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TYPE OF MORTGAGE AND TERMS OF LOAN
 
* Enter Your E-mail Address: (Required field)
* Create Your Own Password: (Required field)
If you are in contact with a loan officer or interviewer, enter their name below:
Loan Officer or Interviewer's Name: {literal} {/literal}

The income or assets of a person other than the "Borrower" (including the Borrowers spouse) will be used as a basis for loan qualification.
  The income or assets of the Borrower's spouse will not be used as a basis for loan qualification.

Loan Applied
For:(Choose one)
V.A
Conventional
Other
FHA
USDA/Rural Housing Service
If Other (Type)
Loan, Tax & Insurance Information
Amount Applied For:
$
Interest Rate: 
  
Number of Months:
 
Yearly Taxes:
$
Yearly Insurance:
$
Amortization Type:
(Choose one)
Fixed Rate
Other
If Other (explain)
 
GPM
ARM
If ARM (type)

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PROPERTY INFORMATION AND PURPOSE OF LOAN

  Subject Property Address:
Street:
 
City, State, Zip: 
APN or Parcel Number: 
Number of Units: 
     Year Built:

Purpose of Loan:  (Choose one)
 
Purchase
Construction
Other
 
Refinance
Constr.-permanent
  If other (explain)

Property will be: (Choose one)
 
Primary Residence 
Secondary Residence 
Investment 

Complete below if construction or construction-to-permanent loan
Year Lot Acquired: 
Original Cost: $ 
Amount Existing Liens: $ 
Value of Lot: $ 
Cost of Improvements: $ 
Total Value: $ 

Complete below if this is a refinance loan
Year Acquired: 
Original Cost: $ 
Amount Existing Liens: $ 
Purpose of Refi: 
Imprvements made:
To be made:
Cost of Improvements: $
 
Please Describe improvements (if any):
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VESTING INFORMATION 

Title will be held in what names (enter below):
 
Manner in which title will be held (enter below):
 
Source of Down Payment, Settlement Charges and/or Subordinate Financing:
Please explain: 
 
Estate will be held in:  Fee Simple:  Leasehold: 
  If Leasehold Estate, enter expiration date:


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BORROWER INFORMATION 

 
Enter Borrower's Name Below (include Jr. or Sr. if applicable)
First Name:  
Mi.:
Last Name:
 
Soc. Sec. No.:  
 Home Phone:

DOB (mm/dd/yyyy):  Pick a date
Yrs. in School:  
   Marital Status: Married   Separated   Unmarried (includes single, divorced, widowed)

  Dependents: (How many?)    What are their ages?

NOTE:
   If Borrower address is the same as Subject Property address, check the box:
Present Address:
 
Street: 
Own:  Rent:
 
City, State, Zip: 
  Number of years:
If Mailing Address is different than Present Address above, click "Yes":   Yes:    No:

If residing at Present Address for less than two years, complete the following:
Former Address: 
  Street:  Own:    Rent: 
  City, State, Zip:  Number of years:


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CO-BORROWER INFORMATION 

NOTE:
  If Co-Borrower information is the same as Borrower, check the box:
  Enter Co-Borrower's Name Below (include Jr. or Sr. if applicable)
First Name:  
Mi.:
Last Name:
 
Soc. Sec. No.:  
 Home Phone:

DOB (mm/dd/yyyy):  Pick a date
Yrs. in School:  
   Marital Status:   Married   Separated   Unmarried   (includes single, divorced, widowed)

  Dependents: (How many?)    What are their ages?

Present Address:
 
Street: 
 Own:  Rent:
 
City, State, Zip: 
 Number of years:
If Mailing Address is different than Present Address above, click "Yes":   Yes:    No:

If residing at Present Address for less than two years, complete the following:
Former Address:
 
Street: 
 Own:  Rent:
 
City, State, Zip: 
 Number of years:



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EMPLOYMENT INFORMATION 

      Borrower   Co-Borrower
Employer Name: 
 
Street Address: 
 
City, State, Zip: 
 
Work Phone: 
Position/title: 
 
Business Type: 
Self Employed?: 
  Yes: No:  Yes:   No:
 
Years on Job: 
 
Yrs. in profession: 
NOTE: If you have been employed in this position for less than two years or you are currently employed in more than one position, Click "Yes" at the right and continue. Yes:    No:

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GROSS MONTHLY INCOME

Below, enter your income in the Borrower and Co-Borrower fields only without the "$".  The form will automatically total your entries in the RED 'Total' fields for you. 

Gross Monthly Income
Borrower
Co-Borrower
Total
    Base Employment Income:  $ $ $
    Overtime:  $ $ $
    Bonuses:  $ $ $
    Commissions:  $ $ $
    Dividends/Interest: $ $ $
    Net Rental Income:  $ $ $
    *Other Income:  $ $ $
    Total: $ $ $

* The section below is for explaining your entry in "Other Income" in the above section (if any).  This may include Retirement, Social Security, Child support, Alimony or Separate Maintenance income. If you did not enter anything in the "Other Income" field above, skip the section below and move on to "Combined Monthly Housing Expense".

NOTICE: The Borrower and Co-Borrower do not need to reveal this information if they don't want it to be considered for repaying this loan.


Borrower (B), or
Co-Borrower (C)
Describe Other Income
Monthly Income
 
B:    C: 
$
 
B:    C: 
$
 
B:    C: 
$
 
B:    C: 
$


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COMBINED MONTHLY HOUSING EXPENSE
Combined Monthly Housing Expense
Present
Proposed
    Rent:  $
    First Mortgage (P&I):  $ $
    Other Financing (P&I):  $ $
    Hazard Insurance:  $ $
    Real Estate Taxes:  $ $
    Mortgage Insurance:  $ $
    Homeowner Association Dues: $ $
    Other Expenses:  $ $
    Total:  $ $


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SCHEDULE OF REAL ESTATE OWNED

Property Address (#1):
 Check if this property is: your current residence, or: the subject property for this application.
Street: 
City, State, ZIP: 
Status: 
Property Type: 
Present Market Value: 
$
Mortgage Liens: 
$
Mortgage Payments: 
$
Maint., Taxes, Ins.: 
$
Gross Rental Income: 
$
Net Rental Income: 
$
If you would like to add another property, click "Yes":  Yes:    No:



Total Present Market Value: 
Total Mortgage Liens:
Total Gross Rental Income: 
Rental Income with
25% Vacancy Factor:
$ 
 
$ 
 
$ 
$ 
Total Mortgage Payments: 
Total Maint., Taxes, Ins.: 
Total reported Net Rental Income: 
Effective Net Rental Income: 
$ 
$ 
$ 
$ 


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INFORMATION ABOUT YOUR ASSETS

The Statement below and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise separate Statements and Schedules are required. If the Co-Borrower section was completed about a spouse, this Statement and supporting schedules must be completed about that spouse also.

 The Assets and Liabilities section below will be completed:  Jointly    Not Jointly
 
 Cash deposit toward purchase held by (enter party):
 
 Amount of Deposit held for down payment: $
List checking and savings accounts below

Name and address of Bank, S&L, or Credit Union (#1):
Name: 
Account Number: 
 
Street: 
Cash or Market Value: 
 $
 
City, State, ZIP: 
If you would like to add another account, click "Yes":  Yes:    No:

Stocks and Bonds

Company Name/Number & Description (#1):
 Name:   No.:   Cash or Market Value:  $

Company Name/Number & Description (#2):
   Name:   No.:   Cash or Market Value:  $

Life Insurance Information

 Life Insurance Face Amount (#1): $  Cash or Market Value: $

SUBTOTAL LIQUID ASSETS = $ 

Real Estate, Retirement, Business, Auto & Other Assets
 
Type of Asset
Cash or Market Value:
   Market value of real estate from schedule of real estate owned:
$
 Vested interest in retirement fund: 
$
 Net worth of business(es) owned: 
$
 Auto #1:  Year: Make: Model:
$
   Auto #2:  Year: Make: Model:
$
   Auto #3:  Year: Make: Model:
$
 
TOTAL AUTO VALUE = 
$
 Other #1: Description:
$
   Other #2: Description:
$
   Other #3: Description:
$
 
TOTAL OTHER VALUE = 
$

TOTAL OF ALL ASSETS =$


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INFORMATION ABOUT YOUR LIABILITIES

Liabilities and Pledged Assets: List the creditor's name, address and account number for all outstanding debts, including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc.  Check the "Paid off" box indicating those liabilities which will be satisfied upon sale of real estate owned or upon refinancing of the subject property.  Do not list normal household bills such as electricity, water, garbage, cable, phone, etc.

 Name and Address of Company (#1):
 Check if this liability is:
a rental property, or the subject property for this application.
 
Liability Type:
Name:
Street:
City, State, ZIP:
Monthly Payment:
$
Unpaid Balance:
$
Account Number:
Mos. left:
Paid off:
 If you would like to add another liability, click "Yes":  Yes:    No:


 Alimony/Child Support/Separate Maintenance 

Payments owed to:

Monthly Payment:
$


 Job Related Expense

Child Care, Union Dues, etc.

Monthly Payment:
$


TOTAL MONTHLY PAYMENTS
TOTAL LIABILITIES
TOTAL NET WORTH
$
$
$

List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s) below.
Alternate Name (#1):
Creditor:
Account Number:
 
Alternate Name (#2):
Creditor:
Account Number:

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DETAILS OF TRANSACTION

The following section is designed to be completed with the help of your loan officer.  Not all of the fields will apply to your situation. If you are unsure what to enter in the fields in this section, leave this section blank.  When your loan officer meets with you or sends you a printed copy of this application for your signature(s), the necessary fields will be filled in.

Most of the information below will be on your "Good Faith Estimate" that your loan officer will send you within three days of your submission of this application.


a.
 Purchase price: 
$ 
b 
 Alterations, improvements, repairs: 
$ 
c.
 Land (if acquired separately): 
$ 
d.
 Refinance (include debts to be paid off):
$ 
e.
 Estimated prepaid items:
$ 
f.
 Estimated closing costs: 
$ 
g.
 PMI, MIP, Funding Fee: 
$ 
h.
 Discount (if Borrower will pay): 
$ 
i.
 Total costs (automatic total for items a through h above): 
$
j.
 Subordinate financing: 
$ 
k.
 Borrower's closing costs paid by Seller:
$ 
l.
Other Credits (explain below):
(enter amount)
( You may enter up to 60 characters. )
characters remaining
$ 
m.
 Loan amount (exclude PMI, MIP, Funding Fee financed):
$ 
n.
 PMI, MIP, Funding Fee financed: 
$ 
o.
 Loan amount (automatic totals for items m + n above): 
$ 
p.
 Cash from/to Borrower (automatic totals: j,k,l & o minus i above): 
$ 


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DECLARATIONS

Answer the questions below to the best of your knowledge for the Borrower and Co-Borrower (if any).

 
Borrower
Co-Borrower
a.
 Are there any outstanding judgments against you?
Yes No
Yes No
b.
 Have you been bankrupt within the last 7 years? 
Yes No
Yes No
c.
 Have you had property foreclosed upon or given title or deed in lieu thereof 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 indirectly been obligated on a loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? 
Yes No
Yes No
f.
 Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
Yes No
Yes No
g.
 Are you obligated to pay alimony, child support or separate maintenance? 
Yes No
Yes No
h.
 Is any part of the down payment borrowed? 
Yes No
Yes No
i.
 Are you a co-maker or endorser on a note?
Yes No
Yes No
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j.
 Are you a U.S. citizen?
Yes No
Yes No
k.
 Are you a permanent resident alien?
Yes No
Yes No
l.
 Do you intend to occupy the property as your primary residence?  If yes, complete question m below.
Yes No
Yes No
m.
 Have you had an ownership interest in a property in the last three years?
Yes No
Yes No
(1)  What type of property did you own? - -principal residence (PR), second home (SH), or investment property (IP).
(2)  How did you hold title to the home?- - solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O). 

 If you answered "Yes" to any questions a through i above, please explain in the space provided below
( You may enter up to 400 characters. )
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INFORMATION FOR GOVERNMENT MONITORING PURPOSES

The following information is requested by the Federal Government for certain types of loans related to a dwelling, in order to monitor the Lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws.  You are not required to furnish this information, but are encouraged to do so.  The law provides that  Lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it.  If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race or sex, under Federal regulations, this lender is required to note the information on the basis of visual observaition or sirname. If you do not wish to furnish the information, please check the box below.  (Lender must review the above material to assure that the disclosures satisfy all requirements to which the Lender is subject under applicable state law for the particular type of loan applied for.)

Borrower
Co-Borrower
 

I do not wish to furnish this information
I do not wish to furnish this information
 
Ethnicity:
 
Ethnicity
Hispanic or Latino
Not Hispanic-Latino
Hispanic or Latino
Not Hispanic-Latino
 
Race:
 
Race:
American Indian or Alaskan Native
American Indian or Alaskan Native
Asian
Asian
Black or African American
Black or African American
Native Hawaiian or Other Pacific Islander
Native Hawaiian or Other Pacific Islander
White
White
 
Sex:
 
Sex:
Male
Female
Male
Female

This application was taken by (select below):
Face-to-face interview Mail Telephone Internet


Don't Forget: The Borrower and Co-Borrower (if any) need to sign the application on the third and forth pages before you give the application to your broker or lender. When you click the "Submit" button, you will be able to view and print the Fannie Mae application. If you wish to print your application when it appears on the screen, "click here for printing instructions". After printing out the printing instructions, close the printing instructions window and click on the "Submit" button below.



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