Loan Amount: [loan-amount]

Interest Rate: [interest-rate]

Fixed Period: [fixed-period]

Property Address: [property-address]

Year Built: [year-built]

Occupancy: [occupancy]

Property Type: [property-will-be]

Loan Purpose: [purpose-loan]

Purchase Price: [purchase-price]

Borrower Name: [borrower-name]

Borrower DOB: [borrower-dob]

Borrower Phone: [borrower-phone]

Current Address: [borrower-address]

Own or Rent? [borrower-ownrent]

How Long at Current Address? [borrower-howlong]

Previous Address: [borrower-previous-address]

Own or Rent? [borrower-ownrentprev]

How Long at Previous Address? [borrower-howlongprev]

Mailing Address: [borrower-mailing]

Marital Status: [borrower-marital-status]

Citizenship: [borrower-citizen]

Co-Borrower Name [coborrower-name]

Co-Borrower DOB: [coborrower-dob]

Co-Borrower Phone: [coborrower-phone]

Co-Borrower Address: [coborrower-address]

Own or Rent? [coborrower-ownrent]

How Long at Current Address? [coborrower-howlong]

Co-Borrower Previous Address: [coborrower-previous-address]

Own or Rent? [coborrower-ownrentprev]

How Long at Previous Address? [coborrower-howlongprev]

Mailing Address: [coborrower-mailing]

Marital Status: [coborrower-marital-status]

Citizenship: [coborrower-citizen]

Borrower Employer: [borrower-employer]

Position: [borrower-position]

Income: [borrower-income]

Years on Job: [borrower-years-on-job]

Years in Profession: [borrower-years-in-profession]

Co-Borrower Employer: [coborrower-employer]

Position: [coborrower-position]

Income: [coborrower-income]

Years on Job: [coborrower-years-on-job]

Years in Profession: [coborrower-years-in-profession]

Monthly Rent: [rent]

1st Mortgage Payment: [mort1]

2nd Mortgage Payment: [mort2]

Hazard Insurance: [insurance]

Property Taxes: [proptax]

Mortgage Insurance: [mortins]

HOA Dues: [hoadues]

Other Payments: [other]

Instituion Name 1: [bank-name1]

Account Type: [account-type1]

Institution Name 2: [bank-name2]

Account Type 2: [account-type2]

Institution Name 3: [bank-name3]

Account Type 3: [account-type3]

Liability 1: [liability-name1]

Account Balance 1: [account-balance1]

Monthly Payment 1: [monthly-payment1]

Liability 2: [liability-name2]

Account Balance 2: [account-balance2]

Monthly Payment 2: [monthly-payment2]

Liability 3: [liability-name3]

Account Balance 3: [account-balance3]

Monthly Payment 3: [monthly-payment3]

Property Address 1: [p1-address]

Status: [p1-status]

Type: [p1-type]

Value: [p1-value]

Mortgage Balance: [p1-mortgage]

Gross Income: [p1-grossinc]

Payments: [p1-payments]

Expenses: [p1-expenses]

Property Address 2: [p2-address]

Status: [p2-status]

Type: [p2-type]

Value: [p2-value]

Mortgage Balance: [p2-mortgage]

Gross Income: [p2-grossinc]

Payments: [p2-payments]

Expenses: [p2-expenses]

Property Address 3: [p3-address]

Status: [p3-status]

Type: [p3-type]

Value: [p3-value]

Mortgage Balance: [p3-mortgage]

Gross Income: [p3-grossinc]

Payments: [p3-payments]

Expenses: [p3-expenses]

Property Address 4: [p4-address]

Status: [p4-status]

Type: [p4-type]

Value: [p4-value]

Mortgage Balance: [p4-mortgage]

Gross Income: [p4-grossinc]

Payments: [p4-payments]

Expenses: [p4-expenses]

Will you occupy the property as your primary residence?

[q1]

If this is a Purchase Transaction, do you have a family relationship or business affiliation with the seller of the property?

[q2]

Are you borrowing any money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application?

[q3]

Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application?

[q4]

Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan that is not disclosed on this application?

[q5]

Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g., the Property Assessed Clean Energy Program )?

[q6]

Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?

[q7]

Are there any outstanding judgments against you?

[q8]

Are you currently delinquent or in default on a Federal debt?

[q9]

Are you a party to a lawsuit in which you potentially have any personal financial liability?

[q10]

Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?

[q11]

Have you had property foreclosed upon in the last 7 years?

[q12]

Have you declared bankruptcy within the past 7 years?

[q13]

Are you obligated to pay alimony or child support?

[q14]