| 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 |
|
|
$ |
$ |
$ |
$ |
$ |
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
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 |
Co-Borrower
Yes No |
| a. Are there any
outstanding judgments against you? |
 |
 |
| b. Have you been
declared bankrupt within the past 7 years? |
 |
 |
| c. Have you had property
foreclosed upon or given title or deed in lieu thereof in the
past seven years? |
 |
 |
| d. Are you a party to a
lawsuit? |
 |
 |
| 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.) |
|
 |
 |
| 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. |
 |
 |
| g. Are you obligated to
pay alimony, child support, or separate maintenance? |
 |
 |
| h. Is any part of the
down payment borrowed? |
 |
 |
| i. Are you a co-maker or
endorser on a note? |
 |
 |
| j. Are you a U.S.
citizen? |
 |
 |
| k. Are you a permanent
resident alien? |
 |
 |
| l. Do you intend to
occupy the property as your primary residence? If "yes",
complete question m below. |
 |
 |
| m. Have you had an
ownership interest in a property in the last three years? |
 |
 |
| (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. 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 |
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 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
| |
I do not wish to furnish this information |
| Race/
National Origin: |
American Indian or Alaskan Native |
Asian/Pacific Islander |
Black, not of
Hispanic
Hispanic origin |
White, not of
Hispanic origin |
|
Other (specify)  |
| Sex: |
Female |
Male |
|
CO-BORROWER
| |
I do not wish to furnish this information |
| Race/
National Origin: |
American Indian or Alaskan Native |
Asian/Pacific Islander |
Black, not of
Hispanic
Hispanic origin |
White, not of
Hispanic origin |
|
Other (specify)  |
| Sex: |
Female |
Male |
|
|
To
be Completed by Interviewer
This application was taken by:
face-to-face interview
by mail
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 |
|