Mortgage Application – Full

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
Field is required!
Field is required!
If this is an application for joint credit Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign bellow):
Field is required!
Field is required!
Field is required!
Field is required!
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage applied for:
  • - select an option -
  • FA
  • VHA
  • Conventional
  • USDA/Rural House Service
  • Other
Field is required!
Field is required!
If Other
Field is required!
Field is required!
Agency Case number
Field is required!
Field is required!
Lender Case number
Field is required!
Field is required!
Amount
Field is required!
Field is required!
% Interest Rate:
Field is required!
Field is required!
No. of Months
Field is required!
Field is required!
Amortization Type
  • - select an option -
  • Fixed Rate
  • GMP
  • ARM
  • Other
Field is required!
Field is required!
If ARM or Other
Field is required!
Field is required!
II. PROPERTY INFORMATION AN PURPOSE OF LOAN
Subject Property Address
Field is required!
Field is required!
No. of Units
Field is required!
Field is required!
Legal Description of Subject Property
Field is required!
Field is required!
Year Built:
Field is required!
Field is required!
Purpose of Loan
  • - select an option -
  • Purchase
  • Refinance
  • Construction
  • Construction-Permanent
  • Other
Field is required!
Field is required!
If Other
Field is required!
Field is required!
Property will be
  • - select an option -
  • Primary Residence
  • Secondary Residence
  • Investment
Field is required!
Field is required!
Complete this if this is construction or construction-permanent loan:
Year Lot Aquired
Field is required!
Field is required!
Original Cost:
Field is required!
Field is required!
Amount Existing Liens:
Field is required!
Field is required!
(a) Present Value of Lot
Field is required!
Field is required!
(b) Cost of Improvements
Field is required!
Field is required!
Total (a+b)
Field is required!
Field is required!
Complete this if this is refinancing loan:
Year Aquired
Field is required!
Field is required!
Original Cost:
Field is required!
Field is required!
Amount Existing Liens:
Field is required!
Field is required!
Purpose of Refinance
Field is required!
Field is required!
Describe Improvements and Cost:
Field is required!
Field is required!
Improvement Cost
Field is required!
Field is required!
III. BORROWER INFORMATION