Important:
Enter a valid e-mail address. Correspondance will be sent to this
address.
E-Mail:*
APPLICATION INFORMATION
First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:
City:*
Zip Code:*
State:*
Zip Code:*
Home Phone:*
Work Phone:
Cell Phone:
Years at Current Address:*
Number of Dependents:*
Social Security Number:*
Date of Birth:*
Marital status?*
Single
Married
Divorced
Widowed
FICO*
EXP/EQU/TU
EMPLOYMENT/BUSINESS INFORMATION
Current Employer or
Business Name:*
Business Address:*
City:*
State:*
Type of Business:*
Position Held:*
Monthly Income:
Numerals only.
Years Employed/Owned:
Numerals only.
Note:
Alimony,child support or separate maintenance income need not be
revealed.
Other Income Source:
Monthly Income:
Numerals only.
CO-APPLICANT INFORMATION
First Name:
Middle Initial:
Last Name:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Years at Current Address:
Number of Dependents:
Social Security Number:
Date of Birth:
Marital status?
Single
Married
Divorced
Widowed
FICO*
EXP/EQU/TU
EMPLOYMENT/BUSINESS (Co-Applicant)
Current Employer or Business Name:
Business Address:
City:
State:
Type of Business:
Position Held:
Monthly Income:
Numerals only.
Years Employed/Owned:
Numerals only.
Note:
Alimony,child support or separate maintenance income need not be
revealed.
Other Income Source:
Monthly Income:
Numerals only.
SUBJECT PROPERTY INFORMATION
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:
Year Acquired:*
Original Cost:*
Debt Service Payments:*
Current Mortgage Balance:*
Estimated Property Value:*
Property Type:*
Tot # of Units:
# of Buildings:
Occupancy %:
Owner Occupancy %:
Bldg size:
Acreage:
DETAIL USES OF UNITS:
Year Built:
Condition of Property:*
Excellent
Good
Fair
Poor
Rental Income/1-4 units:
Gross Income/Multifamily:
Expenses:
NOI:
LOAN PURPOSE AND TYPE
Type of Loan:*
Purchase
Refinance
Rate and Term
Cash-Out
Loan Amount Requested:*
Purpose of Cash Out:*
Balloon Payment:
Balloon:
Desired Payment:*
Desired Rate:*
If Purchase, Purchase Contract Closing
Date:
Other Comments:
REAL ESTATE SCHEDULE
Address Asset 1:
Type of Property:
Estimated Market Value:
Amt of Mortgage:
Mtg Payments:
Gross Rents:
Use as Collateral:
Address Asset 2:
Type of Property:
Estimated Market Value:
Amt of Mortgage:
Mtg Payments:
Gross Rents:
Use as Collateral:
Address Asset 3:
Type of Property:
Estimated Market Value:
Amt of Mortgage:
Mtg Payments:
Gross Rents:
Use as Collateral:
Address Asset 4:
Type of Property:
Estimated Market Value:
Amt of Mortgage:
Mtg Payments:
Gross Rents:
Use as Collateral:
Address Asset 5:
Type of Property:
Estimated Market Value:
Amt of Mortgage:
Mtg Payments:
Gross Rents:
Use as Collateral:
ACKNOWLEDGMENT 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 herein; (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 herein; (6) any owner or
servicer of the Loan may verify or reverify any information contained
in the application from any source named in this application, and
Lender, its successors or assigns may retain the original and/or an
electronic record of this application, even if the Loan is not
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 owner or servicer of the Loan 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.
****
I DECLARE THAT THE
FOREGOING INFORMATION IS TRUE AND CORRECT,
AUTHORIZE ITS
VERIFICATION AND THE OBTAINING OF A CREDIT REPORT
AND REVIEW OF MY
EMPLOYMENT HISTORY.
I understand any false
or misleading statements in my application may cause
any loan to be in
default. I agree that this application shall be this
Nova Financial property whether or not
this credit application is approved.
Dated:*
Date only
By
entering my first & last below, I stipulate that I agree to all
of
the terms and conditions stipulated on this application.
