Mortgage Application | CvL Relocation and Corporate Services | 214-883-0857


Borrower

First Name:			Last:
Email:			Contact Number:
Address:			City:
ST:			Zip:
Date of Birth:			SSN:
Marital Status:			Dependents:
Years of Schooling:			Ages:

If residing at present address for less than two years, complete the following:
Address:			City:
ST:			Zip:

Co-borrower

First Name:			Last:
Address:			City:
ST:			Zip:
Date of Birth:			SSN:

Property Address

Address:			City:
ST:			Zip:

Employment
Self Employed:
Employer Name:			Position/Title/Type of Business:
Address:			City:
ST:			Zip:
Yrs. on this job:			Business Phone:
Yrs. in this line of work:			Business Fax:

If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Employer Name:			Position/Title/Type of Business:
Address:			City:
ST:			Zip:
Employed from:			Business Phone:
Employed to:			Monthly Income:

Borrower - Income

Base Employee Income:			Overtime:
Bonuses:			Commission:
Dividends/Interest:			Net Rental Income:
Other Income:			Describe Other Income:
TOTAL:

Borrower Combined Housing
Enter amounts for your present rent and/or mortgage payments in the first column and proposed amounts for the new property or refinance of existing property in the second column.
		Present	Proposed
Rent:
First Mortgage P&I:
Other Financing:
Hazard Insurance:
Real Estate Taxes:
Mortgage Insurance:
Homeowners Assoc. Dues:
Other:
TOTAL:

Borrower - Assets

Cash deposit toward purchase held by:			Cash or Market Value:
			Account Number:
Name of Bank/Credit Union:			Balance:
Address:			City:
ST:			Zip:

List Stocks / Bonds:			Market Value:
Autos owned: (Make and Year)			Market Value:
Autos owned: (Make and Year)
Life Insurance Policy info:			Cash Value:
			Face Value:
Subtotal of Liquid Assets:			Real Estate Owned:
Vested Interest in Retirement Fund:			Value of Other Assets:

TOTAL ASSETS:

Borrower Liabilities

Name of Company:			Account Number:
Address:			City:
ST:			Zip:
Per Month:			Months Left:
Unpaid Balance:

Name of Company:			Account Number:
Address:			City:
ST:			Zip:
Per Month:			Months Left:
Unpaid Balance:

Name of Company:			Account Number:
Address:			City:
ST:			Zip:
Per Month:			Months Left:
Unpaid Balance:

Alimony/Child Support/Separate Maintenance Payments owed to:			Per Month:
Job expenses:			Per Month:
Other Creditor:			Account Number:
Other Creditor:			Account Number:
Other Creditor:			Account Number:
Other Creditor:			Account Number:

TOTAL LIABILITIES:			NET WORTH:

Borrower - Real Estate Owned

Type of Property:			Property Status:
Address:			City:
ST:			Zip:
Present Market Value:			Mortgages and Liens:
Gross Rental Income:			Mortgage Payments:
Insurance, Maint, Taxes, Misc:			NET RENTAL INCOME:

Type of Property:			Property Status:
Address:			City:
ST:			Zip:
Present Market Value:			Mortgages and Liens:
Gross Rental Income:			Mortgage Payments:
Insurance, Maint, Taxes, Misc:			NET RENTAL INCOME:

Type of Property:			Property Status:
Address:			City:
ST:			Zip:
Present Market Value:			Mortgages and Liens:
Gross Rental Income:			Mortgage Payments:
Insurance, Maint, Taxes, Misc:			NET RENTAL INCOME:

Borrower - Declarations

Are there any outstanding judgments against you?				Yes No
Have you been declared bankrupt within the past 7 years?				Yes No
Are you a party to a lawsuit?				Yes No
Have you directly or indirectly been obligated on any loan which resulted in a foreclosure, transfer of title in lieu of foreclosure, or judgment?				Yes No

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?				Yes No
Are you obligated to pay alimony, child support or separate maintenance?				Yes No
Is any part of the down payment borrowed?				Yes No
Are you a co-maker or endorser on a note?				Yes No

Are you a U.S. citizen?				Yes No
Are you a resident permanent alien?				Yes No
Do you intend to occupy the property as your primary residence?				Yes No
Have you had an ownership interest in a property in the last three years?				Yes No

Property Location

Legal description of Subject Property:
Address:			City:
ST:			Zip:
Year built:			No. units:
Property will be:		Primary Residence
		Secondary Residence
		Investment

Property - Details of Transaction

Title will be held in what Name(s):
Manner in which title will be held:
Source of Down Payment, Settlement Charges, and/or Subordinate Financing:
Purchase Price:		$

HMDA

Borrower:	I do not with to furnish this information
Ethnicity:		Hispanic/Latino	Not Hispanic/Latino
Race:		White	Native American
		Asian	Native Hawaiian or Other Pacific Islander
		African American
Gender:		Male Female