Uniform Residential Loan Application

Please do not use the "Enter" key while filling out the application, but to use the "Tab" key to begin a new section.

1. Type of Mortgage and Terms of Loan

Amount:
10 year 15 year 20 year 30 year

2. Property Information and Purpose of Loan
Subject Property Address: (street, city, state, zip)
Purpose of Loan:
Purchase
Refinance
Property will be:
Primary Residence
Secondary Residence
Investment
3. Borrower Information
Borrower
Co-Borrower

Borrower's Name

Day Phone

Email

Present Address: (street, city, state, zip)

Own
Rent

Co-Borrower's Name

Day Phone

Email

Present Address: (street, city, state, zip)

Own
Rent

4. Employment Information
Borrower
Co-Borrower

Name and Address of Employer

Self Employed

Years on Job

Position/Title/Type of Business

Name and Address of Employer

Self Employed

Years on Job

Position/Title/Type of Business

5. Monthly Income and Combined Housing Expense Information
Gross Monthly Income Borrower
Co-Borrower
Combined Monthly Housing Expense Present
6. Assets and Liabilities
Real Estate Owned

Liabilities

Name of Company

Monthly Payment
Unpaid Balance

Name of Company

Monthly Payment
Unpaid Balance

Name of Company

Monthly Payment
Unpaid Balance

Name of Company

Monthly Payment
Unpaid Balance

Name of Company

Monthly Payment
Unpaid Balance

Do you own any other properties? Yes or No

Comments Pertinent to Loan Qualifying:


Viewpoint Financial Development Corporation, 1662 Plum Ln., Suite 102, Redlands, California, 92374
Phone: 909-335-7100 Fax: 909-335-7102 Email

© 2008 Viewpoint Financial Development Corporation, Viewpoint Financial is a Mortgage Broker licensed by the CA Dept. of Real Estate, lic. #01112862.
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