Home Start 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-Borrower information must also be provided (and the appropriate box checked) whenthe income or assets of a person other than the Borrower including the Borrower's spouse will be used as a basis for loan qualification 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 communityproperty rights pursuant to state law will not be used as a basis for loan qualification, but his or her liabilities must be considered because the spouse or other personhas community property rights pursuant to applicable law and Borrower resides in a community property state, the security property is located in a community propertystate, or the Borrower is relying on other property located in a community property state as a basis for repayment of the loan. 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 liabilities 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 each eagree that we intend to apply for joint credit (sign below): Borrower Co-Borrower I. type of mortgage and terms of loan Mortgage Applied for: VAConventionalFHAUSDA/Rural Housing ServiceOther Agency Case Number Lender Case Number Amount Interest Rate No. of Months Amortization Type: Fixed RateGPMOtherARM (type) II. Property information and purpose loan Subject Property Address No. of Units Legal Description of Subject Property (attach description if necessary Year Built Purpose of Loan: PurchaseConstructionRefinanceConstruction-Permanent Other: Property will be: Primary ResidenceSecondary ResidenceInvestment Complete this line if construction or construction-permanent loan. Year Lot Acquired Original Cost $ Amoutn Existing Liens $ Purpose of Refinance Describe Improvements MadeTo be made Cost: $ Title will be held in what Name(s) Manner in which Title will be held Estate will be held in: Fee SimpleLeasehold (show expiration date) Source of Down Payment, Settlement Charges and/or Subordiante Financing (explain) III. Borrower information Borrower Borrower's Name (include Jr. or Sr. if applicable) Social Security Home Phone (incl. area code) DOB (mm/dd/yyy) Yrs. School Married (includes registered domestic partners)Unmarried (includes single, divorced, widowed)Separated Dependents (not listed by Co-Borrower) No. Ages Present Address (street, city, state, ZIP/country) ownrent No. Yrs. /United States Mailing Address, if different from Present Address If residing at present address for less than two years, complete the following: Former Address (street, city, state, ZIP) [text-area borrower-former-address] ownrent No. Yrs. Former Address (street, city, state, ZIP) [text-area borrower-former-address] ownrent No. Yrs. Co-Borrower Borrower's Name (include Jr. or Sr. if applicable) Social Security Home Phone (incl. area code) DOB (mm/dd/yyy) Yrs. School Married (includes registered domestic partners)Unmarried (includes single, divorced, widowed)Separated Dependents (not listed by Co-Borrower) No. Ages Present Address (street, city, state, ZIP/country) ownrent No. Yrs. /United States Mailing Address, if different from Present Address If residing at present address for less than two years, complete the following: Former Address (street, city, state, ZIP) [text-area co-borrower-former-address] ownrent No. Yrs. Former Address (street, city, state, ZIP) [text-area borrower-former-address] ownrent No. Yrs. IV. Employment information Borrower Name & Address of Employer Self-EmployedSelf-Employed Yrs on this job Yrs. employed in this line of work/profession Position/Title/Type of Business Business Phone (incl. area code) If employed in current postion for less than two years or if currently employed inmore than one position, complete the following: Name & Address of Employer Self-EmployedSelf-Employed Date (from-to) Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self-EmployedSelf-Employed Date (from-to) Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self-EmployedSelf-Employed Date (from-to) Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self-EmployedSelf-Employed Date (from-to) Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Co-Borrower Name & Address of Employer Self-EmployedSelf-Employed Yrs on this job Yrs. employed in this line of work/profession Position/Title/Type of Business Business Phone (incl. area code) If employed in current postion for less than two years or if currently employed inmore than one position, complete the following: Name & Address of Employer Self-EmployedSelf-Employed Date (from-to) Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self-EmployedSelf-Employed Date (from-to) Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self-EmployedSelf-Employed Date (from-to) Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer Self-EmployedSelf-Employed Date (from-to) Monthly Income Position/Title/Type of Business Business Phone (incl. area code) v. monthly income and combined housing expense information Gross Monthly 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 (before Homeowner Assn. Dues completing. see the notice in "describe other income,"below) Other: Total $ $ $ Total $ $ * Self Employed Borrower(s) may be required to provide additonal 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. B/C Monthly Amount $ Borrower Co-Borrower VI. 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 by that spouse or other person also. DescriptionASSESTS Cash or Market Value Cash deposit toward purchase held by: $ List checking and savings accounts below Name and address of Bank, S&L, or Credit Union Acct. no. $ Name and address of Bank, S&L, or Credit Union Acct. no. $ Name and address of Bank, S&L, or Credit Union Acct. no. $ Stocks & Bonds (Company name/number description) $ LIfe insurance net cash value Face amount: $ $ 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 (attach financial statement) $ Automobiles owned (make and year) $ Other Assets (itemize) $ Total Assets a. $ 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. Liabilities Monthly Payment & Months Left to Pay Unpaid Balance Name and address of Company Acct.no. $ Payment/Months $ Name and address of Company Acct.no. $ Payment/Months $ Name and address of Company Acct.no. $ Payment/Months $ Name and address of Company Acct.no. $ Payment/Months $ Name and address of Company Acct.no. $ Payment/Months $ Name and address of Company Acct.no. $ Payment/Months $ Alimony/Child Support/Separate Maintenance Payments Owed to: $ Job-Related Expense (child care, union dues, etc.) $ Total-Monthly Payments $ Net Worth(a minus b) => $ Total Liabilities b. $ Schedule of Real Estate Owned (if additional properties are owned, use continuation sheet) Property Address (enter S if sold, PS if pending sale or R if rental being for income) Type of Property Present Market Value Amount of Mortgages & Liens Gross Rental Income Mortgage Payments Insurance Maintenance, Taxes & Misc. Net Rental Income $ $ $ $ $ $ Total $ $ $ $ $ $ List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s): Alternate Name Creditor Name Account Name VII. DETAILS OF TRANSACTION a. Purchase price $ b. Alterations, improvements, repairs $ c. Land (if acquired separately) $ d. Refinance (inc. 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 financinge $ k. Borrwer's closing costs paid by Seller $ l. Other Credits Explain $ 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 & 0 from i) $ VIII. DECLARATIONS If you answer "Yes" to any questions a through i, please use continuation sheet for explanation. Borrower Co-Borrower a. Are there any outstanding judgments against you? YesNo YesNo b. Have you been declared bankrupt within the past 7 years? YesNo YesNo c. Have you had property foreclosed upon or given title or deed in lieu therof in the last 7 years? YesNo YesNo d. Are you a party ot a lawsuit? YesNo YesNo e. Have you directly or indriectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement? YesNo YesNo (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "Yes," provide details, including date, name, and address of Lender, FHA or VA case number, if any, and reasons for the action.) f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If "Yes," give details as described in the preceding question. YesNo YesNo g. Are you obligated to pay alimony, child support, or separate maintenance? YesNo YesNo h. Is any part of the down payment borrowed? YesNo YesNo i. Are you a co-maker or endorser on a note? YesNo YesNo j. Are you a U.S. citizen? YesNo YesNo k. Are you a permanent resident alien? YesNo YesNo l. Do you intend to cocupy the property as your primary residence? If "Yes," complete question m below" YesNo YesNo m. Have you had an ownership interest in a property in the last three years? YesNo YesNo (1) What type of property did you own-principal residence (PR), second home (SH), or investment property (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)? IX. Acknowledgement and agreement Each of the undersigned specifically represents to Lender and to 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, et 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, whether 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 credit reporting agencies; (9) ownership of the Loan 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 purpose through any source, including a source named in this application or a consumer reporting agency. Right to Receive Copy of Appraisal I/We have the right to a copy of the appraisal report used in connection with this application for credit. To obtain a copy, I/we must send Creditor a written request at the mailing address Creditor has provided.Creditor must hear from us no later than ____ days after Creditor notifies me/us about the action taken on this application, or I/we withdraw this application. If you would like a copy of the appraisal report, contact: Mortgage Portfolio Services/Outsmart Holdings, LLC 2500 Bettis Boulevard Rollingwood, TX 78746 Borrower's Signature Date Co-Borrower's Signature Date X. information for government monitoring purposes The following information is requested by the Federal Government for certain types of loans related to a 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 information, or on whether 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 not 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 not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.) BORROWER I do not wish to furnish this information I do not wish to furning this information ETHNICITY Hispanic or LatinoNot Hispanic or Latino RACE: American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite SEX FemaleMale CO-BORROWER I do not wish to furnish this information I do not wish to furning this information ETHNICITY Hispanic or LatinoNot Hispanic or Latino RACE: American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite SEX FemaleMale To be Completed by Loan Originator: This information was provided: In a face-to-face interviewBy the applicant and submitted by fax or mailIn a telephone interviewBy the applicant and submitted via e-mail or the internet Loan Origination Company's Name X Date Loan Originator's Name (print or type) Loan Originator Loan Originator's Phone Number (including area code) Loan Origination Company's Name Mortgage Portfolio Services/Outsmart Holdings, LLC (P) 512-992-7153 (F) 512-477-7142 Loan Origination Company Identifier 2047 Loan Origination Company's Address 2500 Bettis Boulevard Rollingwood, TX 78746 Continuation Sheet/Residential Loan Application Use this continuation sheet if you need more space to complete the Residential Loan Application. Mark B for Borrower or C for Co-Borrower Borrower: Co-Borrorwer: Agency Case Number: Lender Case Number: I/We fully understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code, Section 1001, et seq. Borrower's Signature Date Co-Borrower's Signature Date Δ
