Loan Application


Borrower's Name (First, Last):	Social Security Number: (123-45-6789)	Date of Birth: (mm/dd/yyyy)
Co-Borrower Name (First, Last) (if applicable):	Social Security Number: (123-45-6789)	Date of Birth: (mm/dd/yyyy)
Street Address:
City:	State:	Zip:
Home Phone: (123-555-5555)	Work Phone: (123-555-5555)	Cell Phone: (123-555-5555)
Email Address:

Please answer the following questions to the best of your ability.		Borrower	Co-Borrower
a.	Are there any outstanding judgements against you?	YES NO	YES NO
b.	Have you been declared bankrupt within the past 7 years?	YES NO	YES NO
c.	Have you had property foreclosed upon or given title or deed in lieu there of in the last 7 years?	YES NO	YES NO
d.	Are you a party to a lawsuit?	YES NO	YES NO
e.	Have you directly or indrectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?	YES NO	YES NO
f.	Are you presently delinquent or in default on any federal debt or any other loan, mortagage financial obligation, bond, or loan, guaranteed?	YESNO	YES NO
g.	Are you obligated to pay alimony, child support, or separate maintenance?	YESNO	YES NO
h.	Is any part of the down payment borrowed?	YESNO	YES NO
i.	Are you a co-maker or endorser on a note?	YESNO	YES NO
j.	Are you a US citizen?	YESNO	YES NO
k.	Are you a permanent resident alien?	YESNO	YES NO
l.	Do you intend to occupy the property as your primary residence?	YESNO	YES NO
m.	Have you had ownership interest in a proprety in the last three years?	YESNO	YES NO
1.	What type of property did you ow - principle residence (PR), second home (SH), or investment property (IP)?
2.	How did you hold the title to the home - solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?