| TYPE OF MORTGAGE AND TERMS OF LOAN |
| Est. Purchase Price: * |
Amortization Type: * |
| Est. Loan Amount: * |
Interest Only Option: * |
PROPERTY INFORMATION AND PURPOSE OF LOAN |
Subject Property Address (street, city, state, zip)
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Purpose of Loan: *
Property Will Be: *
Title will be held in what name: * |
BORROWER INFORMATION |
| BORROWER |
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CO-BORROWER |
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DETAILS OF ASSETS |
| List Checking and Savings accounts below. |
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EMPLOYMENT INFORMATION |
| BORROWER |
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CO-BORROWER |
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MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION |
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DECLARATIONS |
| Have you been declared bankrupt within the past 7 years? *
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| Do you intend to pccupy the property as your primary residence? *
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ACKNOWLEDGEMENT AND AGREEMEENT |
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. |
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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 |
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CO-BORROWER |
| I to furnish this information. * |
| Ethnicity: * |
| Race: * |
| Sex: * |
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| I to furnish this information. |
| Ethnicity: |
| Race: |
| Sex: |
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BORROWERS' CERTIFICATION AND AUTHORIZATION CERTIFICATION |
The Undersigned certify the following:
- I/We have applied for a mortgage loan through CFC Mortgage Bankers. In applying for the loan, I/We completed a loan application containing various information on the purpose of the loan, the amount and source of the down payment, employment and income information, and the assets and liabilities. I/We certify that all of the information is true and complete. I/We made no misrepresentations in the loan application or other documents, nor did I/We omit any pertinent information.
- I/We understand and agree that CFC Mortgage Bankers reserves the right to change the mortgage loan review processes to a full documentation program. This may include verifying the information provided on the application with the employer and/or the financial institution.
- I/We fully understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements when applying for this mortgage, as applicable under the provisions of Title 18, United States Code, Section 1014.
Authorization to Release Information
To Whom It May Concern:
- I/We have applied for a mortgage loan through CFC Mortgage Bankers. As part of the application process, CFC Mortgage Bankers and the mortgage guaranty insurer (if any), may verify information contained in my/our loan application and in other documents required in connection with the loan, either before the loan is closed or as part of its quality control program.
- I/We authorize you to provide to CFC Mortgage Bankers and to any investor to whom CFC Mortgage Bankers may sell my mortgage, any and all information and documentation that they request. Such information includes, but is not limited to, employment history and income; bank, money market and similar account balances; credit history; and copies of income tax returns.
- CFC Mortgage Bankers or any investor that purchases the mortgage may address this authorization to any party named in the loan application.
- A copy of this authorization may be accepted as an original.
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CO-BORROWER |
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Please verify your submission by typing the bold digits into the field. *
266D99M71
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