Real Estate Credit Application

REAL ESTATE CREDIT APPLICATION

This Real Estate Credit Application (the "Application") is submitted to request credit in connection with a real property transaction. Applicant certifies that the information provided in this Application is true, complete, and accurate. Applicant authorizes any lender, investor, or their agents to obtain credit reports and verify employment, income, assets, and liabilities. Applicant understands that false statements may be punishable under law and may constitute default of any resulting credit agreement.

Applicant Information

Entity Type: Individual Corporation LLC Partnership Trust Other

Social Security Number / Tax ID:    Date of Birth:

Phone:    Email:

Co-Applicant / Additional Parties

Provide co-applicant or guarantor information if applicable. If none, leave blank.

Co-Applicant SSN/Tax ID:    Phone:

Business / Entity Information (if applicable)

Federal Tax ID:    Principal / Officer:

Property to Be Secured

Parcel / APN Number:    Unit / Lot:

Occupancy: Owner-Occupied Investment Second Home

Loan Request

Loan Amount Requested: $    Purpose: Purchase Refinance Construction Other

Desired Term (months/years):    Amortization / Payment Frequency:

Interest Rate Type: Fixed Adjustable/Variable

Desired Closing Date:    Down Payment / Equity Contribution: $

Income and Employment

Position / Title:    Employer Address:

Employment Start Date:    Gross Monthly Income: $

Assets and Liabilities

Credit References

Account Type / Number (last 4):    Contact Phone:

Declarations and Disclosures

Have you declared bankruptcy in the past 7 years? Yes No

Are there any outstanding judgments, tax liens, or pending foreclosures against you? Yes No

Authorization and Certification

By signing this Application, Applicant certifies under penalty of law that the information provided herein is true and complete. Applicant authorizes lender and its agents to obtain consumer and business credit reports, verify employment and income with employers and other sources, obtain bank and tax information, and to share information with investors, insurers, and servicers as necessary for credit evaluation, loan processing, and servicing. Applicant further consents to electronic transmission and reproduction of this Application and any supporting documentation.

Applicant acknowledges that submission of this Application does not obligate lender to extend credit, and that additional documentation, appraisal, title review, and underwriting conditions may be required. Applicant agrees that lender may retain this Application whether or not the loan is approved.

Certification of Accuracy; Consequences of Misstatement

Applicant certifies that all statements made in this Application are complete and correct to the best of Applicant's knowledge. Applicant understands that misrepresentation or omission of material facts may constitute fraud and may result in criminal or civil penalties and immediate termination of any credit commitment.

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