Uniform Residential Loan Application
ADVANCED MORTGAGE SOLUTIONS
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 box 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 box 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.
I.   TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage
Applied for:
box VA box FHA box Conventionalbox FmHA box Other:
Agency Case Number Lender Case Number
Amount
$
Interest Rate
                      %
No. of Months
Amortization
Type:
box Fixed Ratebox GPM box Other (explain): box ARM (type):
II.  PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject Property Address (street, city, state & zip code) No. of Units
Legal Description of Subject Property (attach description if necessary) Year Built
Purpose
of Loan:
box Purchase box Refinance box Construction                    box Construction-Permanent box Other (explain): Property will be:
box Primary   box Secondary   box Investment
Complete this line if construction or construction-permanent loan.
Year Lot Acquired Original Cost

$
Amount Existing Liens

$
(a) Present Value of Lot

$
(b) Cost of Improvements

$
Total (a+b)

$
Complete this line if this is a refinance loan.
Year Acquired Original Cost

$
Amount Existing Liens

$
Purpose of Refinance Describe Improvements box made  box to be made

Cost: $
Title will be held in what Name(s) Manner in which Title will be held Estate will be held in:
box Fee Simple
box Leasehold
(show expiration date)
Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain)
 
 
Borrower               III.   BORROWER INFORMATION                 Co-Borrower
Borrower's Name (include Jr. or Sr. if applicable)
 
Co-Borrower's Name (include Jr. or Sr. if applicable)
 
Social Security Number Home Phone(Incl. area code) Age Yrs. School
Social Security Number Home Phone(Incl. area code) Age Yrs. School
box Married  box Unmarried box Seperated Dependents (not listed by Co-Borrower)    no.        ages
box Married  box Unmarried box Seperated Dependents (not listed by Borrower)    no.        ages
Present Address (street, city, state, zip code)box Own box Rent ___No. Yrs.
 
 
 
Present Address (street, city, state, zip code)box Own box Rent ___No. Yrs.
 
 
If residing at present address for less than two years, complete the following:
Former Address (street, city, state, zip code)box Own box Rent ___No. Yrs.
 
 
 
Former Address (street, city, state, zip code)box Own box Rent ___No. Yrs.
 
 
 
Former Address (street, city, state, zip code)box Own box Rent ___No. Yrs.
 
 
 
Former Address (street, city, state, zip code)box Own box Rent ___No. Yrs.
 
 
 
Borrower               IV.   EMPLOYMENT  INFORMATION                 Co-Borrower
Name & Address of Employer            box Self Employed Yrs. on this job
    Yrs. employed in this line of work/profession
  
Name & Address of Employer            box Self Employed Yrs. on this job
    Yrs. employed in this line of work/profession
  
Position/Title/Type of Business  Business Phone (incl. area code) 
Position/Title/Type of Business  Business Phone (incl. area code) 
If employed in current position for less than two years or employed in more than one position, complete the following:
Name & Address of Employer            box Self Employed Dates (from - to)
 
   Monthly Income
$  
Name & Address of Employer            box Self Employed Dates (from - to)
 
   Monthly Income
$  
Position/Title/Type of Business  Business Phone (incl. area code) 
Position/Title/Type of Business  Business Phone (incl. area code) 
Name & Address of Employer            box Self Employed Dates (from - to)
 
   Monthly Income
$  
Name & Address of Employer            box Self Employed Dates (from - to)
 
   Monthly Income
$  
Position/Title/Type of Business  Business Phone (incl. area code) 
Position/Title/Type of Business  Business Phone (incl. area code) 
Freddie Mac Form 65/Rev. 10/92 Page 1 of 4 Fannie Mae Form 1003/Rev. 10/92
Borrower's Initials                         Co-Borrower's Initials