| * = Required
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| Who were you referred to this site by?:
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| Property
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| Estate to be
held in |
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| Borrower
Information |
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| Employer: |
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| Name, Address,
City, State and Zip |
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| Co-Borrower
Information |
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| Employer: |
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| Name, Address,
City, State and Zip |
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| Assets |
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| Checking and Savings Account: |
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| Name, Address,
City, State and Zip |
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| Real Estate Owned: |
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| Liabilities |
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| List any additional assets or debts
that you may have in the box below: |
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| VIII
Declarations |
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| If you answer "yes" to
any questions a through i, please use continuation
sheet for explanation. |
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| a. Are there any outstanding judgments
against you? |
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| b. Have you declared bankruptcy
within the past 7 years? |
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| c. Have you had property foreclosed
upon or given title or deed in lieu thereof in the
last 7 years? |
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| d. Are you a party to a lawsuit?
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| e. Have you directly or indirectly
been obligated on any loan which resulted in
foreclosure, transfer of title in lieu of foreclosure,
or judgment? (This would include such loans
as home mortgage loans, SBA loans, home improvement
loans, educational loans, manufactured (mobile)
home loans, any mortgage, financial obligation,
bond, or loan guarantee. If "Yes,"
provide details, including date, name and address
of Lender, FHA or VA case number, if any, and
reasons for the action .) |
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| 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 question. |
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| g. Are you obligated to pay alimony,
child support, or separate maintenance? |
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| h. Is any part of the down payment
borrowed? |
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| i. Are you a co-maker or endorser
on a note? |
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| j. Are you a U.S. citizen? |
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| k. Are you a permanent resident
alien? |
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| l. Do you intend to occupy the
property as your primary residence? If "Yes,"
complete question m below. |
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| m. Have you had an ownership
interest in a property in the last 3 years?(1)
What type of property did you own-principal
residence (PR), second home (SH), or investment
property (IP)? |
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| (2) How did you hold title
to the home? Soley by yourself (S), jointly
with your spouse (SP), or jointly with another
person (O)? |
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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 addition to
all their other rights and remedies, report
my/our name(s) and account information to
a credit reporting agency; (8) be transferred
to an agent, successor or assign of the Lender
with prior notice to me; (9) the Lender, its
agents, successors and assigns make no representation
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
provide 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 liability
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 may suffer any loss due to reliance
upon any misrepresentation which I/we have
made on this application.
By submitting
this application, you are consenting and authorizing
Classic Mortgage, its agents, its successors
and/or assigns the rights and privledges stated
above.
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