Finance Application Copy


                

        
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Property Information

Seller/Realtor Name 
Purchase information must be attached.
Property will be:
Loan Type:
Home is being:
Street Address where home will be located, including site #:    
                    
                         
                                        
                                        Street Address
                                    
                                    
                                    City
                                 
                                        
                                        State
                                      
                                    
                                    ZIP Code
                                
                    
                
Street Address where home will be located, including site #:
Whose land is it? 
Estimated Land Value $ 
Purchase Price/Payoff $ 
Date acquired 
Home must be placed on the property described in this section
If Home Only, Site Placement is:
Will the home be located in a Resident-Owned Community (co-op)? 
Are you pledging or purchasing the security interest in the co-op shares? 
If Home Only and Land is Leased:
Name of Community/Park/Land Owner/Mortgage Holder 
Phone*
Monthly Site Payment 
Is the site rent scheduled to increase over the next three years? If so, please explain
Proposed Down Payment 
Source of Down Payment
From Whom 
Explain 
Email Address (for Loan Notices and Documents)
Applicant Email*
                            
                        
Co-Applicant Email
                            
                        



Applicant Infomation



Applicant Residence
Full Name* 
Birth Date*
                            
                            MM slash DD slash YYYY
                        
                        
Social Security #:*
Marital Status*
Applicant Dependents (not including self or those listed by Co-Borrower): 
Number of Dependents: 
Dependent Age(s): 


Co-Applicant Residence
Full Name 
Birth Date
                            
                            MM slash DD slash YYYY
                        
                        
Social Security #:
Marital Status
Applicant Dependents (not including self or those listed by Co-Borrower): 
Number of Dependents: 
Dependent Age(s): 



Applicant Residence
Current Street Address (3 Years Residence Required, attach supplement if needed)*    
                    
                         
                                        
                                        Street Address
                                    
                                    
                                    City
                                 
                                        
                                        State / Province / Region
                                      
                                    
                                    ZIP / Postal Code
                                
                                        
                                        Country
                                    
                    
                
Mailing Address(if different from physical)    
                    
                         
                                        
                                        Street Address
                                    
                                    
                                    City
                                 
                                        
                                        State / Province / Region
                                      
                                    
                                    ZIP / Postal Code
                                
                                        
                                        Country
                                    
                    
                
Home Phone:*
Cell Phone:*
How long at present address?
Years 
Months 
Resident Type
Mo. Mtg/Rent: 
Name of Previous Mortgage Holder or Landlord: 
Telephone number: 
What are the plans for your existing home? If checked other above, explain: 
Previous address (if current address is less than 3 years)    
                    
                         
                                        
                                        Street Address
                                    
                                        
                                        Address Line 2
                                    
                                    
                                    City
                                 
                                        
                                        State / Province / Region
                                      
                                    
                                    ZIP / Postal Code
                                
                    
                
How Long? 
Name of Mortgage Holder or Landlord: 
Telephone number:
Name of nearest Relative NOT living with you: 
Relationship: 
Phone


Co-Applicant Residence
Current Street Address (3 Years Residence Required, attach supplement if needed)    
                    
                         
                                        
                                        Street Address
                                    
                                    
                                    City
                                 
                                        
                                        State / Province / Region
                                      
                                    
                                    ZIP / Postal Code
                                
                                        
                                        Country
                                    
                    
                
Mailing Address(if different from physical)    
                    
                         
                                        
                                        Street Address
                                    
                                    
                                    City
                                 
                                        
                                        State / Province / Region
                                      
                                    
                                    ZIP / Postal Code
                                
                                        
                                        Country
                                    
                    
                
Home Phone:
Cell Phone:
How long at present address?
Years 
Months 
Resident Type
Mo. Mtg/Rent: 
Name of Previous Mortgage Holder or Landlord: 
Telephone number: 
What are the plans for your existing home? If checked other above, explain: 
Previous address (if current address is less than 3 years)    
                    
                         
                                        
                                        Street Address
                                    
                                        
                                        Address Line 2
                                    
                                    
                                    City
                                 
                                        
                                        State / Province / Region
                                      
                                    
                                    ZIP / Postal Code
                                
                    
                
How Long? 
Name of Mortgage Holder or Landlord: 
Telephone number:
Name of nearest Relative NOT living with you: 
Relationship: 
Phone






                    
                    
                          
                    
                
                
                    
                        
Applicant's Employment History

1-Current Employer:* 
Position Held/Occupation: 
Self Employed:
Date Started:
                            
                            MM slash DD slash YYYY
                        
                        
Date Left:
                            
                            MM slash DD slash YYYY
                        
                        
Employer Address:    
                    
                         
                                        
                                        Street Address
                                    
                                        
                                        Address Line 2
                                    
                                    
                                    City
                                 
                                        
                                        State
                                      
                                    
                                    ZIP Code
                                
                    
                
Supervisor Name: 
Supervisor Telephone Number:
List your base pay rate excluding commission, bonuses, and overtime:
How are you paid? (select one below)
# of hours:
$ Salary
$ Salary
Do you receive bonuses? 
How often? 
How much in bonuses over the last 12 months $ 
Do you receive commission? 
How much in commission over the last 12 months $ 
How often? 
2-Second or Previous Employer: 
Position Held/Occupation: 
Self Employed:
Date Started:
                            
                            MM slash DD slash YYYY
                        
                        
Date Left:
                            
                            MM slash DD slash YYYY
                        
                        
Employer Address:    
                    
                        
                                    
                                    City
                                 
                                        
                                        State
                                      
                    
                
Supervisor Name: 
Supervisor Telephone Number:
Income
3-Previous Employer: 
Position Held/Occupation: 
Self Employed:
Date Started:
                            
                            MM slash DD slash YYYY
                        
                        
Date Left:
                            
                            MM slash DD slash YYYY
                        
                        
Employer Address:    
                    
                        
                                    
                                    City
                                 
                                        
                                        State / Province / Region
                                      
                    
                
Supervisor Name: 
Supervisor Telephone Number:
Income
Please provide an explanation for any job gaps greater than 30 days.




Co-Applicant's Employment History

1-Current Employer: 
Position Held/Occupation: 
Self Employed:
Date Started:
                            
                            MM slash DD slash YYYY
                        
                        
Employer Address:    
                    
                         
                                        
                                        Street Address
                                    
                                    
                                    City
                                 
                                        
                                        State
                                      
                                    
                                    ZIP Code
                                
                    
                
Supervisor Name: 
Supervisor Telephone Number:
List your base pay rate excluding commission, bonuses, and overtime:
How are you paid? (select one below)
# of hours:
Salary
Salary
Do you receive bonuses? 
How often? 
How much in bonuses over the last 12 months $ 
Do you receive commission? 
How often? 
How much in commission over the last 12 months $ 
Do you consistently receive overtime? 
How often? 
How much in overtime over the last 12 months $ 
2-Second or Previous Employer: 
Position Held/Occupation: 
Self Employed:
Date Started:
                            
                            MM slash DD slash YYYY
                        
                        
Date Left:
                            
                            MM slash DD slash YYYY
                        
                        
Employer Address:    
                    
                        
                                    
                                    City
                                 
                                        
                                        State
                                      
                    
                
Supervisor Name: 
Supervisor Telephone Number:
Income
3-Previous Employer: 
Position Held/Occupation: 
Self Employed:
Date Started:
                            
                            MM slash DD slash YYYY
                        
                        
Date Left:
                            
                            MM slash DD slash YYYY
                        
                        
Employer Address:    
                    
                        
                                    
                                    City
                                 
                                        
                                        State
                                      
                    
                
Supervisor Name: 
Supervisor Telephone Number:
Income
Please provide an explanation for any job gaps greater than 30 days.



Other Income History


Income from SSI, retirement, disability, alimony, child support or separate maintenance agreement need not be disclosed if you do not wish to have it considered as a basis for undertaking or repaying this debt.


Applicant Other Income
Child Support Monthly Amount
Ages of Children
Alimony or Separate Maintenance
Duration 
Other Source: 
How Long: 
Monthly Amt:


Co-Applicant's Residence
Child Support Monthly Amount
Ages of Children
Alimony or Separate Maintenance
Duration 
Other Source: 
How Long: 
Monthly Amt:





                    
                    
                          
                    
                
                
                    
                        
Asset and Finance Information



Applicant
Bank Name: 
Account type: 
City, St: 
Balance: $
Retirement/401K with: 
City, St: 
Balance: $
Auto #1 (Yr/Make): 
Lender: 
Value: $
Payment: $
Balance: $
Auto #2 (Yr/Make): 
Lender: 
Value: $
Payment: $
Balance: $
Other Asset: 
Lender: 
Value: $
Payment: $
Balance: $
Other Real Estate Owned: 
Lender: 
Value: $
Payment: $
Balance: $
Other Real Estate Owned: 
Lender: 
Value: $
Payment: $
Balance: $
Are you a co-maker or guarantor on a note? If Yes, for whom? 
Creditor: 
Monthly Payment: $


Co-Applicant's
Bank Name: 
Account type: 
City, St 
Balance: $
Retirement/401K with: 
City, St: 
Balance: $ 
Auto #1 (Yr/Make): 
Lender 
Value: $
Payment: $
Balance: $
Auto #2 (Yr/Make): 
Lender 
Value: $
Payment: $
Balance: $
Other Asset: 
Lender: 
Value: $
Payment: $
Balance: $
Other Real Estate Owned:
Lender:
Value: $
Payment: $
Balance: $
Other Real Estate Owned:
Lender:
Value: $
Payment: $
Balance: $
Are you a co-maker or guarantor on a note? If Yes, for whom? 
Creditor: 
Monthly Payment: $





Debts / Obligations



Applicant
Alimony/Maintenance: $
Expiration Date:
                            
                            MM slash DD slash YYYY
                        
                        
Garnishment: $
Child Support: $
List Ages of Children:


Co-Applicant's
Alimony/Maintenance: $
Expiration Date:
                            
                            MM slash DD slash YYYY
                        
                        
Garnishment: $
Child Support: $
List Ages of Children:






Other Extraordinary Recurring Expenses

List other items that have a significant impact to your budget
If you drive more than 20 miles each way to work every day, what is your monthly fuel and maintenance expense other than your car payment?
Child Care Expense:
Other:
Other:
List any Government Assistance Payments to you that help offset household expenses, such as WIC, TANF, or SNAP. You are not required to disclose these amounts if you do not wish to have them considered as a basis in analyzing your ability to undertake or repay this debt.



Questions



Applicant
Are you a U.S. Citizen?*
Are you a permanent resident alien?*
Have you declared bankruptcy within the last 5 years?*
If yes, when did you file? 


Co-Applicant's
Are you a U.S. Citizen?
Are you a permanent resident alien?
Have you declared bankruptcy within the last 5 years?
If yes, when did you file? 





                    
                    
                          
                    
                
                
                    
                        
Ethnicity, Sex, and Race

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, race, and sex) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, race, and sex on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application.
 Instructions: You may select one or more designations for "Ethnicity" and one or more designations for "Race." If you do not wish to provide some or all of this information, select the applicable check box.


Applicant
Ethnicity: Check one or more*
If Hispanic or Latino*
If Other Hispanic or Latino - Enter origin: 
Examples: Argentinian, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, etc.
Race: Check one or more*
Enter name of enrolled or principal tribe: 
If Asian
If Other Asian - Enter race: 
Examples: Hmong, Laotian, Thai, Pakistani, Cambodian, etc.
If Native Hawaiian or Other Pacific Islander
If Other Pacific Islander - Enter race: 
Examples: Fijan, Tongan, etc.
Sex*

Co-Applicant's
Ethnicity: Check one or more
If Hispanic or Latino
If Other Hispanic or Latino - Enter origin: 
Examples: Argentinian, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, etc.
Race: Check one or more
Enter name of enrolled or principal tribe: 
If Asian
If Other Asian - Enter race: 
Examples: Hmong, Laotian, Thai, Pakistani, Cambodian, etc.
If Native Hawaiian or Other Pacific Islander
If Other Pacific Islander - Enter race: 
Examples: Fijan, Tongan, etc.
Sex





                    
                    
                          
                    
                
                
                    
                        
Disclosures


Additional Disclosures
 California:
 An applicant, if married, may apply for a separate account. It is illegal to discriminate in the provision of availability of financial assistance for the purpose of the purchase, construction, rehabilitation of any one to four unit family residences occupied by the owner and for the purpose of the house improvement of any one to four unit family residence by considering:

Trends, characteristics or conditions in the neighborhood or geographic area surrounding a housing accommodation, unless the financial institution can demonstrate in the particular case that such consideration is required to avoid an unsafe and unsound business practice; or

Race, color, religion, sex, marital status, national origin or ancestry.

It is illegal to consider the racial, ethnic, religious or national origin composition of a neighborhood or geographic area surrounding a housing accommodation or whether or not such composition is undergoing change, or is expected to undergo change, in appraising a housing accommodation or in determining whether or not, or under what terms and conditions, to provide financial assistance. If you have questions about your rights, or if you wish to file a complaint, contact the Lender or the California Department of Corporations at: 320 West 4th St, Ste 750, Los Angeles, CA 90013, or 1390 Market St, Ste 810 San Francisco, CA 94102

New York and Vermont: 
In connection with your application for credit, a consumer report may be requested in connection with such application. Upon request, you will be informed whether a consumer report was requested, and if such report was requested, informed of the name and address of the consumer reporting agency that furnished the report. If your application is granted, subsequent consumer reports may be requested or utilized in connection with any updates, renewal or extension of the credit for which application was made or for any other legitimate purpose associated with the account.

Ohio:
 The Ohio laws against discrimination requires that all creditors make credit equally available to all creditworthy customers and that credit reporting maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

Wisconsin:
No provision of a marital property agreement, a unilateral statement under Wisc. Stat. 766.59 or a court decree under Wisc. Stat. 766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement, or decree of has actual knowledge of the adverse provision when the obligation to the creditor is incurred.

NON-APPLICANT SPOUSE WAIVER OF NOTICE: I agree to waive notice of any extension of credit in connection with this application: 
Non-applicant Spouse: 
Date
                            
                            MM slash DD slash YYYY
                        
                        
Additional disclosures may be required for the following states: Illinois and New York. 

These documents are separate from this application and must be submitted with the application for the lender to process your request

Each of the undersigned specifically represents to Lender and to Lender's actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknowledges that: 

 the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of the information contained in the application may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provision of Title 18, United States Code, Sec. 1001, et seq.; 
 the loan requested pursuant to the application (the "Loan") will be secured by a mortgage, deed of trust, or other consensual security interest; 
 the property will not be used for any illegal or prohibited purpose or use;
all statements made in the application are made for the purpose of obtaining a residential mortgage loan; 
the property will be occupied as indicated herein; 
 any owner or servicer of the Loan may verify or re-verify any information contained in the application from any source named in the application, and Lender, its successors or assigns may retain the original and/or electronic record of the application, even if the Loan in not approved; 
the Lenders and its agents, brokers, insurers, servicers, successors, and assigns may continuously rely on the information contained in the application, and I am obligated to amend and/or supplement the information provided in the application if any of the material facts that I have represented herein should change prior to the closing of the Loan;
 in the event my payments on the Loan become delinquent, the owner or servicer of the Loan may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer credit reporting agencies; 
 ownership of the Loan and / or administration of the Loan account may be transferred with such notice as may be required by law; 
 neither Lender nor its agents, brokers, insurers, servicers, successors, or assigns has made any representation or warranty, expressed or implied, to me regarding the property or the condition or value of the property; and 
my transmission of the application as an "electronic record" containing my "electronic signature" as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of the application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of the application were delivered containing my original signature. I give permission to Lender to investigate my credit and employment history and authorize my employer, landlord, depository institution, and credit company to release information about me. 

I acknowledge that my dealer is neither a broker nor a credit grantor. This application may be considered withdrawn if I do not inquire about its status within 30 days of the date of this notice.

Have you frozen your credit report? If so, please be sure to contact all affected credit reporting agencies to lift the freeze BEFORE submitting your application.
www.equifax.com, www.transunion.com, www.experian.com


Applicant Signature*
						
Date
                            
                            MM slash DD slash YYYY
                        
                        


Co-Applicant Signature
						
Date
                            
                            MM slash DD slash YYYY
                        
                        

Admin Use Only 




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We Provide Financing Options that Work for You

Step 1 of 5

Property Information

Email Address (for Loan Notices and Documents)

Applicant Infomation

Applicant Residence

Co-Applicant Residence

Applicant Residence

Co-Applicant Residence

Applicant's Employment History

Co-Applicant's Employment History

Other Income History

Applicant Other Income

Co-Applicant's Residence

Asset and Finance Information

Applicant

Co-Applicant's

Debts / Obligations

Applicant

Co-Applicant's

Other Extraordinary Recurring Expenses

List other items that have a significant impact to your budget

Questions

Applicant

Co-Applicant's

Ethnicity, Sex, and Race

Applicant

Co-Applicant's

Disclosures

Additional Disclosures

California:

New York and Vermont:

Ohio:

Wisconsin:

NON-APPLICANT SPOUSE WAIVER OF NOTICE: I agree to waive notice of any extension of credit in connection with this application:

These documents are separate from this application and must be submitted with the application for the lender to process your request

Have you frozen your credit report? If so, please be sure to contact all affected credit reporting agencies to lift the freeze BEFORE submitting your application.
