Borrower
Information
Borrower
Co-Borrower
Borrower's
Name (include Jr.
or Sr. if applicable)
Co-Borrower's
Name (include Jr.
or Sr. if applicable)
E-mail
Address
Re-Enter
E-mail Address
E-mail Address
Re-Enter E-mail Address
Home Phone
Home
Phone
Date of
Birth
Years in
School
Date
of Birth
Years
in School
Marital
Status
#Dependents
Ages
Marital
Status
#Dependents
Ages
Complete Present
Address
#of Years
at Address
Complete Present
Address
# of Years at Address
Do you
rent from a company or and individual
Mailing
Address
Mailing
Address
If
residing at present address less than two years,
complete the following
If
residing at present address less than two years,
complete the following
Former
address (street, city, state, zip)
Own or Rent
Own
Rent
Please Choose one
Number of Years
Former
Address (street, city, state, zip)
Own or Rent
Own
Rent
Please Choose one
Number of Years
Employment
Information
Borrower
Co-Borrower
Complete Name
& Address of Employer
Self Employed
No
Yes
Please Choose one
Years on Job
Years employed in this line of work/profession
Complete Name
& Address of Employer
Self Employed
No
Yes
Please Choose one
Years on Job
Years employed in this line of work/profession
Position/Title/Type
of Business
Business Phone (incl. area code)
Position/Title/Type
of Business
Business Phone (incl. area code)
If
employed in current position for less than two years
or if currently employed in more than one position,
complete the following:
Name
& Address of Employer
Self Employed
No
Yes
Please Choose one
Dates (from-to)
Monthly Income
Name
& Address of Employer
Self Employed
No
Yes
Please Choose one
Dates (from-to)
Monthly Income
Position/Title/Type
of Business
Business Phone (incl. area code)
Position/Title/Type
of Business
Business Phone (incl. area code)
Name
& Address of Employer
Self Employed
No
Yes
Please Choose one
Dates (from-to)
Monthly Income
Name
& Address of Employer
Self Employed
No
Yes
Please Choose one
Dates (from-to)
Monthly Income
Position/Title/Type
of Business
Business Phone (incl. area code)
Position/Title/Type
of Business
Business Phone (incl. area code)
Amount
available for Down payment
Monthly
Income And Combined Housing Expense Information
(complete all that apply)
Gross
Monthly Income
Borrower
Co-Borrower
Base Empl.
Income
Base
Empl. Income
Overtime
Overtime
Bonuses
Bonuses
Commissions
Commissions
Dividends/Interest
Dividends/Interest
Net Rental
Income
Net
Rental Income
Other
(before completing, see the notice in "describe
other income," below)
Other
(before completing, see the notice in describe other
income," below)
Combined Monthly Housing Expense
Present
Proposed
Rent
First Mortgage (P&I)
Other Financing (P&I)
Hazard Insurance
Real Estate Taxes
Mortgage Insurance
Homeowners Assn. Dues
Other
*Self
Employed Borrower(s) may be required to provide
additional documentation such as tax returns and
financial statements.
Describe
other Income Notice: Alimony, child support, or
separate maintenance income need not be revealed if
the Borrower (B) or Co-Borrower (C) does not choose to
have it considered for repaying this loan.
Other
continued
Assets
List
Checking and savings accounts below
Name and address of Bank, S&L, or credit union
Balance
Name and address of Bank, S&L, or credit union
Balance
Name and address of Bank, S&L, or credit union
Balance
Name and address of Bank, S&L, or credit union
Balance
Life
insurance net cash value
Face amount: $
Declarations
If you answer "yes" to any
questions a through i, please explain in the designated
field.
Questions
Borrower
Co-Borrower
a. Are there any
outstanding judgments against you?
Please Choose one
yes
No
Please Choose one
yes
No
b. Have you been declared
bankrupt within the past 7 years?
Please Choose one
yes
No
Please Choose one
yes
No
c. Have you had property
foreclosed upon or given title or deed in lieu thereof
in the last 7 years?
Please Choose one
yes
No
Please Choose one
yes
No
d. Are you a party to a
lawsuit?
Please Choose one
yes
No
Please Choose one
yes
No
e. Have you directly or
indirectly been obligated on any loan which resulted in
foreclosure, transfer of title in lieu of foreclosure or
judgment?
Please Choose one
yes
No
Please Choose one
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?
Please Choose one
yes
No
Please Choose one
yes
No
g. Are you obligated to
pay alimony, child support, or separate maintenance?
Please Choose one
yes
No
Please Choose one
yes
No
h. Is any part of the down
payment borrowed?
Please Choose one
yes
No
Please Choose one
yes
No
i. Are you a co-maker or
endorser on a note?
Please Choose one
yes
No
Please Choose one
yes
No
j. Are you a U.S. citizen?
Please Choose one
yes
No
Please Choose one
yes
No
k. Are you a permanent
resident alien?
Please Choose one
yes
No
Please Choose one
yes
No
l. Do you intend to occupy
the property as your primary residence? (If "yes"
complete question m below)
Please Choose one
yes
No
Please Choose one
yes
No
m. Have you had an
ownership interest in a property in the last three
years?
Please Choose one
yes
No
Please Choose one
yes
No
1.What type of property
did you own-principal residnece (PR), second home (SH),
or investment property (IP)?
Please Choose one
PR
SH
IP
Please Choose one
PR
SH
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)?
Please Choose one
S
SP
O
Please Choose one
S
SP
O
Information for
Government Monitoring Purposes
Borrower
Co-Borrower
Ethnicity
Are you
Please Choose One
Hispanic
Not Hispanic
Please Choose One
Hispanic
Not Hispanic
Race
Are you
Please Choose One
White
Black/African American
Asian
American Indian
Alaska Native
Native Hawaiian
Other Pacific Islander
Please Choose One
White
Black/African American
Asian
American Indian
Alaska Native
Native Hawaiian
Other Pacific Islander
Sex
Are you
Please Choose One
Female
Male
Please Choose One
Female
Male
*
"I authorize Advantage Mortgage LLC and/or
assigns to obtain my/our credit report for the purpose
of determining credit worthiness.
The information that is obtained is strictly
confidential. By submitting this electronically, this
is to be deemed to be the equivalent
of the original."