Loan Application

FIELDS MARKED WITH * ARE REQUIRED

I.- TYPE OF MORTGAGE AND TERMS LOAN

II.-PROPERTY INFORMATION AND PURPOSE OF THE LOAN

III.-BORROWER INFORMATION

IV.-EMPLOYMENT

If employed in current position for less than 2 years or if current employed in more than one position, complete the following:

V.- MONTHLY INCOME AND HOUSING EXPENSES

Monthly Base Income (Gross) *
Overtime
Bonuses
Commission
Dividend
Net Rent
(property owned)
Other
Monthly Base Income (Gross)
Overtime
Bonuses
Commission
Dividend
Net Rent
(property owned)
Other

VI.- ASSETS AND LIABILITIES

# Bank Name * Amount * Account # *
1 *
2
3
4
Insurance Name Life Value
# Stocks Name Amount
1
2
3
# Type Value
1
2
3
# Name Value
1
2
3
Address City/State/Zip Value Mortgage
Balance
Mortgage
Payment
Rent HOI
Taxes
Net
Rent
S/PS/R Type REMARKS