Mortgage Application

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Who are you working with?*
How are you applying?*
Is this mortgage for a purchase or refinance?*
What is your preferred mortgage?*
- 7 Year Balloon
- 10 & Done
- 15 Year
- 20 Year
- 30 Year
Purchase Price?*
Loan Amount Requested?*
Are you a current member?*
Awesome! What's your account/member number?*
Personal Information - Primary Borrower
Full Legal Name*
First Initial Last
Social Security Number (SSN)*
Date of Birth*
Month
Day
Year
Citizenship*
Marital Status*
Is there a person who is not your legal spouse but currently has property rights similar to a legal spouse?*
Indicate the type of relationship*
You selected OTHER - please define.*
Which State was this formed?*
Do you have any dependents?*
Number of dependents:*
Please enter a number from 1 to 25.
List age of dependents?*
Home Phone*
Cell Phone
Work Phone
Email to be reached at:*
Current Address*
Street Address Address Line 2 City State ZIP Code
How long have you lived at your current address?*
Years Months
Do you own or rent your current residence?*
- Rent
- Own
What is your current monthly housing cost?*
If less than two years, click add former address.*
Former address:*
Street Address Address Line 2 City State ZIP Code
How long did you lived here?*
Years Months
Did you own or rent your former residence?*
- Rent
- Own
What was your former monthly housing cost?*
Is your mailing address different than your current address?*
What is your mailing address?
Street Address Address Line 2 City State ZIP Code
Personal Information of Co-Borrower
Co-Borrower Full Legal Name*
First Initial Last
Co-Borrower Social Security Number (SSN)*
Co-Borrower Date of Birth*
Month
Day
Year
Co-Borrower Citizenship*
Co-Borrower Marital Status*
Co-Borrower - Is there a person who is not your legal spouse but currently has property rights similar to a legal spouse?*
Co-Borrower - Indicate the type of relationship*
Co-Borrower - You selected OTHER - please define below*
Co-Borrower - Which State was this formed?*
Co-Borrower - Do you have any dependents?*
Co-Borrower - How many dependents do you have?*
Please enter a number from 1 to 25.
Co-Borrower - List age of dependents?*
Co-Borrower Home Phone*
Co-Borrower Cell Phone
Co-Borrower Work Phone
Co-Borrower Email
Co-Borrower - Is your address the same as primary borrower?*
Co-Borrower Current Address*
Street Address Address Line 2 City State ZIP Code
Co-Borrower - How long have you lived at your current address?*
Years Months
Co-Borrower - Do you own or rent your current residence?*
- Rent
- Own
Co-Borrower - What is your current monthly housing cost?*
Co-Borrower - If less than two years, click add former address.*
Co-Borrower - What was your former address?*
Street Address Address Line 2 City State ZIP Code
Co-Borrower - How long did you lived at this former address?*
Years Months
Co-Borrower - Did you own or rent your former residence?*
- Rent
- Own
Co-Borrower - What was your former monthly housing cost?*
Co-Borrower - Is your mailing address different than your current address?*
Co-Borrower - What is your mailing address?
Street Address Address Line 2 City State ZIP Code
Current Employment - Primary Borrower
Employer or Business Name*
Business Phone Number*
Business Address*
Street Address Address Line 2 City State ZIP Code
Position or Title*
Start Date*
Month
Day
Year
How long in this line of work?*
Years Months
Are you employed by a family member, property seller, real estate agent, or other party to the transaction?*
Gross Monthly Income*
Base
Do you have any other monthly income?*
List other monthly income below with amount and source.
Overtime, Bonus, Commission, Other
Do you receive alimony or child support?*
List amount and type.*
Are you the Business Owner or Self-Employed*
Monthly Income (or Loss)*
You have an ownership share of*
Any additional Employment and Income to include?*
Additional Employment and Income - Primary Borrower
Employer or Business Name*
Business Phone Number*
Business Address*
Street Address Address Line 2 City State ZIP Code
Position or Title*
Start Date*
Month
Day
Year
End Date
MM slash DD slash YYYY
How long in this line of work?*
Years Months
Gross Monthly Income*
Base
Do you have any other monthly income?*
List additional income below with type and monthly amount.
Overtime, Bonus, Commission, Other
Are you the Business Owner or Self-Employed*
Monthly Income (or Loss)*
You have an ownership share of*
Is the above employment history at least 2 years worth?*
Additional Employment History - Primary Borrower
Employer or Business Name*
Business Phone Number*
Business Address*
Street Address Address Line 2 City State ZIP Code
Position or Title*
Start Date*
Month
Day
Year
End Date
MM slash DD slash YYYY
How long in this line of work?*
Years Months
Gross Monthly Income*
Base
Do you have any other monthly income?*
List additional income below with type and monthly amount.
Overtime, Bonus, Commission, Other
Are you the Business Owner or Self-Employed*
Monthly Income (or Loss)*
You have an ownership share of*
Current Employment: Co-Borrower
Co-Borrower - Employer or Business Name*
Co-Borrower - Business Phone Number*
Co-Borrower - Business Address*
Street Address Address Line 2 City State ZIP Code
Co-Borrower - Position or Title*
Co-Borrower - Start Date*
Month
Day
Year
Co-Borrower - How long in this line of work?*
Years Months
Co-Borrower - Are you employed by a family member, property seller, real estate agent, or other party to the transaction?*
Co-Borrower - Gross Monthly Income*
Base
Co-Borrower - Do you have any other monthly income?*
Co-Borrower - List other monthly income below with amount and source.
Overtime, Bonus, Commission, Other
Co-Borrower - Do you receive alimony or child support?*
Co-Borrower - List amount and type.*
Co-Borrower - Are you the Business Owner or Self-Employed*
Co-Borrower - Monthly Income (or Loss)*
Co-Borrower - You have an ownership share of*
Co-Borrower - Do you have additional Employment and Income to include?*
Additional Employment and Income: Co-Borrower
Co-Borrower - Employer or Business Name*
Co-Borrower - Business Phone Number*
Co-Borrower - Business Address*
Street Address Address Line 2 City State ZIP Code
Co-Borrower - Position or Title*
Co-Borrower - Start Date*
Month
Day
Year
Co-Borrower - End Date
MM slash DD slash YYYY
Co-Borrower - How long in this line of work?*
Years Months
Co-Borrow: Are you employed by a family member, property seller, real estate agent, or other party to the transaction?*
Co-Borrower - Gross Monthly Income*
Base
Co-Borrower - Do you have any other monthly income?*
Co-Borrower - List additional income below with type and monthly amount.
Overtime, Bonus, Commission, Other
Co-Borrower - Are you the Business Owner or Self-Employed*
Co-Borrower - Monthly Income (or Loss)*
Co-Borrower - You have an ownership share of*
Co-Borrower - Is the above employment history at least 2 years worth?*
Additional Employment History: Co-Borrower
Co-Borrower - Employer or Business Name*
Co-Borrower - Business Phone Number*
Co-Borrower - Business Address*
Street Address Address Line 2 City State ZIP Code
Co-Borrower - Position or Title*
Co-Borrower - Start Date*
Month
Day
Year
Co-Borrower - End Date
MM slash DD slash YYYY
Co-Borrower - How long in this line of work?*
Years Months
Co-Borrower - Gross Monthly Income*
Base
Co-Borrower - Do you have any other monthly income?*
Co-Borrower - List additional income below with type and monthly amount.
Overtime, Bonus, Commission, Other
Co-Borrower - Are you the Business Owner or Self-Employed*
Co-Borrower - Monthly Income (or Loss)*
Co-Borrower - You have an ownership share of*
Section 2: Additional Money - Primary Borrower
Do you have any other money saved?*
Bank Accounts, CDs, Stocks, Retirement, etc.
Additional Money/Assets*
Acount Type Financial Institution Account # Cash or Market Value

Bank Accounts, Savings, CDs, Stocks, Retirement, etc.
Other Assets
Asset or Credit Cash or Market Value

Assets = real estate or borrowed funds. Credits = earnest money, relocation funds, rent credit, etc.
Do you pay alimony or child support?*
List amount and type.*
Section 2: Assets for Co-Borrower
Co-Borrower - Do you have any other money saved??*
Bank Accounts, CDs, Stocks, Retirement, etc.
Co-Borrower - Additional Money/Assets*
Acount Type Financial Institution Account # Cash or Market Value

Bank Accounts, Savings, CDs, Stocks, Retirement, etc.
Co-Borrower - Other Assets
Asset or Credit Cash or Market Value

Assets = real estate or borrowed funds. Credits = earnest money, relocation funds, rent credit, etc.
Co-Borrower - Do you pay alimony or child support?*
Co-Borrower - List amount and type.*
Section 3: Financial Info - Real Estate
Do you own or owe on any properties?*
This field is hidden when viewing the form
Property Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

If known, if not known just skip.
Property Value
Status*
Intended Occupancy*
Monthly Insurances, Taxes, Association Dues, etc.
Do you have a mortgage on this property?*
Mortgage Info
Creditor Name Account # Monthly Mortgage Payment Unpaid Balance FHA, VA, Conventional, USDA-RD, Other
Do you have additional properties to list?*
This field is hidden when viewing the form
Additional Property
Property Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Property Value
Status*
Intended Occupancy*
Monthly Insurances, Taxes, Association Dues, etc.
Do you have a mortgage on this property?*
Mortgage Info
Creditor Name Account # Monthly Mortgage Payment Unpaid Balance FHA, VA, Conventional, USDA-RD, Other
Do you have additional properties to list?*
This field is hidden when viewing the form
Additional Property
Property Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Property Value
Status*
Intended Occupancy*
Monthly Insurances, Taxes, Association Dues, etc.
Do you have a mortgage on this property?*
Mortgage Info
Creditor Name Account # Monthly Mortgage Payment Unpaid Balance FHA, VA, Conventional, USDA-RD, Other
Section 4: Loan & Property Info
Property Address (if known or skip)
Street Address Address Line 2 City State ZIP Code
Occupancy*
Property Info*
Number of Units Property Value $
What is your expected monthly rental income?*
Mixed Use Property - Will you set aside space to operate your own business?*
Manufactured Home - Is the property a manufactured/factory-built dwelling/home?*
Does property you are buying/refinancing have other new mortgage loans?*
Please specify creditor info:
First Lien or Subordinate Lien Monthly Payment Credit Limit
Have you been given or received a gift/grant for this loan?*
List gifts or grants you have been given or will receive for this loan.
Cash. Gift of Equity, or Grant Deposited or NOT Deposited Source (see Descprition) Cash or Market Value

SOURCE LIST: Community Nonprofit, Employer, Federal Agency, Local Agency, Relative, Religious Nonprofit, State Agency, Unmarried Partner, Lender, Other
Section 5: Declarations Borrower
Will you occupy the property as your primary residence?*
Have you had an ownership interest in another property in the last three years?*
What type of property did you own?*
How did you hold title to the property?*
Do you have a family or business relationship with the seller of this property?*
Are you borrowing any money for this transaction or obtaining any money from another party, that you have not disclosed on this application?*
What is the amount of this money?*
Have you or will you be applying for a mortgage on another property on or before closing this transaction that is not disclosed on this application?*
Will this property be subject to lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes?*
Have you or will you be applying for any new credit on or before closing on this loan that is not disclosed on this application?*
Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?*
Are there any outstanding judgements against you?*
Are you currently delinquent or in default on a federal debt?*
Are you a party to a lawsuit in which you potentially have any personal financial liability?*
Have you conveyed title to any property in lieu of foreclosure in the past 7 years?*
Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?*
Have you had property foreclosed upon in the last 7 years?*
Have you declared bankruptcy within the last 7 years?*
What type of bankruptcy did you declare?*
Section 5: Declarations Co-Borrower
Are you employed by a family member, property seller, real estate agent, or other party to the transaction?*
Co-Borrower - Will you occupy the property as your primary residence?*
Co-Borrower - Have you had an ownership interest in another property in the last three years?*
Co-Borrower - What type of property did you own?*
Co-Borrower - How did you hold title to the property?*
Co-Borrower - Do you have a family or business relationship with the seller of this property?*
Co-Borrower - Are you borrowing any money for this transaction or obtaining any money from another party, that you have not disclosed on this applications?*
Co-Borrower - What is the amount of this money?*
Co-Borrower - Have you or will you be applying for a mortgage on another property on or before closing this transaction that is not disclosed on this application?*
Co-Borrower - Will this property be subject to lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes?*
Co-Borrower - Have you or will you be applying for any new credit on or before closing on this loan that is not disclosed on this application?*
Co-Borrower - Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?*
Co-Borrower - Are there any outstanding judgements against you?*
Co-Borrower - Are you currently delinquent or in default on a federal debt?*
Co-Borrower - Are you a party to a lawsuit in which you potentially have any personal financial liability?*
Co-Borrower - Have you conveyed title to any property in lieu of foreclosure in the past 7 years?*
Co-Borrower - Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?*
Consent
I agree to the privacy policy.
Co-Borrower - Have you had property foreclosed upon in the last 7 years?*
Co-Borrower - Have you declared bankruptcy within the last 7 years?*
Co-Borrower - What type of bankruptcy did you declare?*
Section 6: Acknowledgement and Agreements
Definitions
- "Lender" includes the Lender's agents, service providers and any of their successors and assigns.
- "Other Loan Participants" (this includes any actual or potential owners of a loan resulting from this application (the "Loan''), (ii) acquirers of any beneficial or other interest in the Loan,(iii) any mortgage insurer, (iv) guarantor, (v)any servicers or service providers of the Loan, and (vi) any of these parties' service providers, successors or assigns.
I agree to, acknowledge, and represent the following:

(1) The Complete Information for this Application
- The information I have provided in this application is true, accurate, and complete as of the date I signed this application.
- If the information I submitted changes or I have new information before closing of the Loan, I must change and supplement this application, including providing any updated/supplemented real estate sales contract.
- For purchase transactions: The terms and conditions of any real estate sales contract signed by me in connection with this application are true, accurate, and complete to the best of my knowledge and belief. I have not entered into any other agreement, written or oral, in connection with this real estate transaction.
- The Lender and Other Loan Participants may rely on the information contained in the application before and after closing of the Loan.
- Any intentional or negligent misrepresentation of information may result in the imposition of:
(a) civil liability on me, including monetary damages, if a person suffers any loss because the person relied on any misrepresentation that I have made on this application, and/or (b) criminal penalties on me including, but not limited to, fine or imprisonment or both under the provisions of federal law (18 U.S.C. §§ 1001 et seq.).

(2) The Property's Security
- The Loan I have applied for in this application will be secured by a mortgage or deed of trust which provides the Lender a security interest in the property described in this application.
(3) The Property's Appraisal, Value, and Condition
- Any appraisal or value of the property obtained by the Lender is for use by the Lender and Other Loan Participants.
- The Lender and Other Loan Participants have not made any representation or warranty, express or implied, to me about the property, its condition, or its value.
(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.
- If this application is created as (or converted into) an ""electronic application"", I consent to the use of ""electronic records"" and ""electronic signatures"" as the terms are defined in and governed by applicable federal and/or state electronic transactions laws.
  - I intend to sign and have signed this application either using my: (a) electronic signature; or (b) a written signature and agree that if a paper version of this application is converted into an electronic application, the application will be an electronic record, and the representation of my written signature on this application will be my binding electronic signature.
  - I agree that the application, if delivered or transmitted to the Lender or Other Loan Participants as an electronic record with my electronic signature, will be as effective and enforceable as a paper application signed by me in writing.
(5) Delinquency
- The Lender and Other Loan Participants may report information about my account to credit bureaus. Late payments, missed payments, or other defaults on my account may be reflected in my credit report and will likely affect my credit score.
- If I have trouble making my payments, I understand that I may contact a HUD-approved housing counseling organization for advice about actions I can take to meet my mortgage obligations.
(6) Authorization for Use and Sharing of Information
By signing below, in addition to the representations and agreements made above, I expressly authorize the Lender and Other Loan Participants to obtain, use, and share with each other (i) the loan application and related loan information and documentation, (ii) a consumer report on me, and (iii) my tax return information, as necessary to perform the actions listed below, for so long as they have an interest in my loan of its servicing:
(a) process and underwrite my loan;
(b) verify any data contained in my consumer credit report, my loan application and other information supporting my loan application;
(c) inform credit and investment decisions by the Lender and Other Loan Participants;
(d) perform audit, quality control, and legal compliance analysis and reviews;
(e) perform analysis and modeling for risk assessments;
(f) monitor the account for this loan for potential delinquencies and determine any assistance that may be available to me; and
(g) other actions permissible under applicable law."
User Consent*
- I have read the Acknowledgements and Agreements above informing me of my legal obligations when submitting this application.
This field is hidden when viewing the form
Consent*
I have read the Acknowledgements and Agreements above informing me of my legal obligations when submitting this application.*
Section 7: Military Service Borrower
Did you (or deceased spouse) ever serve, or are you currently serving, in the US Armed Forces?*
Check all that apply:*
- Currently serving active duty
- Currently retired, discharged, or separated from service
- Only person of service was non-activated member of the Reserve of National Guard
- Surviving Spouse
What is your projected expiration date of service/tour?*
Month
Day
Year
Section 7: Military Service Co-Borrower
Co-Borrower - Did you (or deceased spouse) ever serve, or are you currently serving, in the US Armed Forces?*
Co-Borrower - Check all that apply:*
- Currently serving active duty
- Currently retired, discharged, or separated from service
- Only person of service was non-activated member of the Reserve of National Guard
- Surviving Spouse
Co-Borrower - What is your projected expiration date of service/tour?*
MM slash DD slash YYYY
Section 8: Demographic Info 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*
- Hispanic or Latino
- Mexican
- Puerto Rican
- Cuban
- Other Hispanic or Latino
- Not Hispanic or Latino
- I do not wish to provide this info
Specify other Hispanic or Latino origin:
For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, etc.
Sex*
Race: Check one or more*
- American Indian or Alaskan Native
- Asian
- Asian Indian
- Chinese
- Filipino
- Japanese
- Korean
- Vietnamese
- Other Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- Native Hawaiian
- Guamanian or Chamorro
- Samoan
- Other Pacific Islander
- White
- I do not wish to provide this info
List name of enrolled or principal tribe:
Specify other Asian race:
For example: Hmong, Laotian, Thai, Pakistani, Cambodian, etc.
Specify other Pacific Islander race:
For example: Hmong, Laotian, Thai, Pakistani, Cambodian, etc.
Section 8: Demographic Info Co-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.
Co-Borrower - Ethnicity: Check one or more*
- Hispanic or Latino
- Mexican
- Puerto Rican
- Cuban
- Other Hispanic or Latino
- Not Hispanic or Latino
- I do not wish to provide this info
Co-Borrower - Specify other Hispanic or Latino origin:
For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, etc.
Co-Borrower - Sex*
Co-Borrower - Race: Check one or more*
- American Indian or Alaskan Native
- Asian
- Asian Indian
- Chinese
- Filipino
- Japanese
- Korean
- Vietnamese
- Other Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- Native Hawaiian
- Guamanian or Chamorro
- Samoan
- Other Pacific Islander
- White
- I do not wish to provide this info
Co-Borrower - List name of enrolled or principal tribe:
Co-Borrower - Specify other Asian race:
For example: Hmong, Laotian, Thai, Pakistani, Cambodian, etc.
Co-Borrower - Specify other Pacific Islander race:
For example: Hmong, Laotian, Thai, Pakistani, Cambodian, etc.
Agreement/Disclaimer
By entering your name and the last four digits of your social security number (and co-borrower's, if applicable) in the form above, you are agreeing to sign and submit your mortgage application electronically.
Where or how did you hear about our mortgage options?*
Promo Code:*
Primary Borrower*
Last 4 SSN
Co- Borrower*
Last 4 SSN

Acount Type	Financial Institution	Account #	Cash or Market Value

Creditor Name	Account #	Monthly Mortgage Payment	Unpaid Balance	FHA, VA, Conventional, USDA-RD, Other

Cash. Gift of Equity, or Grant	Deposited or NOT Deposited	Source (see Descprition)	Cash or Market Value

First Lien or Subordinate Lien	Monthly Payment	Credit Limit

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Personal Information - Primary Borrower

Personal Information of Co-Borrower

Current Employment - Primary Borrower

Additional Employment and Income - Primary Borrower

Additional Employment History - Primary Borrower

Current Employment: Co-Borrower

Additional Employment and Income: Co-Borrower

Additional Employment History: Co-Borrower

Section 2: Additional Money - Primary Borrower

Section 2: Assets for Co-Borrower

Section 3: Financial Info - Real Estate

Additional Property

Additional Property

Section 4: Loan & Property Info

Section 5: Declarations Borrower

Section 5: Declarations Co-Borrower

Section 6: Acknowledgement and Agreements

Section 7: Military Service Borrower

Section 7: Military Service Co-Borrower

Section 8: Demographic Info Borrower

Section 8: Demographic Info Co-Borrower

Agreement/Disclaimer

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