I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage Applying For:
Requested Loan Amount
Requested Rate
Rate Type
Amortization or Term Request
5.500
5.625
5.750
5.875
6.125
6.250
6.375
6.500
6.625
6.750
6.875
7.125
7.250
7.375
7.500
7.625
7.750
7.875
Fixed
30 Years
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject Property Address
City
State
Zip
Property Type
Ala.
Alaska
Ariz.
Ark.
Calif.
Colo.
Conn.
Del.
D.C.
Fla.
Ga.
Hawaii
Idaho
Ill.
Ind.
Iowa
Kans.
Ky.
La.
Maine
Md.
Mass.
Mich.
Minn.
Miss.
Mo.
Mont.
Nebr.
Nev.
N.H.
N.J.
N.M.
N.Y.
N.C.
N.D.
Ohio
Okla.
Ore.
Pa.
R.I.
S.C.
S.D.
Tenn.
Tex.
Utah
Vt.
Va.
Wash.
W. Va.
Wis.
Wyo.
Single Family Residence
2-4 Family
5+ Units
Condo
Co-op
Commercial
Land
Moblie Home
Legal Description of Subject Property
Purpose of Loan
Property will be:
Purpose of Refinance
Refinance
Purchase
Primary Residence
Second Home
Investment Property
Lower Rate
Past Due Mortgage Payments
FHA Secure Program
Year Home Purchased
Original Cost
Mortgage Balance
Property Value
Title will be held in what name(s)
Manner in which Title will be Held
Solely
Jointly
III. BORROWER INFORMATION
Borrower's Name (First & Last)
Home Phone (Inc. area code)
DOB(mm/dd/yyyy)
Yrs. In school
12
16
22
Marital Status
No. of Dependents
Social Security Number (optional)
Email Address (required)
Married
Separated
Single
Divorced
Widowed
Present Address if different from Subject Property Address:
Present Address
City
State
Zip
Ala.
Alaska
Ariz.
Ark.
Calif.
Colo.
Conn.
Del.
D.C.
Fla.
Ga.
Hawaii
Idaho
Ill.
Ind.
Iowa
Kans.
Ky.
La.
Maine
Md.
Mass.
Mich.
Minn.
Miss.
Mo.
Mont.
Nebr.
Nev.
N.H.
N.J.
N.M.
N.Y.
N.C.
N.D.
Ohio
Okla.
Ore.
Pa.
R.I.
S.C.
S.D.
Tenn.
Tex.
Utah
Vt.
Va.
Wash.
W. Va.
Wis.
Wyo.
III B. CO-BORROWER INFORMATION
Co-Borrower's Name (First & Last)
Home Phone (Inc. area code)
DOB(mm/dd/yyyy)
Yrs. In school
12
16
22
Marital Status
No. of Dependents
Social Security Number (optional)
Email Address
Married
Separated
Single
Divorced
Widowed
Present Address if different from Subject Property Address:
Present Address
City
State
Zip
Ala.
Alaska
Ariz.
Ark.
Calif.
Colo.
Conn.
Del.
D.C.
Fla.
Ga.
Hawaii
Idaho
Ill.
Ind.
Iowa
Kans.
Ky.
La.
Maine
Md.
Mass.
Mich.
Minn.
Miss.
Mo.
Mont.
Nebr.
Nev.
N.H.
N.J.
N.M.
N.Y.
N.C.
N.D.
Ohio
Okla.
Ore.
Pa.
R.I.
S.C.
S.D.
Tenn.
Tex.
Utah
Vt.
Va.
Wash.
W. Va.
Wis.
Wyo.
IV. EMPLOYMENT INFORMATION FOR BORROWER
Name of Employer
Address
City
State
Zip
Ala.
Alaska
Ariz.
Ark.
Calif.
Colo.
Conn.
Del.
D.C.
Fla.
Ga.
Hawaii
Idaho
Ill.
Ind.
Iowa
Kans.
Ky.
La.
Maine
Md.
Mass.
Mich.
Minn.
Miss.
Mo.
Mont.
Nebr.
Nev.
N.H.
N.J.
N.M.
N.Y.
N.C.
N.D.
Ohio
Okla.
Ore.
Pa.
R.I.
S.C.
S.D.
Tenn.
Tex.
Utah
Vt.
Va.
Wash.
W. Va.
Wis.
Wyo.
Work Phone
Employment
Years Employed
Position/ Title
Wage Earner
Self-Employed
Unemployed
Retired
Other
Estimated Gross Monthly Income
IV B. EMPLOYMENT INFORMATION FOR CO-BORROWER
Name of Employer
Address
City
State
Zip
Ala.
Alaska
Ariz.
Ark.
Calif.
Colo.
Conn.
Del.
D.C.
Fla.
Ga.
Hawaii
Idaho
Ill.
Ind.
Iowa
Kans.
Ky.
La.
Maine
Md.
Mass.
Mich.
Minn.
Miss.
Mo.
Mont.
Nebr.
Nev.
N.H.
N.J.
N.M.
N.Y.
N.C.
N.D.
Ohio
Okla.
Ore.
Pa.
R.I.
S.C.
S.D.
Tenn.
Tex.
Utah
Vt.
Va.
Wash.
W. Va.
Wis.
Wyo.
Work Phone
Employment
Years Employed
Position/ Title
Wage Earner
Self-Employed
Unemployed
Retired
Other
Estimated Gross Monthly Income
V. ADDITIONAL INFORMATION
Credit Rating
Current Rate
Current Rate Type
Payment History
Excellent 680+
Good 620-679
Fair 580-619
Ok 550-579
Poor 500-549
Not Sure
Prior Bankruptcy
Prior Foreclosure
Fixed
Adjustable
How many times late on mortgage in the last
12 months?
0
1
2
3
4
5
6
7
8
9
10
11
12
Co-Borrower's Credit Rating
Excellent 680+
Good 620-679
Fair 580-619
Ok 550-579
Poor 500-549
Not Sure
Prior Bankruptcy
Prior Foreclosure
Mortgage Payment (principal & interest)
Annual Taxes
Annual Insurance
I authorized LNLR Financial Group, Inc and/or it's mortgage service provider to run and verify my credit history
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FHA Uniform Residential Loan Application