Test - Approved Mortgage

Personal Information

What states are you looking to finance?

Have you applied for a mortgage with anyone else in the last 90 days?

Yes

What is your date of birth?

Month

Day

Year

What is your marital status

Married (includes registered domestic partners)

Unmarried (includes single, divorced, widowed)

Separated

Will there be a co-borrower on the loan?

Yes

What is your relationship with the co-borrower?

Spouse

Partner

Parent

Child

Relative

Friend

Other

Does or will the co-borrower reside with you?

Yes

Please provide Co-Borrower’s information

Title

First Name

Middle Initial

Last Name

Suffix

Email Address

Home Phone Number

Cell Phone Number

Co-borrower’s name: What is your date of birth?

Month

Day

Year

Co-borrower’s name: What is your marital status?

Married (includes registered domestic partners)

Unmarried (includes single, divorced, widowed)

Separated

Borrower’s name: What is your current physical address?

Street Address

City

State

Zip

Borrower’s Name: Is this your current mailing address?

Yes

Borrower’s Name: Do you own or rent at your current address?

Own

Rent

I live rent free

Borrower’s Name: How long has this been your primary address?

Years

Months

Borrower’s Name: Has the co-borrower had the same address history as you for the past 2 years?

Yes

Co-borrower’s Name: What is your current physical address?

Street Address

City

State

Zip

Co-borrower’s Name: Is this your current mailing address?

Yes

Co-borrower’s Name: Do you own or rent at your current address?

Own

Rent

I live rent free

Co-borrower’s Name: How long has this been your primary address?

Years

Months

Borrower’s Name: How many dependents do you have?

Borrower’s Name: How many years of school have you completed, including college?

Borrower’s Name: Did you attend school in the past 2 years?

Yes

Co-borrower’s Name: How many dependents do you have?

Co-borrower’s Name: How many years of school have you completed, including college?

Co-borrower’s Name: Did you attend school in the past 2 years?

Yes

Property Owned

How many properties and/or land do you currently own?

Please confirm this is the physical address for the property you own

Yes

—— What type of property is this?

Single Family Residence

Condo/Townhouse/Condex

Multi-Family Dwelling

2 unit (duplex)

3 unit

4 unit

5+ units

Mobile/Manufactured home

Lot or land

Commercial property

Other

Do you pay any association fees/dues?

Yes

** If yes: How much are your monthly association fee/dues?

What is your current use of the property?

Primary residence

Second/vacation home

Investment property

Land

Commercial property

other

What is the estimated current value of this property?

Do you have a mortgage on the property?

Yes

What is your current loan type:?

Conventional

FHA

USDA

Jumbo

Construction

Other

I don’t know

Who is the current lien holder (name of bank/mortgage company that payment is made to)?

Is everyone listed on the deed (owner(s) of this property) also listed on the mortgage statement?

Yes

What is the amount of your monthly principal and interest payment on your mortgage (not including taxes or insurance)?

Has this payment been made on time in the past 12 months?

Yes

What is the balanced owed on the mortgage (approximately)?

What is your current mortgage rate?

Are your property taxes included in your mortgage payment (escrowed)?

Yes

How much are your annual property taxes?

Is your hazard (home owners insurance) included in your mortgage payment (escrowed)?

Yes

How much is your annual hazard (home owners) insurance?

Do you have a home equity line of credit or second mortgage on this property?

Yes

What is the balance owed on the second mortgage/equity line (approximately)?

Who is the current lien holder on the second mortgage/equity line (name of bank/mortgage company that payments are made to)?

Do you have a third mortgage or home equity line of credit against the property?

Yes

What is the balance owed on the third mortgage/equity line (approximately)?

Who is the current lien holder on the third mortgage/equity line (name of bank/mortgage company that payments are made to)?

——— Done with additional loans on property

Yes

What is your plan with this property?

Sold this property

but have not closed and plan to move into new home about the same time

Have this property listed for sale

Theis property is under agreement

Plan to list this property for sale soon

Paln to rent this property and move into new home

Plan to move into new home and then figure what we want to do

Refinance

Not selling or refinancing this property

Other

Is selling this property contingent upon your new purchase?

Yes

Do you currently own additional properties?

Yes

How many additional properties do you own?

Street Address

City

State

Zip

What type of property is this?

Single Family Residence

Condo/Townhouse/Condex

Multi-Family Dwelling

2 unit (duplex)

3 unit

4 unit

5+ units

Mobile/Manufactured home

Lot or land

Commercial property

Other

What is your current monthly rental income?

What is the estimated current value of this property?

Do you have a mortgage on the property?

Yes

What is your current loan type:?

Conventional

FHA

USDA

Jumbo

Construction

Other

I don’t know

Who is the current lien holder (name of bank/mortgage company that payment is made to)?

Is everyone listed on the deed (owner(s) of this property) also listed on the mortgage statement?

Yes

What is the amount of your monthly principal and interest payment on your mortgage (not including taxes or insurance)?

Has this payment been made on time in the past 12 months?

Yes

What is the balanced owed on the mortgage (approximately)?

What is your current mortgage rate?

Are your property taxes included in your mortgage payment (escrowed)?

Yes

How much are your annual property taxes?

Is your hazard (home owners insurance) included in your mortgage payment (escrowed)?

Yes

How much is your annual hazard (home owners) insurance?

Do you have a home equity line of credit or second mortgage on this property?

Yes

What is the balance owed on the second mortgage/equity line (approximately)?

Who is the current lien holder on the second mortgage/equity line (name of bank/mortgage company that payments are made to)?

Do you have a third mortgage or home equity line of credit against the property?

Yes

What is the balance owed on the third mortgage/equity line (approximately)?

Who is the current lien holder on the third mortgage/equity line (name of bank/mortgage company that payments are made to)?

What is your plan with this property?

Sold this property

but have not closed and plan to move into new home about the same time

Have this property listed for sale

Theis property is under agreement

Plan to list this property for sale soon

Paln to rent this property and move into new home

Plan to move into new home and then figure what we want to do

Refinance

Not selling or refinancing this property

Other

—— When did you purhcase the property?

Month

Years

How much did you purchase this property for?

In what manner is the title currently held?

Solely by myself

Jointly with spouse

Jointly with another person

Trust

Other

Have there been any changes (anyone been added or removed) to the deed or title in the last 12 months?

Yes

Do you pay flood insurance?

Yes

Do you currently own additional properties?

Yes

Are you planning on purchasing a property?

Yes

What is the timeframe for your purchase?

Currently under contract

Offer Pending/found a house

Pla on purhcasing a property in the next 2-4 months

Exploring options

Are you currently working with a real estate agent?

Yes

Do you authorize us to speak with your agent?

Yes

Agent’s Name

Agent’s Email Address

Agent’s Phone Number

Would you like us to recommend you an agent?

Yes

Mortgage and Terms

Borrower’s Name: Do you intend to occupy the property as your primary residence?

Yes

Borrower’s Name: When do you plan to move into the property?

Move into upon closing

Move in within 60 days

Move in after 60 days

other

What is your intention for the new property?

Second/Vacation home

Investment/Rental Property

Other

Co-borrower’s Name: Do you intend to occupy the property as your primary residence?

Yes

Co-borrower’s Name: When do you plan to move into the property?

Move into upon closing

Move in within 60 days

Move in after 60 days

other

What is your intention for the new property?

Second/Vacation home

Investment/Rental Property

Other

What is your estimated purchase price?

What is your estimated down payment?

What term are you thinking of applying for?

10 year fixed

15 year fixed

20 year fixed

25 year fixed

30 year fixed

Adjustable rate mortgage

Other

I don’t know

Do you plan to pay this loan off within the year?

Yes

Borrower’s Name: Are you eligible for a Veteran Loan?

Yes

Borrower’s Name: Which branch of the military?

Military Duty

Reserves/National Guard

Borrower’s Name: Do you receive any of these military benefits?

Military base pay

Reserve income

Housing/Quarters allowance

Borrower’s Name: Have you used your VA Entitlement before?

Yes

Borrower’s Name: Are you 10% or more disabled?

Yes

Borrower’s Name: Are you listed as permanently disabled?

Yes

Co-borrower’s Name: Are you eligible for a Veteran Loan?

Yes

Co-borrower’s Name: Which branch of the military?

Military Duty

Reserves/National Guard

Co-borrower’s Name: Do you receive any of these military benefits?

Military base pay

Reserve income

Housing/Quarters allowance

Co-borrower’s Name: Have you used your VA Entitlement before?

Yes

Co-borrower’s Name: Are you 10% or more disabled?

Yes

Co-borrower’s Name: Are you listed as permanently disabled?

Yes

In what manner would you like the title to be held?

Solely by myself

Jointly with spouse

Jointly with another person

Trust

Other

Do you want to include your property taxes in your mortgage payment (escrow)?

Yes

Do you want to include your hazard (home owners insurance) in your mortgage payment (escrow)?

Yes

Assets & Liabilities

Institution Name

Estimated Balance

Amount for closing

Account Holder

Do you have a retirement or 401K account?

Yes

Institution Name

Estimated Balance

Amount for closing

Account Holder

Do you have any investment accounts?

Yes

Institution Name

Estimated Balance

Amount for closing

Account Holder

Will any part of your funds for closing from a gift (funds that are not going to be paid back)?

Yes

Amount of Gift?

Is this gift coming from a family member?

Yes

Will any part of your funds for closing come from the following?

Current Pending Sale

Home Equity Line of Credit

Cash Out

Refinance

None apply

If any part of your funds come from current pending sale, home equity line of credit, cash out or refinance, how much?

Are there any other sources for your funds for closing that we didn’t ask you about (wedding funds, lottery winnings, state/federal down payment assistance programs, grants, sale of personal items, cash in hand, etc…)?

Yes

Is any part of your funds for closing being borrowed?

Yes

How much of your funds for closing are borrowed?

Borrower’s Name: Are you obligated to pay child support?

Yes

Borrower’s Name: How much is your total monthly obligation for child support?

Borrower’s Name: Are you obligated to pay alimony?

Yes

Borrower’s Name: How much is your total monthly obligation for alimony?

Borrower’s Name: Have you applied for any credit in the last 90 days (credit cards, personal loans, auto loans, etc…)?

Yes

Borrower’s Name: Did you file a tax extension for the most recent year?

Yes

Borrower’s Name: Do you owe back taxes from any previous years?

Yes

Borrower’s Name: Are you on a payment plan?

Yes

Borrower’s Name: Do you claim any business use of home on your tax return?

Yes

Borrower’s Name: Do you claim any unreimbursed employee expenses on your tax return?

Yes

Borrower’s Name: Do you have any non-business property leases that you’re obligated to pay?

Yes

Borrower’s Name: Have you sold any properties since you last filed your most recent tax return?

Yes

Borrower’s Name: Have you sold any other properties since you last filed your most recent tax return?

Yes

Co-borrower’s Name: Are you obligated to pay child support?

Yes

Co-borrower’s Name: How much is your total monthly obligation for child support?

Co-borrower’s Name: Are you obligated to pay alimony?

Yes

Co-borrower’s Name: How much is your total monthly obligation for alimony?

Co-borrower’s Name: Have you applied for any credit in the last 90 days (credit cards, personal loans, auto loans, etc…)?

Yes

Co-borrower’s Name: Did you file a tax extension for the most recent year?

Yes

Co-borrower’s Name: Do you owe back taxes from any previous years?

Yes

Co-borrower’s Name: Are you on a payment plan?

Yes

Co-borrower’s Name: Do you claim any business use of home on your tax return?

Yes

Co-borrower’s Name: Do you claim any unreimbursed employee expenses on your tax return?

Yes

Co-borrower’s Name: Do you have any non-business property leases that you’re obligated to pay?

Yes

Co-borrower’s Name: Have you sold any properties since you last filed your most recent tax return?

Yes

Co-borrower’s Name: Have you sold any other properties since you last filed your most recent tax return?

Yes

Income

Borrower’s Name: What is the total annual income of all adults living in your home?

Borrower’s Name: How many years have you been in your current profession (line of work/industry)?

Borrower’s Name: Do you currently have ownership in a business or are you paid as an Independent Contractor (1099)?

Yes

Name of Business

Type of Business

Position Title

Street Address

City

State

Zip Code

Phone Number

Monthly Income

Month Started

Year Started

Borrower’s Name: Is it a family owned business?

Yes

Borrower’s Name: What type of business is it?

Independent Contractor/1099 Employee

Schedule C/Sole Proprietor

S-Corporation

Corporation

Partnership/LLC

Borrower’s Name: What percent of the business do you own?

Borrower’s Name: Has the business filed an extension for this past year’s tax return?

Yes

Borrower’s Name: Do you have any outstanding company notes that are or were payable within the past year?

Yes

Borrower’s Name: Do you currently have ownership in any other business?

Yes

Borrower’s Name: Have you owned any businesses in the past 2 years that you NO LONGER OWN?

Yes

Name of Business

Type of Business

Monthly Income

Start Date: Month

Start Date: Year

End Date: Month

End Date: Year

Borrower’s Name: Have you owned any businesses in the past 2 years that you NO LONGER OWN?

Yes

Borrower’s Name: Are you currently a W-2 employee (As a W-2 employee, payroll taxes are automatically deducted from your paycheck and paid to the government through your employer)?

Yes

Employer Name

Position Title

Street Address

City

State

Zip Code

Phone Number

Monthly Income

Start Date: Month

Start Date: Year

Borrower’s Name: Is this a seasonal job?

Yes

Borrower’s Name: Are you paid hourly at your current position?

Yes

Borrower’s Name: What is your hourly rate?

Borrower’s Name: What is your yearly salary

BONUS INCOME (SECTION) Year-to-date

BONUS INCOME (SECTION) Expected total end of this year

BONUS INCOME (SECTION) Estimated total from last tax year

BONUS INCOME (SECTION) Exstimated total from two years ago

COMMISION INCOME (SECTION) Year-to-date

COMMISION INCOME (SECTION) Expected total end of this year

COMMISION INCOME (SECTION) Estimated total from last tax year

COMMISION INCOME (SECTION) Exstimated total from two years ago

Borrower’s Name: Have you had any changes in pay in the past year?

Yes

Borrower’s Name: Do you currently have another full or part time W-2 job?

Yes

Borrower’s Name: Is this a seasonal job?

Yes

Borrower’s Name: Have you had any other full or part time W-2 jobs in the past 2 years?

Yes

Borrower’s Name: Did you have any gaps in employment over the past 2 years greater than 30 days?

Yes

Borrower’s Name: Do you receive any Social Security Income?

Yes

Borrower’s Name: How much Social Security Income do you receive per month?

Borrower’s Name: Do you receive any Disability Income?

Yes

Borrower’s Name: How much Social Security Income do you receive per month?

Borrower’s Name: Do you receive any Retirement/Pension Income?

Yes

Borrower’s Name: How much Retirement/Pension Income do you receive per month?

Borrower’s Name: Do you receive any Annuity or Trust Income?

Yes

Borrower’s Name: Will your Annuity or Trust Income continue for at least the next 3 years?

Yes

Borrower’s Name: How much Annuity or Trust Income do you receive per year?

Borrower’s Name: Do you receive any Unemployment Benefits?

Yes

Borrower’s Name: Did you have any gaps in employment over the past 2 years greater than 30 days?

Yes

Borrower’s Name: Have you received Unemployment Benefits for the past 2 years?

Yes

Borrower’s Name: Do you receive a Foster Care or Adoption Subsidy?

Yes

Borrower’s Name: Do you have any other sources of income you would like to use?

Yes

Declarations

Borrower’s Name: Are there any outstanding judgements against you?

Yes

Borrower’s Name: Have you been declared bankrupt within the past 7 years?

Yes

Month

Year

Borrower’s Name: Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

Yes

Month

Year

Borrower’s Name: 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, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee.)

Yes

Borrower’s Name: Are you presently delinquent or in default on any federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee?

Yes

Borrower’s Name: Are you obligated to pay alimony, child support, or separate maintenance?

Yes

Borrower’s Name: Are you a co-maker or endorser on a note?

Yes

Borrower’s Name: Are you a US citizen?

Yes

Borrower’s Name: Are you a Permanent Resident Alien?

Yes

Borrower’s Name: Are you currently party to a lawsuit?

Yes

Borrower’s Name: Have you sold a home for less than you owed, that resulted in a short sale transaction?

Yes

Month

Year

Borrower’s Name: Have you had ownership interest in a property in the past 3 years?

Yes

Borrower’s Name: How did you hold the title?

Solely by myself

Jointly with spouse

Jointly with another person

Borrower’s Name: What type of property was it?

Primary residence

Second home

Investment property

Borrower’s Name: Are you related to anyone involved in this transaction (ie: seller of the property, real estate agent, appraiser)?

Yes

Borrower’s Name: How would you rate your credit?

Excellent – unaware of any late payments or derogatory history

Good – a few late payments

Fair – prior credit issues

Current credit issues

No credit history

Unkown

Borrower’s Name: Do you provide authorization for us to pull your credit report?

Yes

Personal Information

What states are you looking to finance?

Have you applied for a mortgage with anyone else in the last 90 days?

What is your date of birth?

What is your marital status

Will there be a co-borrower on the loan?

What is your relationship with the co-borrower?

Does or will the co-borrower reside with you?

Please provide Co-Borrower’s information

Title

First Name

Middle Initial

Last Name

Suffix

Email Address

Home Phone Number

Cell Phone Number

*Co-borrower’s name*: What is your date of birth?

*Co-borrower’s name*: What is your marital status?

*Borrower’s name*: What is your current physical address?

Street Address

City

State

Zip

*Borrower’s Name*: Is this your current mailing address?

*Borrower’s Name*: Do you own or rent at your current address?

*Borrower’s Name*: How long has this been your primary address?

Years

Months

*Borrower’s Name*: Has the co-borrower had the same address history as you for the past 2 years?

*Co-borrower’s Name*: What is your current physical address?

Street Address

City

State

Zip

*Co-borrower’s Name*: Is this your current mailing address?

*Co-borrower’s Name*: Do you own or rent at your current address?

*Co-borrower’s Name*: How long has this been your primary address?

Years

Months

*Borrower’s Name*: How many dependents do you have?

*Borrower’s Name*: How many years of school have you completed, including college?

*Borrower’s Name*: Did you attend school in the past 2 years?

*Co-borrower’s Name*: How many dependents do you have?

*Co-borrower’s Name*: How many years of school have you completed, including college?

*Co-borrower’s Name*: Did you attend school in the past 2 years?

Property Owned

How many properties and/or land do you currently own?

Please confirm this is the physical address for the property you own

—— What type of property is this?

Do you pay any association fees/dues?

** If yes: How much are your monthly association fee/dues?

What is your current use of the property?

What is the estimated current value of this property?

Do you have a mortgage on the property?

What is your current loan type:?

Who is the current lien holder (name of bank/mortgage company that payment is made to)?

Is everyone listed on the deed (owner(s) of this property) also listed on the mortgage statement?

What is the amount of your monthly principal and interest payment on your mortgage (not including taxes or insurance)?

Has this payment been made on time in the past 12 months?

What is the balanced owed on the mortgage (approximately)?

What is your current mortgage rate?

Are your property taxes included in your mortgage payment (escrowed)?

How much are your annual property taxes?

Is your hazard (home owners insurance) included in your mortgage payment (escrowed)?

How much is your annual hazard (home owners) insurance?

Do you have a home equity line of credit or second mortgage on this property?

What is the balance owed on the second mortgage/equity line (approximately)?

Who is the current lien holder on the second mortgage/equity line (name of bank/mortgage company that payments are made to)?

Do you have a third mortgage or home equity line of credit against the property?

What is the balance owed on the third mortgage/equity line (approximately)?

Who is the current lien holder on the third mortgage/equity line (name of bank/mortgage company that payments are made to)?

——— Done with additional loans on property

What is your plan with this property?

Is selling this property contingent upon your new purchase?

Do you currently own additional properties?

How many additional properties do you own?

Street Address

City

State

Co-borrower’s name: What is your date of birth?

Co-borrower’s name: What is your marital status?

Borrower’s name: What is your current physical address?

Borrower’s Name: Is this your current mailing address?

Borrower’s Name: Do you own or rent at your current address?

Borrower’s Name: How long has this been your primary address?

Borrower’s Name: Has the co-borrower had the same address history as you for the past 2 years?

Co-borrower’s Name: What is your current physical address?

Co-borrower’s Name: Is this your current mailing address?

Co-borrower’s Name: Do you own or rent at your current address?

Co-borrower’s Name: How long has this been your primary address?

Borrower’s Name: How many dependents do you have?

Borrower’s Name: How many years of school have you completed, including college?

Borrower’s Name: Did you attend school in the past 2 years?

Co-borrower’s Name: How many dependents do you have?

Co-borrower’s Name: How many years of school have you completed, including college?

Co-borrower’s Name: Did you attend school in the past 2 years?

Borrower’s Name: Do you intend to occupy the property as your primary residence?

Borrower’s Name: When do you plan to move into the property?

Co-borrower’s Name: Do you intend to occupy the property as your primary residence?

Co-borrower’s Name: When do you plan to move into the property?

Borrower’s Name: Are you eligible for a Veteran Loan?

Borrower’s Name: Which branch of the military?

Borrower’s Name: Do you receive any of these military benefits?

Borrower’s Name: Have you used your VA Entitlement before?

Borrower’s Name: Are you 10% or more disabled?

Borrower’s Name: Are you listed as permanently disabled?

Co-borrower’s Name: Are you eligible for a Veteran Loan?

Co-borrower’s Name: Which branch of the military?

Co-borrower’s Name: Do you receive any of these military benefits?

Co-borrower’s Name: Have you used your VA Entitlement before?

Co-borrower’s Name: Are you 10% or more disabled?

Co-borrower’s Name: Are you listed as permanently disabled?