|
Are you a homeowner
?
Yes,
No
|
Loan
Type Applying For?
Conventional
FHA
VA
HELOC |
Documentation
Type ?
Full Doc (Req for FHA & VA)
Stated Income
NINA
No Ratio
No Documentation |
|
Applicant
Information
|
|
Amount Requested*
|
Purpose of Loan
|
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Applicant
|
Co-Applicant
|
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First Name*
|
First Name*
|
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Last Name*
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Date of Birth
|
Last Name*
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Date of Birth
|
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Social Security
Number:
-
-
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Social Security
Number:
-
-
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Married
Separated
Unmarried (including single, divorced, or widowed)
|
Married
Separated
Unmarried (including single, divorced, or widowed)
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| Number
of Children: |
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Number
of Children: |
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| Ages: |
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Ages: |
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| Other
Dependents: |
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Other
Dependents: |
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Home phone
|
Home phone
|
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Work phone
|
Work phone
|
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Present Address:
|
Yrs
|
Present Address:
(if different)
|
Yrs
|
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City:
|
State
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Zip Code:
|
City:
|
State
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Zip Code:
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If
Less Than Two Year:
|
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Prior Address:
|
Yrs
|
Prior Address: (if
different)
|
Yrs
|
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City:
|
State
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Zip Code:
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City:
|
State
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Zip Code:
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| Property
Information |
|
Owner Occupied,
Investment Property
|
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Subject
Address
|
|
Street
|
State
|
|
City
|
Zip Code
|
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Names on Deed or
Names to be Deeded Under
|
|
|
.Yearly
Taxes ($)
|
Ins. ($)
|
|
Refinancing
|
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Orig. Purchase Date
|
Orig. Purchase Price
($)
|
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Present Market Value
($)
|
|
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1st Mortgage Balance
($)
|
2nd Mortgage Balance
($)
|
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1st Mortgage Holder
|
Interest
Rate
(%) |
2nd Mortgage Holder
|
Interest
Rate
(%) |
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Current Payment ($)
|
Years
Remaining:
|
Current Payment ($)
|
Years
Remaining:
|
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Include Taxes and
insurance ?
Yes
No
|
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Include Taxes and
insurance ?
Yes
No
|
|
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Purchases
|
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Have you found the
particular home you want to purchase ?
Yes
No
|
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Purchase Price:
($)
|
Down payment: Your
Funds:
($)
|
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Source of Funds:
|
Proposed Closing
Date:
|
Down
payment: Gifted Funds
($) |
Seller Concession:
(%)
|
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Employment
|
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Employer
|
Employer
|
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Name:
|
Self
Employed? |
Yes
No |
Name:
|
Self
Employed? |
Yes
No |
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Present Address:
|
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Present Address:
|
|
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City:
|
State
|
Zip Code:
|
City:
|
State
|
Zip Code:
|
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Phone:
|
Phone
|
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Position:
|
Years:
|
Position:
|
Years:
|
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Employment
Continued - If Less Than Two Years
|
| |
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Name:
|
Self
Employed? |
Yes
No |
Name:
|
Self
Employed? |
Yes
No |
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Present Address:
|
|
Present Address:
|
|
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City:
|
State
|
Zip Code:
|
City:
|
State
|
Zip Code:
|
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Phone:
|
Phone
|
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Position:
|
Years:
|
Position:
|
Years:
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| Income |
|
Borrower
|
Co-Borrower
|
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Base Salary:
$
|
Base Salary:
$
|
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Overtime:
$
|
Overtime:
$
|
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Bonuses:
$
|
Bonuses:
$
|
|
Commissions:
$
|
Commissions:
$
|
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Dividends:
$
|
Dividends:
$
|
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Net Rental Income:
$
|
Net Rental Income:
$
|
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Other:
$
|
Other:
$
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| Assets |
|
Checking:
|
$
|
Bank:
|
|
|
| |
$
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Bank:
|
|
|
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Savings:
|
$
|
Bank:
|
|
|
| |
$
|
Bank:
|
|
|
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Credit Union:
|
$
|
Bank:
|
|
|
|
Stocks:
|
$
|
|
Bonds:
|
$
|
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Life
Insurance:
|
$
|
|
Household
Goods :
|
$
|
|
Vehicles:
|
|
|
Alimony
Paid:
|
$
|
|
Child
Support Paid:
|
$
|
| |
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| Declarations |
|
Borrower
|
CO-Borrower
|
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Are
there any outstanding judgment against you?
|
Yes
No
|
Are
there any outstanding judgment against you?
|
Yes
No
|
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Have
you declared bankruptcy within the last seven years?
|
Yes
No
|
Have
you declared bankruptcy within the last seven years?
|
Yes
No
|
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Have
you had property foreclosed upon or given title or deed in lieu
thereof in the last seven years?
|
Yes
No
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Have
you had property foreclosed upon or given title or deed in lieu
thereof in the last seven years?
|
Yes
No
|
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Are
you a party to a lawsuit?
|
Yes
No
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Are
you a party to a lawsuit?
|
Yes
No
|
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Have
you directly or indirectly been obligated on any loan which resulted
in foreclosure, transfer of title in lieu of foreclosure or judgment?
|
Yes
No
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Have
you directly or indirectly been obligated on any loan which resulted
in foreclosure, transfer of title in lieu of foreclosure or judgment?
|
Yes
No
|
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Are
you presently delinquent or in default on any Federal Debt or
any other loan, mortgage, financial obligation, bond or loan guarantee?
|
Yes
No
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Are
you presently delinquent or in default on any Federal Debt or
any other loan, mortgage, financial obligation, bond or loan guarantee?
|
Yes
No
|
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Are
you obligated to pay Child Support, Alimony or separate maintenance?
|
Yes
No
|
Are
you obligated to pay Child Support, Alimony or separate maintenance?
|
Yes
No
|
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Is
any part of the down payment borrowed?
|
Yes
No
|
Is
any part of the down payment borrowed?
|
Yes
No
|
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Are
you a co-maker or endorser on a note?
|
Yes
No
|
Are
you a CO-maker or endorser on a note?
|
Yes
No
|
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Are
you a US Citizen?
|
Yes
No
|
Are
you a US Citizen?
|
Yes
No
|
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Are
you a Permanent Resident Alien?
|
Yes
No
|
Are
you a Permanent Resident Alien?
|
Yes
No
|
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Do
you intend to occupy this property as you Primary residence?
|
Yes
No
|
Do
you intend to occupy this property as you Primary residence?
|
Yes
No
|
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Have
you had an ownership interest in a property in the last 3 years?
|
Yes
No
|
Do
you intend to occupy this property as you Primary residence?
|
Yes
No
|
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What
Type of Property Did You Own?
|
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What
Type of Property Did You Own?
|
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How
Did You Hold The Title To Your Home?
|
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How
Did You Hold The Title To Your Home?
|
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| Realtor
Information |
|
Do
You Have A Realtor?
Yes
No
|
Realtors
Name?
|
Company
Name
|
Phone
Number
|
| *
I/We hereby give our consent to 1st Continental Mortgage
to fully disclose the status of our loan with our Realtor Representative
to include the loan program, approval status, documentation needed
and any information the Realtor Requires to facilitate the contracting
and closing of my home purchase. |
| Other |
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Comments:
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E-Mail:
|
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