Uniform Residential Loan Mortgage 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 the income or assets of a person other than the Borrower (including the Borrower's spouse) will be used as a basis for loan qualification or the income or assets of the Borrower's spouse or other person who has community property rights pursuant to state law will not be used as a basis for loan qualification, but his or her liabilities must be considered because the spouse or other person has community property rights pursuant to applicable law and Borrower resides in a community property state, the security property is located in a community property state, or the Borrower is relying on other property located in a community property state as a basis for repayment of the loan.

If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below):

Borrower: Co-Borrower:

 

I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage Applied for:
VA    FHA    Conventional      USDA/Rural Housing Service     Other (explain):             
Agency Case Number
 
Lender Case Number
 
Amount
$
Interest Rate
  %
No. of Months
 
Amortization Type:
Fixed Rate    GPM    Other (explain):                            ARM (type):    

 


Page 1 of 10