Uniform Residential Loan Application

1 Uniform Residential loan ApplicationThis Application is designed to be completed by the applicant(s) with the lender's assistance. Applicants should complete this form as "Borrower" or "Co-Borrower", as applicable. Co-Borrower information must also be provided (and the appropriate box checked) whenthe income or assets of a person other thanthe "Borrower" (including the Borrower's spouse) will be used as a basis for loan qualification orthe income or assets of the Borrower's spouse will not be usedas a basis for loan qualification, but his or her liabilities must be considered because theBorrower resides in a community property state, the security propertyis located in a community property state, or the Borrower is relying on other property located in a community property state as a basis for repayment of the :Agency Case NumberLender Case NumberFHAFmHAAmount$%Interest RateNo.

2 Of MonthsFixed RateOther (explain):GPMARM (type):Subject Property Address (street, city, state, ZIP)No. of UnitsLegal Description of Subject Property (attach description if necessary)Year BuiltPurpose of LoanPurchaseConstructionOther (explain):Property will be:RefinanceConstruction-PermanentPrimar yResidenceSecondaryResidenceInvestmentYe ar LotAcquiredOriginal Cost$Amount Existing Liens$(a) Present Value of Lot$(b) Cost of Improvements$Total (a+b)$YearAcquiredOriginal Cost$Amount Existing Liens$Purpose of RefinanceDescribe Improvementsmadeto be madeCost $Title will be held in what Name(s)Manner in which Title will be heldEstate will be held in:Fee SimpleLeasehold (showexpiration date)Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain)Borrower's Name (include Jr.)

3 Or Sr. if applicable)Social Security NumberHome Phone (incl. area code)AgeYrs. SchoolMarriedUnmarried (include single,divorced, widowed)Dependents (not listed by Co-Borrower) Address (street, city, state, ZIP)OwnRentNo. Address (street, city, state, ZIP)OwnRentNo. Address (street, city, state, ZIP)OwnRentNo. 's Name (include Jr. or Sr. if applicable)Social Security NumberHome Phone (incl. area code)AgeYrs. SchoolMarriedUnmarried (include single,divorced, widowed)Dependents (not listed by Borrower) Address (street, city, state, ZIP)OwnRentNo. Address (street, city, state, ZIP)OwnRentNo. Address (street, city, state, ZIP)OwnRentNo. and Address of EmployerSelf EmployedYrs. on this jobYrs. employedin this line ofwork/professionPosition/Title/Type of BusinessBusiness Phone (incl.

4 Area code)Name and Address of EmployerSelf EmployedDates(from-to)Monthly Income$Position/Title/Type of BusinessBusiness Phone (incl. area code)Name and Address of EmployerSelf EmployedDates(from-to)Monthly Income$Position/Title/Type of BusinessBusiness Phone (incl. area code)Name and Address of EmployerSelf EmployedYrs. on this jobYrs. employedin this line ofwork/professionPosition/Title/Type of BusinessBusiness Phone (incl. area code)Name and Address of EmployerSelf EmployedDates(from-to)Monthly Income$Position/Title/Type of BusinessBusiness Phone (incl. area code)Name and Address of EmployerSelf EmployedDates(from-to)Monthly Income$Position/Title/Type of BusinessBusiness Phone (incl. area code)Complete this line if construction or construction-permanent this line if this is a refinance residing at present address for less than two years, complete the following:If employed in current position for less than two years or if currently employed in more than one position, complete the following:MortgageApplied for:AmortizationType:I.

5 TYPE OF MORTGAGE AND TERMS OF LOANII. PROPERTY INFORMATION AND PURPOSE OF LOANIII. BORROWER INFORMATIONIV. EMPLOYMENT INFORMATIONB orrowerCo-BorrowerBorrowerCo-BorrowerFre ddie Mac Form 65 10/92 Page 1 of 4 Fannie Mae Form 1003 10/92 BorrowerCo-BorrowerV. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATIONVI. ASSETS AND LIABILITIESG ross Monthly IncomeBorrowerCo-BorrowerTotalCombinedMo nthly Housing ExpensePresentProposedBase Empl. Income*$$$$$OvertimeBonusesCommissionsDi vidends/InterestNet Rental IncomeOther(before completing,see the notice in "describeother income," below)RentFirst Mortgage (P&I)Other Financing (P&I)Hazard InsuranceReal Estate TaxesMortgage InsuranceHomeowner Assn. DuesOther$$$$$TotalTotal*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial Other IncomeNotice: Alimony, child support, or separate maintenance income need not be revealed if theBorrower(B) or Co-Borrower(C) does not choose to have it considered for repaying this Amount$This statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-borrowers if their assets andliabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise separate Statementsand Schedules are required.

6 If the Co-Borrower section was completed about a spouse, this Statement and supporting schedules must be completedabout that spouse JointlyLiabilities and Pledged the creditor's name, address and account number for alloutstanding 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 refinancingof the subject or MarketValueLIABILITIESM onthly Payt. &Mos. Left to PayUnpaidBalanceDescriptionCash deposit toward purchase held by:$List checking and savings accounts belowName and address of Bank, S&L, or Credit UnionAcct. no.$Name and address of Bank, S&L, or Credit UnionAcct.

7 No.$Name and address of Bank, S&L, or Credit UnionAcct. no.$Name and address of Bank, S&L, or Credit UnionAcct. no.$Stocks & Bonds (Company name/number & description)$Life insurance net cash valueFace amount: $$Subtotal Liquid Assets$Real estate owned (enter market valuefrom schedule of real estate owned)$Vested interest in retirement fund$Net worth of business(es) owned(attach financial statement)$Automobiles owned (make and year)$Other Assets (itemize)$$Total Assets and address of Company$ $Acct. and address of Company$ $Acct. and address of Company$ $Acct. and address of Company$ $Acct. and address of Company$ $Acct. and address of Company$ $Acct. and address of Company$ $Acct. Support/Separate Maintenance PaymentsOwed to:$Job Related Expense (child care, union dues, etc.)

8 $$$$Total Monthly PaymentsNet Worth (a-b)Total Liabilities Mac Form 65 10/92 Page 2 of 4 Fannie Mae Form 1003 10/92 BorrowerCo-BorrowerVI. ASSETS AND LIABILITIES (cont.)VII. DETAILS OF TRANSACTIONVIII. DECLARATIONSIX. ACKNOWLEDGMENT AND AGREEMENTX. INFORMATION FOR GOVERNMENT MONITORING PURPOSESS chedule of Real Estate Owned(if additional properties are owned, use continuation sheet)Property Address (enter S if sold, PS if pendingsale or R if rental being held for income)Type ofPropertyPresentMarket ValueAmount ofMortgages & LiensGrossRental IncomeMortgagePaymentsInsurance,Maintena nce,Taxes & IncomeTotals$$$$$$$$$$$$List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s):Alternate NameCreditor NameAccount Numbera.

9 Purchase price$b. Alterations, improvements, repairsc. Land (if acquired separately)d. Refinance (incl. debts to be paid off)e. Estimated prepaid itemsf. Estimated closing costsg. PMI, MIP, Funding Feeh. Discount (if Borrower will pay)i. Total costs (add items a through h)j. Subordinate financingk. Borrower's closing costs paid by Sellerl. Other Credits(explain)m. loan amount (exclude PMI, MIP,Funding Fee financed)n. PMI, MIP, Funding Fee financedo. loan amount (add m & n)p. Cash from/to Borrower(subtract j, k, l & o from i)If you answer "yes" to any questions a through i, pleaseuse continuation sheet for Noa. 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 deedin lieu thereof in the last 7 years?

10 D. Are you a party to a lawsuit?e. Have you directly or indirectly been obligated on any loan which resulted inforeclosure, transfer of title in lieu of foreclosure, or judgment? (This wouldinclude such loans as home mortgage loans, SBA loans, home improvementloans, educational loans, manufactured (mobile) home loans, any mortgage,financial obligation, bond, or loan guarantee. If "Yes," provide details, includingdate, 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 Are you obligated to pay alimony, child support, or separatemaintenance?