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

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:
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:
Alternate Contact Person
Name:
Phone:

	Yes	Yes
Declarations:	Borrower	Co-Borrower
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)