E-mail Address
Amount of Loan $
Street
City
State
Zip
Loan Purpose
Property To Be
# Units
Year Built

Refinance Loans
Year Acquired
Original Cost
$
Existing Leans
$
Purpose of Refinance

Borrower Information

Name  (Including Jr. or Sr. if applicable)

Name  (Including Jr. or Sr. if applicable)

SS#

Home Phone

SS#
Home Phone
Age
Yrs School Completed
Age
Yrs of School Completed
Marital Status
Dependents
No Ages
Marital Status
Dependents
No Ages

Present Address
Street
City
Street
City
State
Zip
State
Zip
Own
Rent
#Years at Current Residence
Own
Rent
#Years at Current Residence
If At Present Address Less Than 2 Years Former Address
Street
City
Street
City
State
Zip
State
Zip
Own
Rent
#Years at Residence
Own
Rent
#Years at Residence

Employment Information

Borrower

Co-Borrower

Name of Employer

Name of Employer

Attn

Attn

Address

City

Address
City

State

Zip

State

Zip

Self Employed
Yes
No

Years on Job

Self Employed
Yes
No
Years on Job

Years of Current Profession

Years of Current Profession

Position/Title/Type of Business

Position/Title/Type of Business

Business Phone

Business Phone
If Employed in Current Position Less Than 2 Years
Name of  Previous Employer

Name of Previous Employer

Attn

Attn

Address

City

Address

City

State
Zip
State
Zip
Self Employed
Yes
No
From - To
Self Employed
Yes
No
From - To
Monthly Income
$
Monthly Income
$
Position/Title/Type of Business

Position/Title/Type of Business

Business Phone
Business Phone

Monthly Income & Combined Housing Expense Information

Gross Monthly
Income
Borrower Co-Borrower Combined
Mnth. Housing
Expense
Present Proposed


Base Empl.
Income*

$

$

Rent

$

$

Overtime

$

$

First Mortgage

$ $
Bonuses

$

$

Other Financing $ $
Commissions

$

$

Hazard Insurance $ $
Dividends / Interest

$

$

Real Estate Taxes $ $
Net Rental
Income

$

$

Mortgage Insurance $ $
Other

$

$

Homeowner Assn. Dues $ $

*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

Other $ $

Assets

Completed
Jointly
Not Jointly

If you have given a deposit for the property to a title company, please list the amount here.
$

Title Company


Checking / Savings Accounts

Name of Bank/S&L/Credit Union

Name of Bank/S&L/Credit Union

Address

City

Address

City

State
Zip
State
Zip
Account #
Balance
$
Account #
Balance
$

Name of Bank/S&L/Credit Union

Name of Bank/S&L/Credit Union

Address

City

Address
City
State
Zip
State
Zip
Account #
Balance
$
Account #
Balance
$

Stocks & Bonds

Company Name/Number/Description
Company Name/Number/Description
Amount
$
Amount
$
Company Name/Number/Description
Company Name/Number/Description
Amount
$

 

Amount
$
Vested Interest in Retirement Fund
$

 

Automobiles

Year & Make
Value
$
Year & Make
Value
$
Other Assets (e.g. Furniture, Jewelry, Household Goods, Personal Property, etc.)
$

Liabilities

Enter only if this is a refinance loan
(details of 1st mortgage on subject property)

 

First Mortgage Creditor

Name

Loan #
Address
City
State
Zip
Monthly Pmt
$
Balance
$

All Other Monthly Liabilities
(Include credit card dept, auto loans, student loans, installment loans etc.)  You may estimate; We will obtain details from your credit report.

Monthly Payment
$

Balance
$


All Real Estate Owned

Market Value

Amount of Liens

Gross Income

Mortgage Payment

Tax/Insurance Maint.

Net Rental Inc.

Address
City
State
Zip
Address
City
State
Zip

Declarations

Items

Borrower Co-Borrower
a. Are there any outstanding judgments against you?

Yes
No

Yes
No

b. Have you been declared bankrupt within the last 7 years? Yes
No
Yes
No
c. Have you had property foreclosed upon in the last 7 years? Yes
No
Yes
No
d. Are you a party to a lawsuit? Yes
No
Yes
No
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? Yes
No
Yes
No
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? Yes
No
Yes
No
g. Are you obligated to pay alimony child support or separate maintenance? Yes
No
Yes
No
h. Is any part of the down payment borrowed? Yes
No
Yes
No
i. Are you the co-maker or endorser on a note? Yes
No
Yes
No
j. Are you a U.S. citizen? Yes
No
Yes
No
k.Are you a permanent resident alien? Yes
No
Yes
No
l. Do you intend to occupy the property as your primary residence? Yes
No
Yes
No
m. Have you had an ownership interest in a property in the last 3 years? Yes
No
Yes
No

If m is "Yes"

Borrower

Co-Borrower

1. What type of property did you own? Principal Residence
Second Home
Investment Property
Principal Residence
Second Home
Investment Property
2. How did you hold title to the home? Solely by Yourself
Jointly with Spouse
Jointly with Another Person
Solely by Yourself
Jointly with Spouse
Jointly with Another Person

This information is optional

Borrower

Co-Borrower

I do not wish to furnish this information I do not wish to furnish this information
Race/National Origin
Race/National Origin
Sex
Male
Female
Sex
Male
Female


Please use the following space to describe in more detail what you are seeking by filling out this form
(refinance, purchase, qualify etc.):


Certification

I/We certify that the information provided in this application is true and correct as of this date and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civic 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 or entity who may suffer any loss due to reliance upon any misrepresentation which I/We have made on this application.

I/We further authorize Morris Mortgage and/or its assigns to pull my/our Credit Reports for the purpose of this application.  I/We further authorize our employer(s), banking institutions, landlords, or any other third party, whether an individual or entity, to release all necessary information needed to process the application for financing.

By submitting this application, I/We certify the above declarations even though my/our actual signatures may not be present on this application.  Further, I/We authorize any third parties to release any necessary information even though my/our actual signatures may not be present on this form.


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