URLA 1003 Fillable

Download as pdf or txt
Download as pdf or txt
You are on page 1of 4

Uniform Residential Loan Application

This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete this form as "Borrower" or "Co-Borrower," as applicable.
Co-Borrower information must also be provided (and the appropriate box checked) when the income or assets of a person other than the Borrower (including the Borrower's
spouse) will be used as a basis for loan qualification or the income or assets of the Borrower's spouse or other person who has community property rights pursuant to state law
will not be used as a basis for loan qualification, but his or her liabilities must be considered because the spouse or other person has community property rights pursuant to applicable
law and Borrower resides in a community property state, the security property is located in a community property state, or the Borrower is relying on other property located in a
community property state as a basis for repayment of the loan.

If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below):

Borrower Co-Borrower
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage V.A. Conventional Other (Explain): Agency Case Number Lender Case Number
Applied for:
FHA USDA/Rural
Housing Service S
Amount Interest Rate No. of Months Amortization Fixed Rate Other (explain):
Type:
$ % 3 GPM ARM (type):

II. PROPERTY INFORMATION AND PURPOSE OF LOAN


Subject Property Address (street, city, state, & ZIP) No. of Units
1
Legal Description of Subject Property (attach description if necessary) Year Built

Purpose of Loan Purchase Construction Other (Explain) Property will be:


Primary Secondary Investment
Refinance Construction-Permanent Residence Residence

Complete this line if construction or construction-permanent loan.


Year Lot Original Cost Amount Existing Liens (a) Present Value of Lot (b) Cost of Improvements Total (a+b)
Acquired
$ $ $ $ $

Complete this line if this is a refinance loan.


Year Original Cost Amount Existing Liens Purpose of Refinance Describe Improvements made to be made
Acquired

$ $
Cost: $
Title will be held in what Name(s) Manner in which Title will be held Estate will be held in:
Fee Simple

Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain) Leasehold (show
expiration date)

Borrower III. BORROWER INFORMATION Co-Borrower


Borrower's Name (including Jr. or Sr. if applicable) Co-Borrower's Name (including Jr. or Sr. if applicable)

Social Security Number Home Phone (incl. area code) DOB (MM/DD/YYYY) Yrs. School Social Security Number Home Phone (incl. area code) DOB (MM/DD/YYYY) Yrs. School

Married Separated Dependents (not listed by Co-Borrower) Married Separated Dependents (not listed by Borrower)
no. ages no. ages
Unmarried (includes single, divorced, widowed) Unmarried (includes single, divorced, widowed)

Present Address (street, city, state, ZIP) Own Rent Present Address (street, city, state, ZIP) Own Rent
______________ No. Yrs. ______________ No. Yrs.

Mailing Address, if different from Present Address Mailing Address, if different from Present Address

If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP) Own Rent Former Address (street, city, state, ZIP) Own Rent
______________ No. Yrs. ______________ No. Yrs.

Borrower IV. EMPLOYMENT INFORMATION Co-Borrower


Name & Address of Employer Self Employed Yrs. on this job Name & Address of Employer Self Employed Yrs. on this job

Yrs. employed in this line of Yrs. employed in this line of


work/profession work/profession

Position/Title/Type of Business Business Phone (incl. area code) Position/Title/Type of Business Business Phone (incl. area code)

If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Name & Address of Employer Self Employed Dates (from - to) Name & Address of Employer Self Employed Dates (from - to)

Monthly Income Monthly Income


$ $
Position/Title/Type of Business Business Phone (incl. area code) Position/Title/Type of Business Business Phone (incl. area code)

Name & Address of Employer Self Employed Dates (from - to) Name & Address of Employer Self Employed Dates (from - to)

Monthly Income Monthly Income


$ $
Position/Title/Type of Business Business Phone (incl. area code) Position/Title/Type of Business Business Phone (incl. area code)

Borrower

Co-Borrower

Freddie Mac Form 65 7/05 (rev. 6/09), Fannie Mae Form 1003 7/05 (rev. 6/09) Page 1 of 4 www.bytesoftware.com 800-695-1008
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Gross Monthly Income Borrower Co-Borrower Total Combined Monthly Housing Expenses Present Proposed

Base Empl. Income* $ $ $ Rent $


Overtime First Mortgage (P&I) $
Bonuses Other Financing (P&I)

Commissions Hazard Insurance

Dividends/Interest Real Estate Taxes

Net Rental Income Mortgage Insurance

Other (before completing, Homeowner Assn. Dues


see the notice in "describe
other income," below) Other:

Total $ $ $ Total $ $
* Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

Describe Other Income Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower (B)
B/C or Co-Borrower (C) does not choose to have it considered for repaying this loan.
Monthly Amount
$

VI. ASSETS AND LIABILITIES


This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are sufficiently joined so that the Statement can be
meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules are required. If the Co-Borrower section was completed about a non-applicant spouse or other person,
this Statement and supporting schedules must be completed about that spouse or other person also.
Completed Jointly Not Jointly

Cash or Market Value Liabilities and Pledged Assets. List the creditor's name, address and account number for all outstanding debts, including
ASSETS automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use continuation
Description sheet, if necessary. Indicate by (*) those liabilities, which will be satisfied upon sale of real estate owned or upon refinancing
Cash deposit toward purchase held by: $ of the subject property.
Monthly Payment & Unpaid
LIABILITIES Months Left to Pay Balance
Name and address of Company $ Payment/Months $

List checking and savings account below


Name and address of Bank, S&L, or Credit Union

Acct. No.

Name and address of Company $ Payment/Months $


Acct. No. $

Name and address of Bank, S&L, or Credit Union

Acct. No.

Name and address of Company $ Payment/Months $


Acct. No. $

Name and address of Bank, S&L, or Credit Union

Acct. No.

Name and address of Company $ Payment/Months $


Acct. No. $

Name and address of Bank, S&L, or Credit Union

Acct. No.

Name and address of Company $ Payment/Months $


Acct. No. $
Stocks & Bonds (Company name/number & $
description

Acct. No.

Name and address of Company $ Payment/Months $

Life insurance net cash value: $


Face amount: $

Subtotal Liquid Assets $


Real estate owned (enter market value from $
schedule of real estate owned)
Acct. No.

Vested interest in retirement fund Name and address of Company $ Payment/Months $


$
Net worth of business(es) owned $
(attach financial statement)

Automobiles owned (make and year) $

Acct. No.
Alimony/Child Support/Separate Maintenance Payments Owed $
to:
Other Assets (itemize) $
Job Related Expense (child care, union dues etc.) $

Total Monthly Payments $


Total Assets a. $ $
Net Worth (a minus b) Total Liabilities b. $

Borrower

Co-Borrower
Freddie Mac Form 65 7/05 (rev. 6/09), Fannie Mae Form 1003 7/05 (rev. 6/09) Page 2 of 4 www.bytesoftware.com 800-695-1008
VI. ASSETS AND LIABILITIES (cont.)
Schedule of Real Estate Owned (if additional properties are owned, use continuation sheet.)
Property Address (enter S if sold, PS if pending sale, or R if Type of Present Market Value Amount of Mortgages Gross Rental Mortgage Insurance, Net Rental Income
rental being held for income) Property & Liens Income Payments Maintenance,
Taxes & Misc.

$ $ $ $ $ $

$ $ $ $ $ $

$ $ $ $ $ $

Totals $ $ $ $ $ $
List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s):
Alternate Name Creditor Name Account Number

VII. DETAILS OF TRANSACTION VIII. DECLARATIONS


a. Purchase price $ If you answer "Yes" to any questions a through i , please use Borrower Co-Borrower
continuation sheet for explanation.
b. Alterations,improvements, repairs Yes No Yes No

c. Land (if acquired separately) a. Are there any outstanding judgments against you?

d. Refinance (incl. debts to be paid off) b. Have you been declared bankrupt within the past 7 years?
c. Have you had property foreclosed upon or given title or deed in
e. Estimated prepaid items 0 lieu thereof in the last 7 years?
f. Estimated closing costs 0 d. Are you a party to a lawsuit?

g. PMI, MIP, Funding Fee e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of
title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans,
h. Discount (if Borrower will pay) 0 SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any
mortgage, financial obligation, bond, or loan guarantee. If "Yes," provide details, including date,
i. Total costs (add items a through h)
0 name and address of Lender, FHA or VA case number, if any, and reasons for the action.)
j. Subordinate financing
k. Borrower's closing costs paid by Seller f. Are you presently delinquent or in default on any Federal debt or
any other loan, mortgage, financial obligation, bond, or loan
l. Other Credits (explain) guarantee? If "Yes," give details as described in the preceding
Application Deposit question.

Earnest Money g. Are you obligated to pay alimony, child support, or separate
maintenance?
h. Is any part of the down payment borrowed?
i. Are you a co-maker or endorser on a note?
j. Are you a U.S. citizen?
k. Are you a permanent resident alien?
l.Do you intend to occupy the property as your primary
m. Loan amount (exclude PMI, MIP, Funding Fee residence? If "Yes," complete question m below.
financed) m. Have you had an ownership interest in a property in the last three
years?
n. PMI,MIP, Funding Fee financed
(1) What type of property did you own - - principal residence
o. Loan amount (add m & n) (PR), second home (SH), or investment property (IP)?
(2) How did you hold title to the home - - solely by yourself (S),
p. Cash from/ to Borrower (subtract j, k, l & o from i) jointly with your spouse (SP), or jointly with another person
(O)?

IX. ACKNOWLEDGMENT AND AGREEMENT


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: (1) 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 this
information contained in this 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 provisions of Title 18, United States Code, Sec. 1001, et seq.; (2) the loan requested
pursuant to this application (the "Loan") will be secured by a mortgage or deed of trust on the property described in this application; (3) the property will not be used for any illegal or prohibited purpose
or use; (4) all statements made in this application are made for the purpose of obtaining a residential mortgage loan; (5) the property will be occupied as indicated in this application;
(6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application, whether or not the Loan is approved; (7) the Lender 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 this
application if any of the material facts that I have represented herein should change prior to closing of the Loan; (8) in the event that my payments on the Loan become delinquent, the Lender, its
servicers, successors or assigns 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
reporting agencies; (9) ownership of the Loan and/or administration of the Loan account may be transferred with such notice as may be required by law; (10) neither Lender nor its agents, brokers,
insurers, servicers, successors or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of the property; and (11) my transmission
of this 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 this application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written
signature.
Acknowledgement. Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or reverify any information contained in this
application or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.

Borrower's Signature Date Co-Borrower's Signature Date

X X

X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES


The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home
mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate either on the basis of this information, or on whether
you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal
regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the
box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)
BORROWER I do not wish to furnish this information CO-BORROWER I do not wish to furnish this information
Ethnicity: Hispanic or Latino Not Hispanic or Latino Ethnicity: Hispanic or Latino Not Hispanic or Latino
Race: American Indian or Asian Black or Race: American Indian or Asian Black or
Alaska Native African American Alaska Native African American
Native Hawaiian or White Native Hawaiian or White
Other Pacific Islander Other Pacific Islander

Sex: Female Male Sex: Female Male

To be Completed by Loan Originator:


This information was provided:
In a face-to-face interview By the applicant and submitted by fax or mail

In a telephone interview By the applicant and submitted via e-mail or the Internet

Loan Originator's Signature Date


X
Loan Originator's Name (print or type) Loan Originator Identifier Loan Originator’s Phone Number (including area code)
(
Loan Origination Company's Name Loan Origination Company Identifier Loan Origination Company’s Address
Buena Vista National Bank 3
N
Freddie Mac Form 65 7/05 (rev. 6/09), Fannie Mae Form 1003 7/05 (rev. 6/09) Page 3 of 4
Continuation Sheet / Residential Loan Application
Use this continuation sheet if you need Borrower: Agency Case Number:
more space to complete the Residential
Loan Application. Mark B for Borrower or
C for Co-Borrower. Co-Borrower: Lender Case Number:
l

I/We fully understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title
18, United States Code, Section 1001, et seq.

Borrower's Signature Date Co-Borrower's Signature Date

X X

Freddie Mac Form 65 7/05 (rev. 6/09), Fannie Mae Form 1003 7/05 (rev. 6/09) Page 4 of 4 www.bytesoftware.com 800-695-1008

You might also like