Borrower Co-Borrower Total
* Base Employment Income:
Overtime:
Bonus:
Commission Income:
Dividends / Interest:
Net Rental Income:
Total Income:
Borrower Co-Borrower
Are there any judgements against you? Yes No Yes No
Have you been declared bankrupt within the past 7 years? Yes No Yes No
Have you had property foreclosed upon or given title or deed in lieu thereof in the past 7 years? Yes No Yes No
Are you a party to a lawsuit? Yes No Yes No
Are you obligated to pay alimony, child support, or separate maintenance? Yes No Yes No
Is any part of the down payment borrowed? Yes No Yes No
Are you a co-maker or endorser on a note? Yes No Yes No
Are you a U.S. citizen? Yes No Yes No
Are you a permanent resident alien? Yes No Yes No
Do you intend to occupy the property as your primary residence? Yes No Yes No
If "Yes," have you had an ownership interest in a property in the last 3 years? Yes No Yes No
(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-solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
* Social Security Number
Have you directly or indirectly been obligated on any loan, which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement? Yes No Yes No
This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgages, financial obligation, bond, or loan guarantee. If "yes" provide details, name and address of the Lender, FHA or VA case number, if any, and reasons of action in the text box below.
Are you presently delinquent of in default on any Federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee? Yes No Yes No
If "yes" provide details, name and address of the Lender, FHA or VA case number, if any, and reasons of action in the text box.