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Forms > Commercial Loan Application

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-Browser 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 liabilites 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 joing credit.
Borrower Signature:
Co-Borrower Signature:

 

TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage Applied for:
If 'Other', explain:
Agency Case Number:
Lender Case Number:
Amount:
Interest Rate:
Number of Months:
Amortization Type:
If 'ARM' or 'Other', describe type or explain:

 

PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject Property Address:

Number of Units:
Legal Description of Subject Property:
Year Built:
Purpose of Loan:
Property will be:

 

Complete this section if construction or construction-permanent loan.
Year Lot Acquired
Original Cost
Amount Existing Liens
Present Value of Lot
Cost of Improvements

 

Complete this section if this is a refinance loan.
Year Acquired
Original Cost
Amount Existing Liens
Purpose of Refinance
Describe Improvements
Cost

 

Title will be held in what Name(s):
Manner in which Title will be held:
Estate will be held in:
Source of Down Payment, Settlement Charges, and/or Subordinate Financing:

 

BORROWER INFORMATION
Name:
Social Security Number:
Home Phone:
Date of Birth:
Years in School:
Maritial Status:
Number of Dependents:
Ages of Dependents:
Present Address

Rent or Own?
Number of Years:
Mailing Address

Former Address

 

CO-BORROWER INFORMATION
Name:
Social Security Number:
Home Phone:
Date of Birth:
Years in School:
Maritial Status:
Number of Dependents:
Ages of Dependents:
Present Address

Rent or Own?
Number of Years:
Mailing Address

Former Address

 

BORROWER EMPLOYMENT
Self Employed?
Employer Name:
Employer Address

Business Phone:
Position/Title/Type of Business:
Years on this Job:
Monthly Income:
Self Employed?
Employer Name:
Employer Address

Business Phone:
Position/Title/Type of Business:
Dates Employed:
Monthly Income:
Self Employed?
Employer Name:
Employer Address

Business Phone:
Position/Title/Type of Business:
Dates Employed:
Monthly Income:

 

COBORROWER EMPLOYMENT
Self Employed?
Employer Name:
Employer Address

Business Phone:
Position/Title/Type of Business:
Years on this Job:
Monthly Income:
Self Employed?
Employer Name:
Employer Address

Business Phone:
Position/Title/Type of Business:
Dates Employed:
Monthly Income:
Self Employed?
Employer Name:
Employer Address

Business Phone:
Position/Title/Type of Business:
Dates Employed:
Monthly Income:

 

MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Gross Montly Income Borrower Co-
Borrower		 Total Combined Monthly Housing Expense Present Proposed
Base Empl. Income* Rent
Overtime First Mortgage (P&I)
Bonuses Other Financing (P&I)
Commissions Hazard Insurance
Dividends/Interest Real Estate Taxes
Net Rental Income Mortgage Insurance
Other Homeowner Assn. Dues
Other Other
Total Total

* Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

 

ASSETS AND LIABILITIES
This Statement 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 non-applicant spouse or other person, this Statement and supporting schedules must be completed about that spouse or other person also.
Assets
Completed:
Cash deposit toward purchase held by:
Name of Bank, S&L, or Credit Union:
Address:


Account Number:
Balance:
Name of Bank, S&L, or Credit Union:
Address:


Account Number:
Balance:
Name of Bank, S&L, or Credit Union:
Address:


Account Number:
Balance:
Name of Bank, S&L, or Credit Union:
Address:


Account Number:
Balance:
Stock or Bond Name/Number:
Stock or Bond Balance:
Stock or Bond Name/Number:
Stock or Bond Balance:
Stock or Bond Name/Number:
Stock or Bond Balance:
Stock or Bond Name/Number:
Stock or Bond Balance:
Life Insurance Face Amount:
Life Insurance Net Cash Value:
Subtotal Liquid Assets
Real estate owned (enter market value from schedule of real estate owned)
Vested interest in retirement fund
Net worth of business(es) owned
Automobile Make/Model/Year
Automobile Value
Automobile Make/Model/Year
Automobile Value
Other Value
Total Assets
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. Use continuation sheet, if necessary. Indicate by (*) those liabilities, which will be satisfied upon sale of real estate owned or upon refinancing of the subject property.
Company Name
Address

Account Number
Monthly Payment
Months Left To Pay
Unpaid Balance
Company Name
Address

Account Number
Monthly Payment
Months Left To Pay
Unpaid Balance
Company Name
Address

Account Number
Monthly Payment
Months Left To Pay
Unpaid Balance
Company Name
Address

Account Number
Monthly Payment
Months Left To Pay
Unpaid Balance
Company Name
Address

Account Number
Monthly Payment
Months Left To Pay
Unpaid Balance
Company Name
Address

Account Number
Monthly Payment
Months Left To Pay
Unpaid Balance
Company Name
Address

Account Number
Monthly Payment
Months Left To Pay
Unpaid Balance
Alimony/Child Support/Sperate Maintenance Payments Owed to:
Monthly Payment
Job-Related Expense (child care, union dues, etc.) Monthly Payment
Total Monthly Payments
Total Liabilities
Net Worth (Total Assets minus Total Liabilities)

 

DETAILS OF TRANSACTION
a. Purchase Price
b. Alterations, improvements, repairs
c. Land (if acquired separately)
d. Refinance (incl. 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 (add items a through h)
j. Subordinate financing
k. Borrower's Closing costs paid by Seller
l. Other Credits
m. Loan amount (exclude PMI, MIP, Funding Fee financed)
n. PMI, MIP, Funding Fee financed
o. Loan amount (add m & n)
p. Cash from/to Borrower (subtract j, k, l & o from i)

 

DECLARATIONS
Borrower Co-Borrower
a. Are there any outstanding judgements against you?
b. Have you been declared bankrupt within the past 7 years?
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
d. Are you a party to a lawsuit?
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational lons, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee.)
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
g. Are you obligated to pay alimony, child support, or separate maintenance?
h. Is any part of the down payment borrowed?
i. Are you a co-maker or endorser on a note
j. Are you a U.S. citizen?
k. Are you a permanent resident alien?
l. Do you intend to occupy the property as your primary residence?
m. Have you had an ownership interest in a property in the last three years?

 

ACKNOWLEDGEMENT AND AGREEMENT
Each of the undersigned specifically represents to Lender and to the Lender's actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknowledges that: (1) the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of this information contained in this application may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Sec. 1001, at seq.; (2) the loan requested pursuant to this application (the "Loan") will be secured by a mortgage or deed of trust on the property described in this application; (3) the property will not be used for any illegal or prohibited purpose or use; (4) all statements made in this application are made for the purpose of obtaining a residential mortgage loan; (5) the property will be occupied as indicated in this application; (6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application, hether or not the Loan is approved; (7) the Lender and its agents, brokers, insurers, servicers, successors, and assigns may continuously rely on the information contained in the application, and I am obligated to amend and/or supplement the information provided in this application if any of the material facts that I have represented herein should change prior to closing of the Loan; (8) in the event that my payments on the Loan become delinquent, the Lender, its servicers, successors or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (9) ownership of the Loand and/or administration of the Loan account may be transferred with such notice as may be required by law; (10) neither Lender nor its agents, brokers, insurers, servicers, successors or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of the property; and (11) my transmission of this application as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature.

Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or reverify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.
Borrower's Signature
Date
Co-Borrower's Signature
Date

 

INFORMATION FOR GOVERNMENT MONITORING PURPOSES
The following information is requested by the Federal Government for certain types of loans related to 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 a lender may not discriminate either on the basis of this ifnormation, or on wheter 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 no furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do no wish to furnish the information, please check the box below. (lender must review the above material to assure that the disclosures stisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied form.)
Borrower
I do not wish to furnish this information.
Sex:
Ethnicity:
Race:
Co-Borrower
I do not wish to furnish this information.
Sex:
Ethnicity:
Race:

 
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