HS 12, BA/BS 16, etc) | | |

|* HOME PHONE | | |

|* WORK PHONE | | |

|* CELL PHONE | | |

|* EMAIL ADDRESS | | |

|* CURRENT PHYSICAL STREET ADDRESS | | |

|* CITY, STATE, ZIP | | |

|* TIME AT ADDRESS | | |

|* DO YOU RENT OR OWN? | | |

|* MONTHLY HOUSING EXPENSE (RENT OR PITI) | | |

|* VALUE OF HOME (IF OWNED) | | |

|PREVIOUS ADDRESS (*If lived at current address for less than 2 years*) | | |

|CITY, STATE, ZIP | | |

|TIME AT ADDRESS | | |

|RENT OR OWN? | | |

|MONTHLY HOUSING EXPENSE | | |

|2. Employment |

| 2 years of work history is required |Borrower 1 |Borrower 2 |

|* Name of Employer | | |

|* Job Title / Profession | | |

|* Full Address of Employer | | |

|(WHERE YOU WORK PHYSICALLY WORK) | | |

|* City, State, Zip | | |

|* Start Date / Years on Job | | |

|* Gross Monthly Income (Before Taxes) | | |

|Separate Base / Bonus / Commission | | |

|Previous Employer (*If current employment is less than 2 yrs *) | | |

|Position/ Business Type/ Years in Profession | | |

|Work Phone | | |

|Full Address of Employer | | |

|City, State, Zip | | |

|Start & End Date (from mm/dd/yyyy to mm/dd/yyyy) | | |

|Gross Monthly Income (Before Taxes) | | |

|Previous Employer (*If above employment is less than 2 yrs *) | | |

|Position/ Business Type/ Years in Profession | | |

|Work Phone | | |

|Full Address of Employer | | |

|City, State, Zip | | |

|Start & End Date (from mm/dd/yyyy to mm/dd/yyyy) | | |

|Gross Monthly Income (Before Taxes) | | |

|3. Assets |

|  |Bank Name |Balance |Account number | |

|* CHECKING | | | | |

|CHECKING | | | | |

|SAVINGS | | | | |

|SAVINGS | | | | |

|MONEY MARKET | | | | |

|CDS | | | | |

|STOCKS / BONDS ( Estimated Value) | | | | |

|401K/IRA (Balance) | | | | |

|MUTUAL FUNDS (Estimated Value) | | | | |

|OTHER ASSETS | | | | |

|OTHER ASSETS | | | | |

|4. FNMA Questions (Yes or No) |

| |Borrower |Co-Borrower |

|*Is any portion of the down payment borrowed as a gift? (If yes, please indicate source of gift, amount, and relationship) | | |

|*Are you obligated to pay Child Support or Alimony? (If yes, how much) | | |

|*Do you have any outstanding Judgments? | | |

|*Have you ever had a property foreclosed upon or given a deed in lieu of foreclosure? | | |

|*Are you a co-signer or endorser on a note? | | |

|*Are you a defendant or a plaintiff in a lawsuit? | | |

|*Have you directly or indirectly been obligated on any loan that resulted in foreclosure? | | |

|*Have you declared bankruptcy in the last 7 years? | | |

|*Are you presently delinquent or in default of any Federal debt, or any other loan, mortgage, financial obligation, bond or loan | | |

|guarantee? | | |

|*Are you a US citizen? (If No, please answer below) | | |

|*Are you a permanent resident alien? What is your country of citizenship? What is your Visa Type? | | |

|5. NEW PROPERTY INFORMATION |

|* PURCHASE PRICE | |

|* DOWN PAYMENT | |

|* NEW MORTGAGE AMOUNT REQUESTING | |

|* CLOSING DATE | |

|* PROPERTY STREET ADDRESS | |

|* CITY, STATE, ZIP | |

|* OCCUPANCY (PRIMARY, VACATION, OR INVESTMENT) | |

|* REALTOR NAME | |

|* REALTOR CONTACT PHONE | |

|* YEAR BUILT | |

|* TITLE WILL BE HELD IN WHAT NAME(S) | |

|6. Government Monitoring Questions (Optional, for verifying fair lending) |

| |Borrower |Co-Borrower |

|*What is your gender? Male / Female | | |

|*What race(s) best describe(s) you? (Please select all that apply) | | |

| American Indian / Native Alaskan | | |

| Asian | | |

| Black or African American | | |

| Native Hawaiian / Other Pacific Islander | | |

| White / Caucasian | | |

|What is your Ethnicity? (Hispanic or Non-Hispanic) | | |

| |

|7. Additional property (*if any*) |

|Full Address | |

|Market value | |

|Monthly mortgage payment | |

|Property tax | |

|Property insurance (or property condo fee if condo) | |

|Rental income | |

| | |

|8. List of Documentation |

|*1) Purchase & Sale Agreement |

|*2) Seller’s Listing Agent’s name & contact information. |

|*3) Copy of Real Estate Deposit Checks |

|*4) W-2 2013 & 2014 |

|*5) Most recent one month paystub covering 30 days earning |

|*6) Most recent one month bank statement with all pages indicating down payment |

|*7) 2013 and 2014 federal tax return (1040’s) with all schedules if there are any Schedule C, E or K-1 filed |

|*8) Copy of Green Card front and back or H1B (if you are not a US citizen) |

|*9) Email completed form and documents to jessie@ or fax to 617.812.8020. |

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