1003 Uniform Residential Loan Application - 1-2021 (James Casey Thompson)

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To be completed by the Lender: RWE0000116777 / 549300GKFNPRWNS0GF29-

Lender Loan No./Universal Loan Identifier RWE0000116777-46 Agency Case No.

Uniform Residential Loan Application


Verify and complete the information on this application. If you are applying for this loan with others, each additional Borrower must provide information as
directed by your Lender.

Section 1: Borrower Information. This section asks about your personal information and your income from employment and other sources, such
as retirement, that you want considered to qualify for this loan.

1a. Personal Information


Name (First, Middle, Last, Suffix) Social Security Number 504-90-6723
James Casey Thompson (or Individual Taxpayer Identification Number)
Alternate Names - List any names by which you are known or any names Date of Birth Citizenship
under which credit was previously received (First, Middle, Last, Suffix) (mm/dd/yyyy) U.S. Citizen
07/04/1971 Permanent Resident Alien
Non-Permanent Resident Alien
Type of Credit List Name(s) of Other Borrower(s) Applying for this Loan
I am applying for individual credit. (First, Middle, Last, Suffix) - Use a separator between names
I am applying for joint credit. Total Number of Borrowers:
Each Borrower intends to apply for joint credit. Your initials:

Marital Status Dependents (not listed by another Borrower) Contact Information


Married Number 3
Separated Ages 19,15,14 Home Phone (605) 999-0575
Unmarried Cell Phone (605) 999-0575
(Single, Divorced, Widowed, Civil Union, Domestic Partnership, Registered Work Phone Ext.
Reciprocal Beneficiary Relationship) Email [email protected]

Current Address
Street 5111 Cale Ct. Unit #
City Rapid City State SD ZIP 57701 Country United States
How Long at Current Address? 6 Years 5 Months Housing No primary housing expense Own Rent ($ /month)

If at Current Address for LESS than 2 years, list Former Address Does not apply

Mailing Address - if different from Current Address Does not apply

1b. Current Employment/Self-Employment and Income Does not apply


Employer or Business Name TKO Hotels Phone (605) 229-0030 Gross Monthly Income
Street P.o. box 15 Unit # Base $ 8,166.69 /month
City Aberdeen State SD ZIP 57402 Country United States Overtime $ /month
Check if this statement applies: Bonus $ /month
Position or Title Regional Manager
I am employed by a family member, Commission $ /month
Start Date 12/14/2009 (mm/dd/yyyy) property seller, real estate agent, or other Military
How long in this line of work? 25 Years Months party to the transaction. Entitlements $ /month
Check if you are the Business I have an ownership share of less than 25%. Monthly Income (or Loss) Other $ /month
Owner or Self-Employed I have an ownership share of 25% or more. $ TOTAL $ 8,166.69 /month

1c. IF APPLICABLE, Complete Information for Additional Employment/Self-Employment and Income Does not apply

1d. IF APPLICABLE, Complete Information for Previous Employment/Self-Employment and Income Does not apply
Provide at least 2 years of current and previous employment and income.

Borrower Name: James Casey Thompson


Uniform Residential Loan Application
Freddie Mac Form 65 • Fannie Mae Form 1003
Effective 1/2021

20667.246 Page 1 of 8
RWE0000116777

1e. Income from Other Sources Does not apply


Include income from other sources below. Under Income Source, choose from the sources listed here:
• Alimony • Child Support • Interest and Dividends • Notes Receivable • Royalty Payments • Unemployment
• Automobile Allowance • Disability • Mortgage Credit Certificate • Public Assistance • Separate Maintenance Benefits
• Boarder Income • Foster Care • Mortgage Differential • Retirement • Social Security • VA Compensation
• Capital Gains • Housing or Parsonage Payments (e.g., Pension, IRA) • Trust • Other

NOTE: Reveal alimony, child support, separate maintenance, or other income ONLY IF you want it considered in determining your qualification for this loan.

Section 2: Financial Information - Assets and Liabilities. This section asks about things you own that are worth money and that you want
considered to qualify for this loan. It then asks about your liabilities (or debts) that you pay each month, such as credit cards, alimony, or other expenses.

2a. Assets - Bank Accounts, Retirement, and Other Accounts You Have
Include all accounts below. Under Account Type, choose from the types listed here:
• Checking • Certificate of Deposit • Stock Options • Bridge Loan Proceeds • Trust Account
• Savings • Mutual Fund • Bonds • Individual Development • Cash Value of Life Insurance
• Money Market • Stocks • Retirement (e.g., 401k, IRA) Account (used for the transaction)
Account Type - use list above Financial Institution Account Number Cash or Market Value
$
Provide TOTAL Amount Here $

2b. Other Assets and Credits You Have Does not apply
Include all other assets and credits below. Under Asset or Credit Type, choose from the types listed here:
Assets Credits
• Proceeds from Real Estate • Proceeds from Sale of • Unsecured Borrowed Funds • Earnest Money • Relocation Funds • Sweat Equity
Property to be sold on or Non-Real Estate Asset • Other • Employer Assistance • Rent Credit • Trade Equity
before closing • Secured Borrowed Funds • Lot Equity

2c. Liabilities - Credit Cards, Other Debts, and Leases that You Owe Does not apply
List all liabilities below (except real estate) and include deferred payments. Under Account Type, choose from the types listed here:
• Revolving (e.g., credit cards) • Installment (e.g., car, student, personal loans) • Open 30-Day (balance paid monthly) • Lease (not real estate) • Other
Account Type - To be paid off at
use list above Company Name Account Number Unpaid Balance or before closing Monthly Payment
Revolving AMEX -34999******85593 $ 34,753.00 $ (1,737.65)
Revolving AMEX -34999******55543 $ 1,484.00 $ (46.00)
Revolving BANK OF AMERICA 414734******9389 $ 13,360.00 $ (336.00)
Installment FIRST INTERSTATE 30000000099046196250 $ 9,956.00 $ (425.00)
BANK 719
Installment WELLS FARGO DEALER 510511164979 $ 9,626.00 $ (341.00)
SVC

2d. Other Liabilities and Expenses Does not apply


Include all other liabilities and expenses below. Choose from the types listed here:
• Alimony • Child Support • Separate Maintenance • Job Related Expenses • Other

Borrower Name: James Casey Thompson


Uniform Residential Loan Application
Freddie Mac Form 65 • Fannie Mae Form 1003
Effective 1/2021

20667.246 Page 2 of 8
RWE0000116777

Section 3: Financial Information - Real Estate. This section asks you to list all properties you currently own and what you owe on
them. I do not own any real estate

3a. Property You Own If you are refinancing, list the property you are refinancing FIRST.
Address Street 5111 Cale Ct. Unit #
City Rapid City State SD ZIP 57701 Country
Intended Occupancy:
Monthly Insurance, Taxes, For 2-4 Unit Primary or Investment Property
Status: Sold, Investment, Primary
Association Dues, etc.
Pending Sale, Residence, Second if not included in Monthly Monthly Rental For LENDER to calculate:
Property Value or Retained Home, Other Mortgage Payment Income Net Monthly Rental Income
$608,200.00 Retained Primary Residence $ $ $
Mortgage Loans on this Property Does not apply
Monthly Type: FHA, VA,
Mortgage To be paid off at Conventional, Credit Limit
Creditor Name Account Number Payment Unpaid Balance or before closing USDA-RD, Other (if applicable)
ROCKET MORTGAGE 8673453949234 ($1,973.00) $313,473.00 Conventional $

Section 4: Loan and Property Information. This section asks about the loan's purpose and the property you want to purchase or
refinance.
4a. Loan and Property Information
Loan Amount $ 404,500.00 Loan Purpose Purchase Refinance Other (specify)
Property Address Street 5111 Cale Ct Unit #
City Rapid City State SD ZIP 57701 County Pennington
Number of Units 1 Property Value $ 608,200.00
Occupancy Primary Residence Second Home Investment Property FHA Secondary Residence
1. Mixed-Use Property. If you will occupy the property, will you set aside space within the property to operate your own business?
(e.g., daycare facility, medical office, beauty/barber shop) NO YES
2. Manufactured Home. Is the property a manufactured home? (e.g., a factory built dwelling built on a permanent chassis) NO YES

4b. Other New Mortgage Loans on the Property You are Buying or Refinancing Does not apply

4c. Rental Income on the Property You Want to Purchase For Purchase Only Does not apply

4d. Gifts or Grants You Have Been Given or Will Receive for this Loan Does not apply
Include all gifts and grants below. Under Source, choose from the sources listed here:
• Community Nonprofit • Federal Agency • Relative • State Agency • Lender
• Employer • Local Agency • Religious Nonprofit • Unmarried Partner • Other

Borrower Name: James Casey Thompson


Uniform Residential Loan Application
Freddie Mac Form 65 • Fannie Mae Form 1003
Effective 1/2021

20667.246 Page 3 of 8
RWE0000116777

Section 5: Declarations. This section asks you specific questions about the property, your funding, and your past financial history.

5a. About this Property and Your Money for this Loan
A. Will you occupy the property as your primary residence? NO YES
If YES, have you had an ownership interest in another property in the last three years? NO YES
If YES, complete (1) and (2) below:
(1) What type of property did you own: primary residence (PR), FHA secondary residence (SR), second home (SH), or
investment property (IP)?
(2) How did you hold title to the property: by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?

B. If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property? NO YES
C. Are you borrowing any money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining
any money from another party, such as the seller or realtor, that you have not disclosed on this loan application? NO YES
If YES, what is the amount of this money? $
D. 1. Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before NO YES
closing this transaction that is not disclosed on this loan application?
2. Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan that NO YES
is not disclosed on this application?
E. Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through
NO YES
your property taxes (e.g., the Property Assessed Clean Energy Program)?

5b. About Your Finances


F. Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application? NO YES
G. Are there any outstanding judgments against you? NO YES
H. Are you currently delinquent or in default on a Federal debt? NO YES
I. Are you a party to a lawsuit in which you potentially have any personal financial liability? NO YES
J. Have you conveyed title to any property in lieu of foreclosure in the past 7 years? NO YES
K. Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party
NO YES
and the Lender agreed to accept less than the outstanding mortgage balance due?
L. Have you had property foreclosed upon in the last 7 years? NO YES
M. Have you declared bankruptcy within the past 7 years?
NO YES
If YES, identify the type(s) of bankruptcy: Chapter 7 Chapter 11 Chapter 12 Chapter 13

Borrower Name: James Casey Thompson


Uniform Residential Loan Application
Freddie Mac Form 65 • Fannie Mae Form 1003
Effective 1/2021

20667.246 Page 4 of 8
RWE0000116777

Section 6: Acknowledgments and Agreements. This section tells you about your legal obligations when you sign this application.
Acknowledgments and Agreements
Definitions: • If this application is created as (or converted into) an "electronic
• "Lender" includes the Lender's agents, service providers, and any of their application", I consent to the use of "electronic records" and "electronic
successors and assigns. signatures" as the terms are defined in and governed by applicable Federal
and/or state electronic transactions laws.
• "Other Loan Participants" includes (i) any actual or potential owners of a
• I intend to sign and have signed this application either using my:
loan resulting from this application (the "Loan"), (ii) acquirers of any
beneficial or other interest in the Loan, (iii) any mortgage insurer, (iv) any (a) electronic signature; or
guarantor, (v) any servicer of the Loan, and (vi) any of these parties' (b) a written signature and agree that if a paper version of this
service providers, successors or assigns. application is converted into an electronic application, the application
I agree to, acknowledge, and represent the following: will be an electronic record, and the representation of my written
(1) The Complete Information for this Application signature on this application will be my binding electronic signature.
• I agree that the application, if delivered or transmitted to the Lender or
• The information I have provided in this application is true, accurate, and
complete as of the date I signed this application. Other Loan Participants as an electronic record with my electronic
signature, will be as effective and enforceable as a paper application
• If the information I submitted changes or I have new information before signed by me in writing.
closing of the Loan, I must change and supplement this application,
including providing any updated/supplemented real estate sales contract. (5) Delinquency
• For purchase transactions: The terms and conditions of any real estate • The Lender and Other Loan Participants may report information about my
sales contract signed by me in connection with this application are true, account to credit bureaus. Late payments, missed payments, or other
accurate, and complete to the best of my knowledge and belief. I have not defaults on my account may be reflected in my credit report and will likely
entered into any other agreement, written or oral, in connection with this affect my credit score.
real estate transaction. • If I have trouble making my payments I understand that I may contact a
• The Lender and Other Loan Participants may rely on the information HUD-approved housing counseling organization for advice about actions I
contained in the application before and after closing of the Loan. can take to meet my mortgage obligations.
• Any intentional or negligent misrepresentation of information may result (6) Authorization for Use and Sharing of Information
in the imposition of: By signing below, in addition to the representations and agreements made
(a) civil liability on me, including monetary damages, if a person suffers above, I expressly authorize the Lender and Other Loan Participants to
any loss because the person relied on any misrepresentation that I obtain, use, and share with each other (i) the loan application and related
have made on this application, and/or loan information and documentation, (ii) a consumer credit report on me,
(b) criminal penalties on me including, but not limited to, fine or and (iii) my tax return information, as necessary to perform the actions
imprisonment or both under the provisions of Federal law (18 U.S.C. listed below, for so long as they have an interest in my loan or its servicing:
§§ 1001 et seq.). (a) process and underwrite my loan;
(2) The Property's Security (b) verify any data contained in my consumer credit report, my loan
The Loan I have applied for in this application will be secured by a mortgage application and other information supporting my loan application;
or deed of trust which provides the Lender a security interest in the (c) inform credit and investment decisions by the Lender and Other Loan
property described in this application. Participants;
(3) The Property's Appraisal, Value, and Condition (d) perform audit, quality control, and legal compliance analysis and
• Any appraisal or value of the property obtained by the Lender is for use by
reviews;
the Lender and Other Loan Participants. (e) perform analysis and modeling for risk assessments;
• The Lender and Other Loan Participants have not made any representation (f) monitor the account for this loan for potential delinquencies and
or warranty, express or implied, to me about the property, its condition, or determine any assistance that may be available to me; and
its value. (g) other actions permissible under applicable law.
(4) Electronic Records and Signatures
• The Lender and Other Loan Participants may keep any paper record
and/or electronic record of this application, whether or not the Loan is
approved.

Borrower Signature 11/16/2022 Date (mm/dd/yyyy)

Section 7: Military Service. This section asks questions about your (or your deceased spouse's) military service.
Military Service of Borrower
Military Service - Did you (or your deceased spouse) ever serve, or are you currently serving, in the United States Armed Forces? NO YES
If YES, check all that apply: Currently serving on active duty with projected expiration date of service/tour (mm/dd/yyyy)
Currently retired, discharged, or separated from service
Only period of service was as a non-activated member of the Reserve or National Guard
Surviving spouse

Borrower Name: James Casey Thompson


Uniform Residential Loan Application
Freddie Mac Form 65 • Fannie Mae Form 1003
Effective 1/2021

20667.246 Page 5 of 8
RWE0000116777

Section 8: Demographic Information. This section asks about your ethnicity, sex, and race.
Demographic Information of Borrower
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,
sex, and race) 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. You may select one or more designations for "Ethnicity" and one or more designations for "Race." 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, sex, and race 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.
If you do not wish to provide some or all of this information, please check below.
Ethnicity: Check one or more Race: Check one or more
Hispanic or Latino American Indian or Alaska Native - Print name of enrolled or principal tribe:
Mexican Puerto Rican Cuban
Other Hispanic or Latino - Print origin: Asian
Asian Indian Chinese Filipino
For example: Argentinean, Colombian, Dominican, Nicaraguan, Japanese Korean Vietnamese
Salvadoran, Spaniard, and so on. Other Asian - Print race:
Not Hispanic or Latino
I do not wish to provide this information
For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.
Sex Black or African American
Female Native Hawaiian or Other Pacific Islander
Male Native Hawaiian Guamanian or Chamorro Samoan
I do not wish to provide this information Other Pacific Islander - Print race:

For example: Fijian, Tongan, and so on.


White
I do not wish to provide this information

To Be Completed by Financial Institution (for application taken in person):


Was the ethnicity of the Borrower collected on the basis of visual observation or surname? NO YES
Was the sex of the Borrower collected on the basis of visual observation or surname? NO YES
Was the race of the Borrower collected on the basis of visual observation or surname? NO YES
The Demographic Information was provided through:
Face-to-Face Interview (includes Electronic Media w/ Video Component) Telephone Interview Fax or Mail Email or Internet

Section 9: Loan Originator Information. To be completed by your Loan Originator.

Loan Originator Information


Loan Originator Organization Name CMG Mortgage, Inc. dba CMG Home Loans
Address 909 St. Joseph Street Seventh Floor, Rapid City, SD 57701
Loan Originator Organization NMLSR ID# 1820 State License ID# 1616119
Loan Originator Name Tanner Steven Oman
Loan Originator NMLSR ID# 1381402 State License ID# MLO.04142
Email [email protected] Phone (605) 219-8052

Signature Tanner Steven Oman Date (mm/dd/yyyy) 11/11/2022

Borrower Name: James Casey Thompson


Uniform Residential Loan Application
Freddie Mac Form 65 • Fannie Mae Form 1003
Effective 1/2021

20667.246 Page 6 of 8
RWE0000116777

To be completed by the Lender: RWE0000116777 / 549300GKFNPRWNS0GF29-


Lender Loan No./Universal Loan Identifier RWE0000116777-46 Agency Case No.

Uniform Residential Loan Application - Lender Loan Information


This section is completed by your Lender.

L1. Property and Loan Information


Community Property State Refinance Type Refinance Program
At least one borrower lives in a community property state. No Cash Out Full Documentation
The property is in a community property state. Limited Cash Out Interest Rate Reduction
Cash Out Streamlined without Appraisal
Transaction Detail
Other
Conversion of Contract for Deed or Land Contract
Renovation Energy Improvement
Construction-Conversion/Construction-to-Permanent Mortgage loan will finance energy-related improvements.
Single-Closing Two-Closing Property is currently subject to a lien that could take priority over the
Construction/Improvement Costs $ first mortgage lien, such as a clean energy lien paid through property
Lot Acquired Date (mm/dd/yyyy) taxes (e.g., the Property Assessed Clean Energy program).
Original Cost of Lot $

Project Type Condominium Cooperative Planned Unit Development (PUD) Property is not located in a project

L2. Title Information


Title to the Property Will be Held in What Name(s): For Refinance: Title to the Property is Currently Held in What Name(s):
James Casey Thompson
Estate Will be Held in Trust Information
Fee Simple Title Will be Held by an Inter Vivos (Living) Trust
Leasehold Expiration Date (mm/dd/yyyy) Title Will be Held by a Land Trust
Manner in Which Title Will be Held Indian Country Land Tenure
Sole Ownership Joint Tenancy with Right of Survivorship Fee Simple On a Reservation
Life Estate Tenancy by the Entirety Individual Trust Land (Allotted/Restricted)
Tenancy in Common Other Tribal Trust Land On a Reservation
Tribal Trust Land Off Reservation
Alaska Native Corporation Land

L3. Mortgage Loan Information


Mortgage Type Applied For Terms of Loan Mortgage Lien Type
Conventional USDA-RD Note Rate 5.7500 % First Lien
FHA VA Other: Loan Term 360 (months) Subordinate Lien

Amortization Type Proposed Monthly Payment for Property


Fixed Rate Other (explain): First Mortgage (P & I) $ 2,360.55
Adjustable Rate
Subordinate Lien(s) (P & I) $
If Adjustable Rate:
Homeowner's Insurance $ 170.58
Initial Period Prior to First Adjustment 120 (months)
Subsequent Adjustment Period 6 (months) Supplemental Property Insurance $
Loan Features Property Taxes $ 484.15
Balloon / Balloon Term (months) Mortgage Insurance $
Interest Only / Interest Only Term (months)
Association/Project Dues (Condo, Co-Op, PUD) $
Negative Amortization
Prepayment Penalty / Prepayment Penalty Term (months) Other $
Temporary Interest Rate Buydown / Initial Buydown Rate % TOTAL $ 3,015.28
Other (explain):

Borrower Name: James Casey Thompson


Uniform Residential Loan Application - Lender Loan Information
Freddie Mac Form 65 • Fannie Mae Form 1003
Effective 1/2021

20667.246 Page 7 of 8
RWE0000116777

L4. Qualifying the Borrower - Minimum Required Funds or Cash Back


DUE FROM BORROWER(S)
A. Sales Contract Price $
B. Improvements, Renovations, and Repairs $
C. Land (if acquired separately) $
D. For Refinance: Balance of Mortgage Loans on the Property to be paid off in the Transaction
(See Table 3a. Property You Own) $ 313,473.00
E. Credit Cards and Other Debts Paid Off
(See Table 2c. Liabilities - Credit Cards, Other Debts, and Leases that You Owe) $ 69,179.00
F. Borrower Closing Costs (including Prepaid and Initial Escrow Payments) $ 8,291.57
G. Discount Points $ 6,269.75
H. TOTAL DUE FROM BORROWER(s) (Total of A thru G) $ 397,213.32
TOTAL MORTGAGE LOANS
I. Loan Amount
Loan Amount Excluding Financed Mortgage Insurance (or Mortgage Insurance Equivalent) $ 404,500.00
Financed Mortgage Insurance (or Mortgage Insurance Equivalent) Amount $ $ 404,500.00
J. Other New Mortgage Loans on the Property the Borrower(s) is Buying or Refinancing
(See Table 4b. Other New Mortgage Loans on the Property You are Buying or Refinancing) $
K. TOTAL MORTGAGE LOANS (Total of I and J) $ 404,500.00
TOTAL CREDITS
L. Seller Credits (Enter the amount of Borrower(s) costs paid by the property seller) $
M. Other Credits (Enter the sum of all other credits - Borrower Paid Fees, Earnest Money, Employer Assisted
Housing, Lease Purchase Fund, Lot Equity, Relocation Funds, Sweat Equity, Trade Equity, Other) $
N. TOTAL CREDITS (Total of L and M) $

CALCULATION
TOTAL DUE FROM BORROWER(s) (Line H) $ 397,213.32
LESS TOTAL MORTGAGE LOANS (Line K) AND TOTAL CREDITS (Line N) -$ 404,500.00
Cash From/To the Borrower (Line H minus Line K and Line N)
NOTE: This amount does not include reserves or other funds that may be required by the Lender to be verified. $ -7,286.68

Borrower Name: James Casey Thompson


Uniform Residential Loan Application - Lender Loan Information
Freddie Mac Form 65 • Fannie Mae Form 1003
Effective 1/2021

20667.246 Page 8 of 8

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