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Form preview Uniform residential loan appli... Uniform Residential Loan Application This application is designed to be completed by the applicant s with the Lender s assistance. Mortgage Declaration Addendum Do you have any contingent liabilities not disclosed on the mortgage application or personal financial statement Yes No Do you have any required capital contributions for partnerships or investments If yes please outline the dollar amount and estimate when payable. Are any of your liquid assets pledged Have you ever been convicted or plead guilty to a felony or misdemeanor Have you been indicted or subject to an investigation by the SEC or any other government agency If YES to any of the above please explain BORROWER S SIGNATURE CO-BORROWER S SIGNATURE DATE FRB 500 URLA-Addendum PE 5/10 MORTGAGE DECLARATION ADDENDUM PAGE 1 OF 1. 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 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 X Borrower Signature I. TYPE OF MORTGAGE AND TERMS OF LOAN Mortgage Applied for VA FHA Conventional U SDA/Rural Housing Service Amount Interest Rate No* of Months Agency Case Number Other explain Amortization Type Fixed Rate GPM Lender Case Number 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 Construction Property will be Refinance Complete this line if construction or construction-permanent loan* Year Lot Acquired Original Cost Amount Existing Liens Primary Residence Secondary Residence a Present Value of Lot b Cost of Improvements Total a b Purpose of Refinance Describe Improvements Investment made Cost Title will be held in what Name s Manner in which Title will be held Estate will be held in Fee Simple Leasehold show expiration date Source of Down Payment Settlement Charges and/or Subordinate Financing explain Borrower III. BORROWER INFORMATION Borrower s Name include Jr. or Sr. if applicable Social Security Number Home Phone incl* area code Co-Borrower s Name include Jr. or Sr. if applicable DOB mm/dd/yyyy Yrs* School Email address Married Separated to be made Unmarried include single divorced widowed Dependents not listed by Co-Borrower no. Own Present Address street city state ZIP ages 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 Name Address of Employer Self Employed IV EMPLOYMENT INFORMATION.

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