Declaration
1. Are there any outstanding judgments against you?
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2. Have you been declared bankrupt within the past 7 years?
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3. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
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4. Are you a party to a lawsuit?
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5. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?
(This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "Yes," provide details, including date, name and address of Lender, FHA or VA case number,if any, and reasons for the action.)
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6. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
If "Yes," give details as described in the preceding question.
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7. Are you obligated to pay alimony, child support, or separate maintenance?
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8. Is any part of the down payment borrowed?
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9. Are you a co-maker or endorser on a note?
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10. Are you a U. S. citizen?
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11. Are you a permanent resident alien?
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12. Do you intend to occupy the property as your primary residence?
If "Yes," complete question 13 below.
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13. Have you had an ownership interest in a property in the last three years?
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(a) What type of property did you own?
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(b) How did you hold title to the home?
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If you answered "Yes" to questions 2, 3, 5, or 6 please explain below:
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Demographic Information of Applicant
The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish this information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish this information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)
Applicant
Ethnicity Hispanic or LatinoNot Hispanic or LatinoI do not wish to furnish this information
Race
Balck or African
White
Gender MaleFemaleI do not wish to furnish this information
The above statements are submitted for the purpose of obtaining credit and are certified to be true and correct. I/We agree that usual credit inquiries may be made to verify statements. I/We agree that this application shall remain the property of the bank whether the loan is granted or not. I/We understand that there are certain closing costs for a mortgage loan. I/We agree to pay costs associated with this application. The bank is hereby authorized to do a complete financial review in conjunction with this application. Interest rates are subject to change.
Source Information
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