If employed in current position for less than two years or if currently
employed in more than one position, complete the following:
Co-BORROWERS EMPLOYER:
Self
Employed Commission Salaried
and Commission Salaried Hourly
Co-Borrowers Name of Employer:
Address:
City, State, Zip:
Work Phone Number:
Extension
Years On Job:
EMPLOYER:
Self
Employed Commission Salaried
and Commission Salaried Hourly
Address:
City, State, Zip:
Work Phone Number:
Extension
Years On Job:
Comments:
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Describe Other Income
Notice: Alimony, child support, or separate maintenance income
need not be revealed if the Borrower (B) or Co-Borrower (C) does not choose
to have it considered for repaying this loan.
Combined Monthly Housing Expense
VI. ASSETS AND LIABILITIES
This Statement and any applicable supporting schedules may be completed
jointly by both married and unmarried Co-Borrowers if their assets and
liabilities are sufficiently joined so that the Statement can be meaningfully
and fairly presented on a combined basis; otherwise separate Statements
and Schedules are required. If the Co-Borrower section was completed about
a spouse, this Statement and supporting schedules must be completed about
that spouse also.
Description
Cash deposit toward purchase held by:
Cash or Market Value
List checking and savings accounts below
Name and Address of Bank, S&L, or Credit Union
Account Number
Cash or Market Value
Name and Address of Bank, S&L, or Credit Union
Account Number
Cash or Market Value
Name and Address of Bank, S&L, or Credit Union
Account Number
Cash or Market Value
Name and Address of Bank, S&L, or Credit Union
Account Number
Cash or Market Value
Stocks & Bonds (Company Name /Number & Description)
Cash or Market Value
Life insurance net cash value
Face Amount:
Cash or Market Value
Subtotal Liquid Assets
Real estate owned (enter market value from schedule of real estate
owned)
Vested interest in retirement fund
Net worth of business(es) owned (attach financial statement)
Automobiles owned (make and year)
Other Assets (itemize)
TOTAL ASSETS (A)
Liabilities and Pledged Assets. List the creditor's name, address
and account number for all outstanding debts, including automobile loans,
revolving charge accounts, real estate loans, alimony, child support, stock
pledges, etc. Use continuation sheet, if necessary. Indicate by (*) those
liabilities which will be satisfied upon sale of real estate owned or upon
refinancing of the subject property.
LIABILITIES, Monthly Payment & Months left to pay, Unpaid Balance
Name and Address of Company
Monthly payments
Months left to pay
Unpaid Balance
Account Number
Name and Address of Company
Monthly payments
Months left to pay
Unpaid Balance
Account Number
Name and Address of Company
Monthly payments
Months left to pay
Unpaid Balance
Account Number
Name and Address of Company
Monthly payments
Months left to pay
Unpaid Balance
Account Number
Name and Address of Company
Monthly payments
Months left to pay
Unpaid Balance
Account Number
Name and Address of Company
Monthly payments
Months left to pay
Unpaid Balance
Account Number
Name and Address of Company
Monthly payments
Months left to pay
Unpaid Balance
Account Number
Alimony/Child Support/Separate Maintenance Payments Owed to:
Monthly Payment
Months Left to Pay
Job Related Expense (child care, union dues, etc.)
Monthly Payment
Months Left to Pay
TOTAL MONTHLY PAYMENTS
TOTAL LIABILITIES (B)
NET WORTH (a minus b)
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Please click on "Submit this Application" below if you agree to the
following:
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 is 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 additional 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 be and/or the administration of the loan account may be transferred
to an agent, successor 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.
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 liabilities 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.
I understand that I may submit my application to Sunset Mortgage
electronically by clicking "Submit This Application" below, or I may submit
the application by fax or mail. If I choose to submit this application
electronically, I acknowledge security features are available, Sunset Mortgage
is unable to ensure that the data can not be intercepted by third parties.
I agree that Sunset Mortgage will not be held liable should such interception
occur.
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
Do you wish to furnish this information: Yes No
Race/National Origin:
American
Indian or Alaskan Native
Asian
or Pacific Islander
White,
not of Hispanic origin
Black,
not of Hispanic origin
Hispanic
Other (Specify)
Sex: Female Male
CO-BORROWER
Do you wish to furnish this information: Yes No
Race/National Origin:
American
Indian or Alaskan Native
Asian
or Pacific Islander
White,
not of Hispanic origin
Black,
not of Hispanic origin
Hispanic
Other (Specify)
Sex: Female Male
Copyright © 1997
Sunset Mortgage. All Rights Reserved.