ADVANCED MORTGAGE SOLUTIONS
VI.   ASSETS AND LIABILITIES (cont.)
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 held for income) Type of Property Present Market Value Amount of Mortgages & Liens Gross Rental Income Mortgage Payments Insurance, Maintenance, Taxes & Misc. Net Rental Income
line        $ $ $ $ $ $
line                   
line                   
  Totals $ $ $ $ $ $
List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account numbers(s):
Alternate Name Creditor Name Account Number
 
 
VII.   DETAILS OF TRANSACTION
a.  Purchase price $         
b.  Alterations,Improvements, repairs    
c.  Land (if acquired seperately)    
d.  Refinance (incl. 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 financing    
k.  Borrower'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           Borrower
(subtract j, k, l, & o from i)
 
 
   
VIII.   DECLARATIONS
If you answer "yes" to any questions a through l, please
use continuation sheet for explanation.
Borrower
Yes   No 
lineCo-Borrower
 Yes   No
a. Are there any outstanding judgments against you? box box   box box
b. Have you been declared bankrupt within the past 7 years? box box   box box
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the past seven years? box box   box box
d. Are you a party to a lawsuit? box box   box box
e.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, 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.)
box box   box box
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. box box   box box
g. Are you obligated to pay alimony, child support, or separate maintenance? box box   box box
h. Is any part of the down payment borrowed? box box   box box
i. Are you a co-maker or endorser on a note? box box   box box
j. Are you a U.S. citizen? box box   box box
k. Are you a permanent resident alien? box box   box box
l. Do you intend to occupy the property as your primary residence?  If "yes", complete question m below. box box   box box
m. Have you had an ownership interest in a property in the last three years? box box   box box
(1) What type of property did you own - principal residence (PR),  second home (SH), or investment property (IP)? line    line
(2) How did you hold title to the home - solely by yourself (S), jointly with your spouse (SP), or jointly with another person(O) line    line
IX.   ACKNOWLEDGMENT AND AGREEMENT
The undersigned specifically acknowledge(s) and agree(s) that:  (1) the loan requested by this application will be secured by a first mortgage or deed of trust on the property described herein;  (2) the property will not be used for any illegal or prohibited purpose or use;  (3) all statements made in this application are made for the purpose of obtaining the loan indicated herein;  (4) occupation of the property will be as indicated above;  (5) verification or reverification of any information contained in the application may be made at any time by the lender, its agents, successors and assigns, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan not approved;  (6) the Lender, its agents, successors and assigns will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing;  (7) In the event my/our payments on the loan indicated in this application become delinquent, the Lender, its agents, successors and assigns, may, in addition to all their other rights and remedies, report my/our name(s) and account information to a credit reporting agency;  (8) ownership of the loan may be transferred to successor or assign of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assign of the Lender with prior notice to me;  (9) the Lender, its agents, successors and assigns make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property.
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 Lender a written request at the mailing address Lender has provided. Lender must hear from me/us no later than 90 days after Lender notifies me/us about the action taken on this application, or I/we withdraw this application.
Certification:  I/we certify that the information provided in this application is true and correct as of the date set forth opposite my/our signature(s) on this application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq. and liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.
Borrower's Signature lineDate lineCo-Borrower's Signature lineDate
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 neither discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish it, under Federal regulations this Lender is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish the above 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
  box I do not wish to furnish this information  
Race/ National Origin: box American Indian or Alaskan Native box Asian/Pacific Islander
box Black, not of    box Hispanic
   Hispanic origin
box White, not of
   Hispanic origin
box Other (specify) line
Sex: box Female box Male
CO-BORROWER
  box I do not wish to furnish this information  
Race/ National Origin: box American Indian or Alaskan Native box Asian/Pacific Islander
box Black, not of    box Hispanic
   Hispanic origin
box White, not of
   Hispanic origin
box Other (specify) line
Sex: box Female box Male
To be Completed by Interviewer  
This application was taken by:
 box face-to-face interview
 box by mail
 box by telephone
Interviewer's Name (print or type)
 
Name and Address of Interviewer's Employer
ADVANCED MORTGAGE SOLUTIONS
617 UNION AVE. BLDG 3-7
BRIELLE,  NJ  08730
Interviewer's Signature                           Date
 
Interviewer's Phone Number (inc. area code)
  (732) 223-5144                 Fax: (732) 223-5344
Freddie Mac Form 65/Rev. 10/92 Page 3 of 4 Fannie Mae Form 1003/Rev. 10/92