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?
b. Have you been declared bankrupt within the past 7 years?
c. Have you had property foreclosed upon or given title or deed in lieu there of in the last 7 years?
d. Are you a party to a lawsuit?
e. Have you directly or indrectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?
f. Are you presently delinquent or in default on any federal debt or any other loan, mortagage financial obligation, bond, or loan, guaranteed?
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 US citizen?
k. Are you a permanent resident alien?
l. Do you intend to occupy the property as your primary residence?
m. Have you had ownership interest in a proprety in the last three years?
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)?

 

© Copyright 2007 JD Jacobs & Leo Gomez. All rights reserved.