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 V.A.  Conventional  Other: Applied for: FHA  FmHA			Agency Case #	Lender Case #
Amount  $	Interest Rate           %	No. of Months	Amortization Fixed Rate  Other (explain): Type: GPM  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  Other (explain):  Refinance  Construction-Permanent				Property will be: Primary Residence Secondary Residence  Investment
Complete this line if construction or construction-permanent loan.
Year Lot  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 Acquired	Original Cost  $	Amount Existing Liens $	Purpose of Refinance	Describe Improvements  made to be made Cost $