# Apply Now – Orange County Reverse Mortgage – OCReverse.com

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# Apply Now

















## The Property:









Street Address



Street Address 2 (Optional)



City



State


-- State --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming




Zip





-- TYPE OF PROPERTY --
Single Family Detached Home
Single Family Attached (Townhome, Condo)
2-Unit Duplex
3-Unit or 4-Unit
5 Unit or More Residential 
Other




Value of Property









Primary Residence. I live here or am buying this to move into here.



2nd / Vacation Home.



Rental / Flip / Investment Property


Property is Held in These Names (List All Names on Property Title, or Name of Trust):





Held via...


Fee Simple (Default, Most Common)
Life Estate
Leasehold





This property is also held as Inter Vivos (Living) Trust (do not check if unsure)












## The Borrower(s):






Borrower
Co-Borrower (Optional)





Name:



Phone:



E-mail:



Social Security # will be required but requested offline (via Phone or Mail) for Security.


Date of Birth (MM/DD/YYYY)



Monthly Income:



Real Estate Assets $



Available Liquid Assets



Home Phone (including area code):



Years Living at This Address:



Mailing Address if Different:



City, State, Zip:



Marital Status:


-- Marital Status --
Married
Unmarried (Single, Divorced, Widowed)




**Alternate Contact Person**


Name:



Phone:







Name:



Phone:



E-mail:



Social Security # will be required but requested offline (via Phone or Mail) for Security.


Date of Birth (MM/DD/YYYY)



Monthly Income:



Real Estate Assets $



Available Liquid Assets



Home Phone (including area code):



Years Living at This Address:



Mailing Address if Different:



City, State, Zip:



Marital Status:


-- Marital Status --
Married
Unmarried (Single, Divorced, Widowed)




**Alternate Contact Person**


Name:



Phone:










## Liens Against Subject Property (Required to be Paid Off)






Lender Name
Type
Address of Lender
Balance







Mortgage
Home Equity Line of Credit (HELOC)
Tax Lien
Other Lien








-- Lien Type --
Mortgage
Home Equity Line of Credit (HELOC)
Tax Lien
Other Lien







-- Lien Type --
Mortgage
Home Equity Line of Credit (HELOC)
Tax Lien
Other Lien







-- Lien Type --
Mortgage
Home Equity Line of Credit (HELOC)
Tax Lien
Other Lien







-- Lien Type --
Mortgage
Home Equity Line of Credit (HELOC)
Tax Lien
Other Lien





Total








## Total Non-Real Estate Debt






Lender Name
Type
Address of Lender
Balance







-- Debt Type --
Mortgage on Other Property
HELOC on Other Property
Lien on Other Property
Credit Card
Personal Debt
Store Credit
Tax Lien
Child Support








-- Debt Type --
Mortgage on Other Property
HELOC on Other Property
Lien on Other Property
Credit Card
Personal Debt
Store Credit
Tax Lien
Child Support







-- Debt Type --
Mortgage on Other Property
HELOC on Other Property
Lien on Other Property
Credit Card
Personal Debt
Store Credit
Tax Lien
Child Support







-- Debt Type --
Mortgage on Other Property
HELOC on Other Property
Lien on Other Property
Credit Card
Personal Debt
Store Credit
Tax Lien
Child Support







-- Debt Type --
Mortgage on Other Property
HELOC on Other Property
Lien on Other Property
Credit Card
Personal Debt
Store Credit
Tax Lien
Child Support







-- Debt Type --
Mortgage on Other Property
HELOC on Other Property
Lien on Other Property
Credit Card
Personal Debt
Store Credit
Tax Lien
Child Support







-- Debt Type --
Mortgage on Other Property
HELOC on Other Property
Lien on Other Property
Credit Card
Personal Debt
Store Credit
Tax Lien
Child Support







-- Debt Type --
Mortgage on Other Property
HELOC on Other Property
Lien on Other Property
Credit Card
Personal Debt
Store Credit
Tax Lien
Child Support





Total







##  







## Declarations:

**Borrower**
**Co-Borrower**


 
Yes
No
Yes
No


Are there any outstanding judgements against you?






Have you filed for any bankruptcy that has not been resolved?






Are you party to a lawsuit?






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 including date, name and address of lender, FHA or VA Case number (if applicable), and reason for delinquency/default]






Do you intend to occupy the property as your primary residence?






Are you a co-maker or endorser on a note? (Optional for HUD)






Are you a U.S. citizen? (Optional for HUD)






Are you a permanent resident alien? (Optional for HUD)


















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## 800-216-6322

17011 Beach Blvd. #900
Huntington Beach, CA 92647

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© 2023 Morningstar Mortgage, Inc.

CA BRE License #01277889, NMLS ID# 241680

Disclaimer: This material is not provided from HUD nor FHA, and has not been approved by HUD or a government agency.

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