Fill and Sign the Pr1814 2012 2019 Form

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 will not be used as a basis for loan qualification, but his or her liabilities must be considered because the 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. I. TYPE OF MORTGAGE AND TERMS OF LOAN Mortgage VA Conventional Applied for: FHA USDA/Rural Housing Service Interest Rate Amount Agency Case Number Other: No. of Months II. Amortization Fixed Rate Type: % $ Lender Case No. GPM Other (explain): ARM (type): PROPERTY INFORMATION AND PURPOSE OF LOAN Subject Property Address (street, city, state, & zip code) No. of Units Legal Description of Subject Property (attach description if necessary) Year Built Property Type 1-4 SFR Manufactured Home Purpose of Loan Refinance Construction-Permanent Construction Home Improvement Purchase Property will be: Other (explain): Primary Residence Secondary Residence Investment Complete this line if construction or construction-permanent loan. Year Acquired Original Cost Amount Existing Liens (a) Present Value of Lot (b) Cost of Improvements $ $ $ Total (a + b) $ Complete this line if this is a refinance loan. Year Lot Original Cost Amount Existing Liens $ Purpose of Refinance $ Describe Improvements made to be made Acquired Cost: $ Title will be held in what Name(s) Manner in which Title will be held Solely OR Estate will be held in: Jointly Fee Simple Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain) Leasehold (show expiration date) Borrower III. BORROWER INFORMATION 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 - Married Separated - - Unmarried (incl. single, divorced, widowed) Present Address (street, city, state, zip code) Co-Borrower Co-Borrower’s Name (include Jr. or Sr. if applicable) Dependents (not listed by Co-Borrower) no. Married ages Separated Own Rent No. Yrs Mailing Address, if different from Present Address Home Phone (incl. area code) DOB (MM/DD/YYYY) Yrs. School - - - Unmarried (incl. single, divorced, widowed) Present Address (street, city, state, zip code) Dependents (not listed by Borrower) no. ages Own Rent No. Yrs Own Rent No. Yrs Mailing Address, if different from Present Address If residing at present address for less than two years, complete the following: Former Address (street, city, state, zip code) Own Borrower Name & Address of Employer Rent IV. No. Yrs EMPLOYMENT INFORMATION Yrs. on this job Self Employed Former Address (street, city, state, zip code) Name & Address of Employer Co-Borrower Yrs. on this job Self Employed Yrs. Employed in this line of work/profession Position/Title/Type of Business Yrs. employed in this line of work/profession Business Phone (incl. area code) - 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 Dates (from –- to) Self Employed Name & Address of Employer Dates (from –- to) Self Employed Monthly Income Monthly Income $ Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer $ Business Phone (incl. area code) - Dates (from –- to) Self Employed Position/Title/Type of Business Name & Address of Employer Dates (from –- to) Self Employed Monthly Income Monthly Income $ Position/Title/Type of Business 1431 (02-04) $ Business Phone (incl. area code) - - Position/Title/Type of Business - Business Phone (incl. area code) Page 1 of 4 - V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION Gross Monthly Income Borrower Co-Borrower $ Base Empl. Income* $ Total $ Combined Monthly Housing Expense Present Proposed $ 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, see Homeowner Assn. Dues the notice in “describe other income,” below) Other: $ Total $ $ $ 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 $ 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 spouse, this Statement and supporting schedules must be completed about that spouse also. Completed ASSETS Cash or Market Value Description Value Cash deposit toward purchase held by: Jointly Not Jointly Liabilities and Pledged Assets. List the creditor’s name, address and account outstanding debts, including automobile loans, revolving charge accounts, real estate child support, stock pledges, etc. Use continuation sheet, if necessary. Indicate by (*) which will be satisfied upon sale of real estate owned or upon refinancing of the subject number for all loans, alimony, those liabilities property. $ Monthly Payment & Months Left to Pay LIABILITIES Name and address of Company Unpaid Balance $ Payments/Months $ $ Payments/Months $ $ Payments/Months $ $ Payments/Months $ $ Payments/Months $ Name and address of Company $ Payments/Months $ Acct. no. Name and address of Company $ Payments/Months $ Acct. no. $ List checking and saving accounts below Name and address of Bank, S&L, or Credit Union Acct. no. Name and address of Company Acct. no. $ Name and address of Bank, S&L, or Credit Union Acct. no. Name and address of Company Acct. no. $ Name and address of Bank, S&L, or Credit Union Acct. no. Name and address of Company Acct. no. $ Name and address of Bank, S&L, or Credit Union Acct. no. Name and address of Company Acct. no. $ Stocks & Bonds (Company name/number & description) $ Acct. no. 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) $ Alimony/Child Support/Separate Maintenance Payments Owed to: Other Assets (itemize) Total Assets a. $ 1431 (02-04) Job Related Expense (child care, union dues, etc.) $ Total Monthly Payments $ $ Net Worth (a minus b) Page 2 of 4 Total Liabilities b. $ $ VI. ASSETS AND LIABILITIES (cont.) 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 Present Market Value Amount of Mortgages & Liens Gross Rental Income Insurance, Maintenance, Taxes & Misc. Mortgage Payments Net Rental Income $ Totals $ $ $ $ $ $ $ $ $ $ $ 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 VII. DETAILS OF TRANSACTION $ a. Purchase price VIII. DECLARATIONS If you answer “yes” to any questions a through i, please b. Alterations, improvements, repairs c. Land (if acquired separately) Yes b. Have you been declared bankrupt within the past 7 years? e. Estimated prepaid items No Co-Borrower a. Are there any outstanding judgments against you? d. Refinance (incl. debts to be paid off) Borrower use continuation sheet for explanation. Yes No c. Have you had property foreclosed upon or given title or deed in lieu f. Estimated closing costs thereof in the last 7 years? g. PMI, MIP, Funding Fee d. Are you a party to a lawsuit? h. Discount (if Borrower will pay) 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, education 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, VA case number, if any, and reason for the action.) i. Total costs (add items a through h) j. Subordinate financing k. Borrower closing costs paid by Seller l. Other Credits (explain) 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. 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? m. Loan amount k. Are you a permanent resident alien? (exclude PMI, MIP, Funding Fee financed) l. Do you intend to occupy the property as your primary residence? n. PMI, MIP, Funding Fee financed If “Yes,” complete question m below. o. Loan amount (add m & n) 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), p. Cash from/to Borrower second home (SH), or investment property (IP)? (subtract j, k, l & o from i ) (2) How did you hold title to the home--solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)? IX. 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 fascimile 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. Borrower’s Signature Date Co-Borrower’s Signature Date X 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 discriminate neither on the basis of this information, nor 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 or surname. 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 Not Hispanic or Latino Ethnicity: Hispanic or Latino Not Hispanic or Latino Asian Race: American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander White Race: Sex: American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Female Male Black or African American White Sex: To be Completed by Interviewer Interviewer’s Name (print or type) This application was taken by: Female Christian Chukwuma, MLO Face-to-face interview Name and Address of Interviewer’s Employer Bank of America Mortgage Interviewer’s Signature Date CA4-533-01-01 391 Diablo Rd, Suite 100 Mail Telephone Interviewer’s Phone Number (incl. area code) Internet 925 - 855 - 2146 1431 (02-04) Male Page 3 of 4 Danville, CA 94526 Black or African American Continuation Sheet/Residential Loan Application Use this continuation sheet if you need more space to complete the Residential Loan Application. Mark B for Borrower or C for Co-Borrower. Borrower: Agency Case Number: Co-Borrower: Lender Case Number: I/We fully understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code, Section 1001, et seq. Borrower’s Signature X 1431 (02-04) Date Co-Borrower’s Signature X Page 4 of 4 Date