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ACTIVITY: Final Paper Part 4 (Loan Application)

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Now, you are ready to complete your 1003 Loan application! This is the industry standard Uniform Residential Loan Application (URLA) published by the Government Sponsored Enterprises (GSEs), Fannie Mae and Freddie Mac. It’s time to learn new skills by completing this form. It must be typed, not hand-written. To complete this assignment, you will need the standard 1003 Mortgage Loan Application. A sample completed form is provided at the end of this assignment. Scroll down for my demonstration video!

Instructions

Using the Borrower Mortgage Profile Data sheet, complete the 1003 Mortgage Loan Application for your prospective borrowers using the mock data. Complete all fields on pages 1-4 of the loan application form. Note that in some of the fields, you will need to use your critical thinking to calculate the answers. On the PDF document, complete each of the following sections:

NOTE: You will need to TYPE the Borrower and Co-Borrower NAMES at the top of PAGE 1 as there is not a fill-able field.

Type of Mortgage and Terms of Loan
Property Information and Purpose of Loan
Borrower Information
Employment Information
Monthly Income and Combined Housing Expense Information
Assets and Liabilities
Details of Transaction
Declarations
Acknowledgment and Agreement
Information for Government Monitoring Purposes

NOTE: Please TYPE the Borrower and Co-Borrower NAMES at the bottom of PAGE 4 and also insert Master Muhammad name as the mortgage lender.

Blank Fillable 1003 Loan Application Form

USE A FILLABLE 1003 FORM, click below to access the application form and the mock data. NOTE: if you use this form, you will need to type the borrower and co-borrower names on the first line of Page 1 because it does not have a fillable field. Download and SAVE to your computer or cloud drive before typing on the form. The form BELOW is a fillable PDF form and you can simply type into the fields. Use the mock data “BRE 126 Borrower Mortgage Profile Data”. If you use this fillable 1003 form, you should not need to download PDF software.

NOTE: If the above form does not work as a fillable form, try using this blank (non-fillable) version and typing the responses on the pages using your PDF app. If you are using the blank 1003 form (non-fillable), you will be typing on the PDF document, so make sure you have PDF software on your computer. The PDF app should allow you to type on the document and save it. Adobe Acrobat Reader DC is free and can be downloaded here: https://get.adobe.com/reader

Sample 1003 Loan Application

View a sample completed form as an example to help you get started. NOTE: the field layout is slightly different from the form you are going to complete.

MY DEMONSTRATION VIDEO

Take a few minutes to watch my demonstration video (below).

Step-by-Step Example Videos
MORTGAGE LOAN OFFICER TRAINING – What is a Loan Application 1003 by Western Pioneer University (1:22) https://www.youtube.com/watch?v=76ZMqRZGZUwLinks to an external site.
How to fill out a home loan application. The mortgage loan explained by The Real Hub TV (8:48) https://www.youtube.com/watch?v=lGk7_Zmjzq0Links to an external site.
How to complete a 1003 loan application by FK Capital Fund, Inc. (9:22) https://www.youtube.com/watch?v=prTKYebG-t8&t=6sLinks to an external site.


Unformatted Attachment Preview

Borrower & Mortgage Loan
Profile – Mock Data
BRE-126 Real Estate Finance
Victor Valley College
Spring 2021 Term
Professor Regina Brown
Tracking Table
Mock data provided by instructor for completing the 1003 loan application form.
Students are welcome to create and insert different mock data. However, please do
not insert anyone’s confidential information (for example, do not use anyone’s
personal SS# or DOB). Whether you use the given mock data, or create your own
mock data, it needs to be practical and the numbers must calculate correctly.
Section
Field
Mock Data
Mortgage
Type:
FHA
Purchase Price:
$225,000
Downpayment:
3.5% for FHA loan.
Loan Amount:
Interest Rate:
2.0%
Loan Term:
30 years
Address:
1961 Rams Road, Victorville CA
92395
Type:
Single family residence (SFR)
Legal Description:
Lot 5, Block 75, Sunshine
Neighborhood tract
Property
BRE-126 Borrower Mortgage Profile Data
Page 1
Borrower
Year Built:
1995
Purpose:
Owner Occupied Purchase
Title / vesting:
Community property with right of
survivorship
Estate:
Fee Simple
Downpayment funds:
Borrower’s bank accounts (savings)
Name:
Mickey Mouse
Social Security (SS#):
123-45-6789
Phone:
(123) 456-7890
Date of Birth (DOB):
January 2, 1985
Years of School:
Graduated from high school
Marital Status:
Married to Co-Borrower
Dependents:
Mighty Mouse, age 9
Address (physical):
123 Main Street, Apple Valley CA
98765
Own or Rent?
Rent
# of Years:
3 years
Address (mailing):
PO Box 123, Apple Valley CA 98765
Employer Name &
Address:
Tile Manufacturing Plant
Self-Employed?
No
Years on job:
1
Years employed in
this profession:
5
Position / Title /
Type of Business:
Office Manager
BRE-126 Borrower Mortgage Profile Data
Page 2
Co-Borrower
Business Phone:
(123) 654-9876
Self-Employed?
No
Dates:
From 1 year ago to 5 years ago
Monthly Income:
$4,570
Years on job:
4
Years employed in
this profession:
5
Position / Title /
Type of Business
Office Manager
Business Phone
(123) 654-7890
Previous Employer
Name & Address:
Southern California Logistics Airport
Previous
Employment:
$5,200 salary from job at Southern
California Logistics Airport
Other Income:
n/a
FICO Score:
685
Name
Minnie Mouse
Social Security (SS#):
987-65-4321
Phone:
(123) 456-7891
Date of Birth (DOB):
February 1, 1988
Years of School:
Graduated from high school
Marital Status
Married to Borrower
Dependents:
Mighty Mouse, age 9
Address (physical):
123 Main Street, Apple Valley CA
98765
Own or Rent?
Rent
BRE-126 Borrower Mortgage Profile Data
Page 3
# of Years
3 years
Address (mailing):
PO Box 123, Apple Valley CA 98765
Employer Name &
Address:
Chick-Fil-A Restaurant
Self-Employed?
No
Years on job:
4
Years employed in
this profession:
4
Position / Title /
Type of Business:
Shift Leader
Business Phone:
(123) 654-9875
Employer Name &
Address:
Minnie Mouse Loan Document
Signings
Self-Employed?
Yes
Dates:
Present – 2 years ago
Monthly Income:
$1,500
Years on job:
2
Years employed in
this profession:
2
Position / Title /
Type of Business
Notary Public
Business Phone
(123) 654-9987
Monthly Income:
$3,850 salary from job at Chick-Fil-A
Restaurant PLUS $1,500 monthly
income from self-employment at
“Minnie Mouse Loan Document
Signings”
BRE-126 Borrower Mortgage Profile Data
Page 4
Housing Expenses
(joint)
Assets (joint)
Other Income:
n/a
FICO Score:
701
Rent:
$2,150
First Mortgage
(Principal & Interest):
Hazard (Fire)
Insurance:
Real Estate Property
Taxes:
Mortgage Insurance
(FHA Loan):
HOA Dues:
none
Other:
n/a
Cash in all bank
accounts:
Bank Account #1:
First Savings Bank, 456 River Road,
Apple Valley CA 12345
Account # 789-123456
$5,500 in account
Bank Account #2:
Second Big Bank, 789 Bear Valley
Road, Victorville CA 23456
Account # 456-78932
$7,000 in account
Stocks & Bonds
None owned
Life Insurance net
cash value
Borrower $10,000
Real estate:
None owned
BRE-126 Borrower Mortgage Profile Data
Page 5
Retirement funds:
Borrower $15,000
Co-Borrower $5,000
Net worth of
businesses owned:
Co-Borrower $3,000
Automobiles owned:
2015 Chevy, value $15,000
2020 Toyota, value $20,000
Liabilities (joint)
Other assets:
none
Debt #1
Chevy Credit Union
Account # 123-45698
$250 monthly payment
$7,000 balance owed
Debt #2
Toyota Credit Union
Account # 132-65489
$350 monthly payment
$10,000 balance owed
Debt #3
Macy’s Credit Card
Account # 321-78965
$100 monthly payment
$2,000 balance owed
Transaction Details
Alimony/Child
Support
none
Job-related Expense:
none
Previous Names:
Minnie Mouse’s name prior to
marriage was “Minnie Winnie”
Closing costs:
3% of purchase price (includes
escrow, title, and loan fees)
BRE-126 Borrower Mortgage Profile Data
Page 6
Property taxes:
1% of purchase price
Fire insurance:
$600 per year
Upfront mortgage
insurance premium
(UFMIP) for FHA loan:
1.75% of loan amount
Mortgage insurance
premium (MIP) for
FHA loan:
$50 monthly fee
Private mortgage
insurance (PMI) for
conventional loans
none
HOA fees:
none
Credit from sellers or
other parties:
$3,000 credit from sellers
Declarations
Judgments,
bankruptcies,
foreclosures, lawsuits
none
Acknowledgement
Borrower
sign & date
Co-borrower
sign & date
Loan Amount:
Loan to Value (LTV):
Appraisal cost:
$350
Credit score fee:
$70 (total for both borrowers)
Loan fees:
Included in the “closing costs” above
BRE-126 Borrower Mortgage Profile Data
Page 7
Mortgage Loan
Uniform Residential Loan Application
This 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) when
the income or assets of a person other than the “Borrower”
(including the Borrower’s spouse) will be used as a basis for loan qualification or
the income or assets of the Borrower’s spouse or other person who has community
property rights pursuant to state law will not be used as a basis for loan qualification, but his or her liabilities must be considered because the spouse or other person
has community property rights pursuant to applicable law and Borrower resides in a community property state, the security property is 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 loan.
If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below):
Borrower
Co-Borrower
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage
Applied for:
Amount
$
VA
FHA
Agency Case Number
Conventional
Other (explain):
USDA/Rural
Housing Service
Amortization Type:
Interest Rate
No. of Months
Fixed Rate
%
GPM
Lender Case Number
Other (explain):
ARM (type):
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject Property Address (street, city, state, & ZIP)
No. of Units
Legal Description of Subject Property (attach description if necessary)
Year Built
Purpose of Loan
Purchase
Refinance
Construction
Construction-Permanent
Property will be:
Primary Residence
Other (explain):
Complete this line if construction or construction-permanent loan.
Year Lot
Original Cost
Amount Existing Liens
(a) Present Value of Lot
Acquired
$
$
$
Complete this line if this is a refinance loan.
Original Cost
Amount Existing Liens
Year
Acquired
$
Title will be held in what Name(s)
(b) Cost of Improvements
Total (a+b)
$
$
Describe Improvements
Purpose of Refinance
$
Secondary Residence
made
Cost: $
Manner in which Title will be held
Investment
to be made
Estate will be held in:
Fee Simple
Leasehold(show
expiration date)
Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain)
III. BORROWER INFORMATION
Borrower
Co-Borrower
Co-Borrower’s Name (include Jr. or Sr. if applicable)
Borrower’s Name (include Jr. or Sr. if applicable)
Social Security Number Home Phone (incl. area code) DOB (mm/dd/yyyy) Yrs. School Social Security Number Home Phone (incl. area code) DOB (mm/dd/yyyy) Yrs. School
Married (includes registered domestic partners)
Unmarried (includes single, divorced, widowed)
Separated
Dependents (not listed by
Married (includes registered domestic partners)
Co-Borrower)
No.
Unmarried (includes single, divorced, widowed)
Ages
Ages
Separated
Rent
Borrower)
No.
Own
Rent
No. Yrs.
If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP)
Own
Rent
No. Yrs. Former Address (street, city, state, ZIP)
Own
Rent
No. Yrs.
Former Address (street, city, state, ZIP)
Own
Rent
No. Yrs.
Present Address (street, city, state, ZIP/ country)
Own
Dependents (not listed by
Mailing Address, if different from Present Address
No. Yrs. Present Address (street, city, state, ZIP/ country)
Mailing Address, if different from Present Address
Own
Rent
No. Yrs. Former Address (street, city, state, ZIP)
Borrower
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev. 6/09)
Page 1
Co-Borrower
Fannie Mae Form 1003 7/05 (rev. 6/09)
Borrower
Name & Address of Employer
Self Employed
IV. EMPLOYMENT INFORMATION
Yrs. on this job
Name & Address of Employer
Co-Borrower
Self Employed
Yrs. employed in this
line of work/profession
Position/Title/Type of Business
Business Phone (incl. area code)
Yrs. on this job
Yrs. employed in this
line of work/profession
Position/Title/Type of Business
Business Phone (incl. area code)
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Name & Address of Employer
Self Employed
Dates (from-to)
Name & Address of Employer
Self Employed
Monthly Income
$
Position/Title/Type of Business
Name & Address of Employer
Monthly Income
$
Business Phone (incl. area code)
Self Employed
Position/Title/Type of Business
Business Phone (incl. area code)
Name & Address of Employer
Dates (from-to)
Self Employed
Monthly Income
$
Position/Title/Type of Business
Name & Address of Employer
Position/Title/Type of Business
Business Phone (incl. area code)
Name & Address of Employer
Dates (from-to)
Self Employed
Name & Address of Employer
Business Phone (incl. area code)
Self Employed
Position/Title/Type of Business
Business Phone (incl. area code)
Name & Address of Employer
Dates (from-to)
Self Employed
Monthly Income
$
Position/Title/Type of Business
Dates (from-to)
Monthly Income
$
Monthly Income
$
Position/Title/Type of Business
Dates (from-to)
Monthly Income
$
Business Phone (incl. area code)
Self Employed
Dates (from-to)
Dates (from-to)
Monthly Income
$
Business Phone (incl. area code)
Position/Title/Type of Business
Business Phone (incl. area code)
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Gross
Monthly Income
Base Empl. Income*
Borrower
$
Co-Borrower
$
Total
Combined Monthly
Housing Expense
Rent
$
Overtime
First Mortgage (P&I)
Bonuses
Other Financing (P&I)
Commissions
Hazard Insurance
Dividends/Interest
Real Estate Taxes
Net Rental Income
Mortgage Insurance
Other (before completing,
Homeowner Assn. Dues
see the notice in “describe
other income,” below)
Total
*
Present
Proposed
$
$
Other:
$
$
Total
$
$
$
Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
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.
B/C
Monthly Amount
$
Borrower
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev. 6/09)
Page 2
Co-Borrower
Fannie Mae Form 1003 7/05 (rev. 6/09)
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 non-applicant spouse or other person, this Statement and supporting schedules must be completed by that spouse or other person also.
Completed
Jointly
Not Jointly
ASSETS
Description
Cash deposit toward
purchase held by:
Cash or
Market Value
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.
$
Name and address of Company
Monthly Payment &
Months Left to Pay
$ Payment/Months
$
Acct. no.
Name and address of Company
$ Payment/Months
$
Acct. no.
Name and address of Company
$ Payment/Months
$
Acct. no.
Name and address of Company
$ Payment/Months
$
Acct. no.
Name and address of Company
$ Payment/Months
$
Acct. no.
Name and address of Company
$ Payment/Months
$
LIABILITIES
List checking and savings accounts below
Unpaid Balance
Name and address of Bank, S&L, or Credit Union
Acct. no.
$
Name and address of Bank, S&L, or Credit Union
Acct. no.
$
Name and address of Bank, S&L, or Credit Union
Acct. no.
$
Stocks & Bonds (Company
name/number description)
$
Life insurance net cash value
$
Face amount: $
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)
$
$
Acct. no.
Alimony/Child Support/Separate
Maintenance Payments Owed to:
Other Assets (itemize)
$
Job-Related Expense (child care, union dues, etc.) $
$
Total Monthly Payments
Total Assets a.
=>
Net Worth
(a minus b)
$
$
Total Liabilities b.
$
Schedule of Real Estate Owned (if additional properties are owned, use continuation sheet)
Property Address (enter S if sold, PS if pending
sale or R if rental being held for income)
Type of
Property
Totals
Present
Amount of
Gross
Market Value Mortgages & Liens Rental Income
Mortgage
Payments
$
Insurance,
Maintenance,
Net
Taxes & Misc. Rental Income
$
$
$
$
$
$
$
$
$
$
$
$
List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s):
Alternate Name
Creditor Name
Account Number
Borrower
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev. 6/09)
Page 3
Co-Borrower
Fannie Mae Form 1003 7/05 (rev. 6/09)
VII. DETAILS OF TRANSACTION
a. Purchase price
VIII. DECLARATIONS
$
If you answer “Yes” to any questions a through i,
please use continuation sheet for explanation.
b. Alterations, improvements, repairs
Borrower Co-Borrower
Yes No
Yes No
a. Are there any outstanding judgments against you?
c. Land (if acquired separately)
b. Have you been declared bankrupt within the past 7 years?
d. Refinance (incl. debts to be paid off)
e. Estimated prepaid items
c. Have you had property foreclosed upon or given title or deed in lieu thereof
in the last 7 years?
f. Estimated closing costs
d. Are you a party to a lawsuit?
g. PMI, MIP, Funding Fee
e. Have you directly or indirectly been obligated on any loan which resulted in
foreclosure, transfer of title in lieu of foreclosure, or judgment?
h. Discount (if Borrower will pay)
(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.)
i. Total costs (add items a through h)
j. Subordinate financing
k. Borrower’s closing costs paid by Seller
f. Are you presently delinquent or in default on any Federal debt or any other
loan, mortgage, financial obligation, bond, or loan guarantee?
l. Other Credits (explain)
If “Yes,” give details as described in the preceding question.
g. Are you obligated to pay alimony, child support, or separate maintenance?
h. Is any part of the down payment borrowed?
i. Are you a co-maker or endorser on a note?
———————————————————–j. Are you a U. S. citizen?
k. Are you a permanent resident alien?
l. Do you intend to occupy the property as your primary residence?
If “Yes,” complete question m below.
m. Loan amount (exclude PMI, MIP,
Funding Fee financed)
m. Have you had an ownership interest in a property in the last three years?
(1) What type of property did you own-principal residence (PR),
second home (SH), or investment property (IP)?
n. PMI, MIP, Funding Fee financed
o. Loan amount (add m & n)
(2) How did you hold title to the home-solely by yourself (S),
jointly with your spouse (SP), or jointly with another person (O)?
p. Cash from/to Borrower (subtract j, k, l &
o from i)
IX. ACKNOWLEDGEMENT AND AGREEMENT
Each of the undersigned specifically represents to Lender and to Lender’s actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and
agrees and acknowledges that: (1) the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of this information contained in this application may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any
misrepresentation that I have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States
Code, Sec. 1001, et seq.; (2) the loan requested pursuant to this application (the “Loan”) will be secured by a mortgage or deed of trust on the property described in this application; (3) the
property will not be used for any illegal or prohibited purpose or use; (4) all statements made in this application are made for the purpose of obtaining a residential mortgage loan; (5) the
property will be occupied as indicated in this application; (6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application, whether
or not the loan is approved; (7) the Lender and its agents, brokers, insurers, servicers, successors and assigns may continuously rely on the information contained in the application, and
I am obligated to amend and/or supplement the information provided in this application if any of the material facts that I have represented herein should change prior to closing of the
Loan; (8) in the event that my payments on the Loan become delinquent, the Lender, its servicers, successors, or assigns may, in addition to any other rights and remedies that it may
have relating to such delinquency, report my name and account information to one or more consumer credit reporting agencies; (9) ownership of the Loan and/or administration of the Loan
account may be transferred with such notice as may be required by law; (10) neither Lender nor its agents, brokers, insurers, servicers, successors or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of the property; and (11) my transmission of this application as an “electronic record” containing
my “electronic signature,” as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application
containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature.
Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or reverify any information
contained in this application or obtain any information or data relating to the Loan, for any legitimate purpose through any source, including a source named in this application
or a consumer reporting agency.
Borrower’s Signature
Date
Co-Borrower’s Signature
X
Date
X
X. 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
not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you
may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual
observation and surname if you have made this application in person. If you do not wish to furnish the 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
I do not wish to furnish this information
CO-BORROWER
I do not wish to furnish this information
Ethnicity:
Hispanic or Latino
Ethnicity:
Hispanic or Latino
Race:
American Indian or
Asian
Alaska Native
Native Hawaiian or Other Pacific Islander
Race:
American Indian or
Asian
Alaska Native
Native Hawaiian or Other Pacific Islander
Sex:
Female
Sex:
Female
Not Hispanic or Latino
Male
Black or
African American
White
Not Hispanic or Latino
Black or
African American
White
Male
To be Completed by Loan Originator:
This information was provided:
In a face-to-face interview
In a telephone interview
Loan Originator’s Signature
By the applicant and submitted by fax or mail
By the applicant and submitted via e-mail or the internet
Date
X
Loan Originator’s Name (print or type)
Loan Originator Identifier
Loan Originator’s Phone Number (including area code)
Loan Origination Company’s Name
Loan Origination Company Identifier
Loan Origination Company’s Address
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev. 6/09)
Page 4
Fannie Mae Form 1003 7/05 (rev. 6/09)

Purchase answer to see full
attachment