SCOTT MILNE |
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Home Purchase Loan Application Form
For Purchases in Pennsylvania, New Jersey, and Delaware
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against applicants on the basis of race, color, religion, national origin, sex, marital status or age.
BORROWER CO-BORROWER
Full Name
Address
Do you own or rent Own Rent Own Rent
Live with relatives Live with relatives
How long have you lived here
How much is your current housing expense
What type of mortgage?
Previous Address (If less than 2 yrs at current address)
Did you own or rent Own Rent Own Rent
Live with relatives Live with relatives
How long did you lived there
Social Security Number
Home Phone Number
Work Phone Number
E-Mail Address
Age
Sex Male Female Male Female
Years of schooling
Number of dependents
Ages of dependents
Marital Status Married Seperated Married Seperated
Unmarried Unmarried
Are you a U.S. citizen Yes No Yes No
If not,do you have a green card Yes No Yes No
Are you obligated to pay alimony or child support Yes No Yes No
The following information is requested by the Federal Government in order to monitor the lender's compliance with Equal Credit Opportunity, Fair Housing and Home Mortgage Disclosure Laws. The law provides that a lender may not discriminate on the basis of this information.
Race/National Origin American Indian or American Indian or Alaskan Native Alaskan Native Black, not of Hispanic origin Black, not of Hispanic origin Hispanic Hispanic Asian or Pacific Islander Asian or Pacific Islander White, not of Hispanic origin White, not of Hispanic origin
Property Information
Address for property being purchased
Sale price
Annual taxes
Has the seller accepted the contract? Yes No
Is the property single family duplex triplex
Will you use the property as primary residence vacation home investment
Is this property a condominium townhome fee simple home
Is there an association fee? Yes No
If yes, How much monthly?
Who is the Realtor that helped to complete the contact?
Company and Address Agent Phone numberWho is the Realtor that had listed the property for sale?
Company and Address Agent Phone number
Borrower's Employer Name & Address:
Position:
How long employed here:
Gross Monthly Salary: Self Employed
Co-Borrower's Employer Name & Address:
Position:
How long employed here:
Gross Monthly Salary: Self Employed
Borrower's Previous Employer Name & Address:
Position:
Dates employed here: to
Gross Monthly Salary: Self Employed
Co-Borrower's Previous Employer Name & Address:
Position:
Dates employed here: to
Gross Monthly Salary: Self Employed
Borrower's Second Employer Name & Address:
Position:
Dates employed here: to .
Gross Monthly Salary: Self Employed
Co-Borrower's Second Employer Name & Address:
Position:
Dates employed here: to
Gross Monthly Salary: Self Employed
For this section, please only give approximate figures in each account area. There is no need to give account numbers in which the monies reside.
Amount Institution
Savings:
Checking:
Money Markets:
401K Plans:
Mutual Funds:
Stocks & Bonds:
Are any of the above stated funds not to be used for purchase of new real estate:
Do you have any potential gift monies coming from a family member?
YES
NO
What is their relationship to you?
If ,YES, what would the amount be?
The following debt information is a critical aspect of this financial analysis. We will give you several general categories of possible revolving debt to fill in. These may not be all-inclusive, so please use the 'other' section to include your unique situation. Revolving debt is defined as any constant, monthly payments you make. (ie: car payments, home equity loan, school loans, credit cards...)
Type of Account Approx. Balance Monthly Payment
Combined Credit Cards:
Car Loan:
Car Loan:
School Loan:
School Loan:
Personal Loans:
1st Mortgage
2nd Mortgage
Have you ever been previously married?
YES
NO
If ,YES, is there any allimony/child support, and how much on a monthly basis?
How long will payments continue ?
If you are selling/or will sell this property prior to your new purchase, what will the approx. net proceeds equal?
If you are not selling this property, what will your total monthly cost be to maintain it (ie: loan payments, taxes & Insurance)
If you own a second or third home please give the same info for them in the space provided below:
Have you in the last 7 years declared bankruptcy, suffered foreclosure, had an
account assigned for collection or had any legal action affecting your ability
to finance?
YES
NO
If, YES, explain below:
Is any part of the purchase price or settlement cost being obtained from a source other than shown?
YES
NO
If you answered "YES" and the money in question is other than monies mentioned in the gift section above, please describe below:
How long do you think that you will own the new home that you are financing? 0-5 years 10-15 years 5-10 years 15 or more years
What mortgage term do you prefer? 10 years15 years20 years30 years
How many points are you considering? NoneOneTwoThree
What loan program are you considering? Fixed 1 year arm FHA 3/1 year arm VA 5 or 7 year arm Buydown COFI adjustable 5 or 7 year balloon Other
How much of a loan are you requesting?
Completing this information does not guarantee mortgage approval. this should not be considered an extension of credit. I/We hereby authorize SCOTT MILNE to obtgain a credit report in my/our names, for mortgage application purposes only. The RESPA Act prohibits lenders from distributing credit reports to any third party. Please run my credit Do Not run my credit
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