Mortgage Credit Application

Mortgage Applied for: CONV FHA VA

Amount: $

Interest Rate: %

No. of Months:

Monthly payment and principal interest: $

Escrow/Funds (to be collected monthly): Taxes Hazard Ins. Mtg. Ins.

Repayment Option:

SUBJECT PROPERTY

Property Street Address

City

County

State

Zip code

No. units

Legal Description

Year built

Purpose of loan: Purchase Construction/Permanent Construction
Refinance Other

Complete this for Construction/Permanent or Construction:

Lot value date Year acquired Original cost $

Present value (a) $ Cost of Imps. (b) $

Total (a + b) $

Complete this if Refinance:

Purpose of refinance:

Year acquired Original cost $

Amt. existing liens: $

Describe improvements:

Cost: $

Title to be held in what name(s):

Manner in which title will be held:

Source of down payment and settlement charges:

[This application is designed to be completed by the Borrower(s) with the lender’s assistance. The Co-Borrower section and all other Co-Borrower questions must be completed if another person will be obligated with the Borrower on the loan.]