Home Purchase Application

Home Purchase Application

Property Identification

Applicant Information

Employment & Income

Financial & Purchase Terms

Proposed Closing Date:    Possession Date:

Financing Type (check all that apply):

Conventional    FHA    VA    Cash    Other:

Financing Contingency Period (number of days after acceptance to secure loan):

Pre-approval or proof of funds attached.   Lender Name:

Inspections, Title & Contingencies

Inspection Period (number of days from acceptance to complete inspections):

Appraisal contingency required.    Title review/clearance contingent on satisfactory title report.    HOA/CC&R review contingency.

Disclosures

Lead-Based Paint (if property built before 1978): Yes    No

Known Material Defects: Yes    No

Prior Flood or Fire Damage: Yes    No

Title, HOA & Additional Parties

Is the property subject to an HOA? Yes    No

Acknowledgements, Authorizations & Certifications

By signing this application the Applicant certifies that the information provided in this application is true, accurate and complete to the best of Applicant's knowledge. Applicant authorizes the seller, listing broker, buyer's broker and their agents or representatives to verify any information contained herein, including credit, employment and asset verification. Applicant understands this document is an application and is not a purchase contract; no binding sale occurs until a separate purchase agreement is executed by all required parties.

Applicant further acknowledges that misrepresentation of financial or other material facts may be grounds for rejection of this application and may result in forfeiture of any earnest money deposit if false statements induce acceptance and subsequent purchase agreement. Applicant consents to a reasonable credit and background check in connection with this application.

Applicant authorizes credit/background verification as reasonably necessary to process this application.

Applicant acknowledges that any escrow instructions, title obligations, prorations, closing costs, and other terms will be governed by the purchase agreement and escrow instructions agreed upon at the time of contract acceptance. This application may be withdrawn by Applicant prior to Seller's acceptance or may be accepted by Seller in writing; acceptance by Seller constitutes an offer which may be subject to additional negotiation and contract formalities.

Buyer Agent / Broker (if applicable)

Certification of Accuracy

Applicant certifies under penalty of perjury that the information contained in this application is complete and correct and that Applicant will promptly supplement any information that changes prior to closing. Applicant understands that acceptance of this application by Seller or listing agent is subject to verification of all statements herein and that Seller may require additional documentation prior to contract formation.

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