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) 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 will not be used as a basis for loan qualification, but his or her liabilities must be considered because the 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.

Fields marked with a * are required.

I. TYPE OF MORTGAGE AND TERMS OF LOAN
Proposed Amount Applied For: *
  Proposed Interest Rate: *
  Proposed Term: *
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
  Subject Property Address: *
  Subject Property City: *
  Subject Property State: *
  Subject Property Zip: *
  Approximate Year Built: *
  Purpose of Loan: Purchase Construction Refinance
Construction-Permanant Other: *
  Property Will Be: Primary Residence Secondary Residence Investment *
Complete this section if this is a refinance loan
  Year Aquired:
  Original Cost: *
  Amount of Mortgages: First: * Second:
  Purpose of Refinance:
  Describe Improvements: Made To Be Made
   
  Cost of Improvements:

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