Citizenship:

U.S. Citizen Permanent Resident Alien Non-Permanent Resident Alien

Marital Status:

Married Unmarried (Single, Divorced, Widowed, Civil Union, Domestic Partnership) Separated

Military Service - Did you (or your deceased spouse) ever serve, or are currently serving, in the United States Armed Forces?

Yes No

If YES, check all that apply:

Is there a Co-Borrower?

Yes No

State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Country

United States Canada Mexico Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Ocean Indian Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Congo, The Democratic Republic of the Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cypress Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heart Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Macedonia Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Sweden Switzerland Syria Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe

State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

If you are the Business Owner or Self-Employed Select One:

I have an ownership share of less than 25%. I have an ownership share of 25% or more.

Income Source

Account Type:

Mortgage Applied for:

Conventional FHA VA USDA Jumbo Reverse Renovation Non-QM Other

Loan Purpose:

Purchase Refinance

Loan Term (Months):

120 (10 Years) 180 (15 Years) 240 (20 Years) 300 (25 Years) 360 (30 Years) Other

Amortization Type:

Fixed Rate Adjustable Rate Interest-Only Other

Occupancy:

Primary Residence Second Home Investment Property

State:

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Will you occupy the property as your primary residence?

Yes No

Have you had an ownership interest in another property in the last three years? (If YES, please complete the next two questions)

Yes No

What type of property did you own?

Primary Residence Second Home Investment Property

How did you hold title to the property?

By Yourself Jointly with your Spouse Jointly with another person

If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property?

Yes No

Are you borrowing any money for this real estate transaction (e.g. money for your closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application?

Yes No

Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application?

Yes No

Have you or will you be applying for new credit (e.g. installment loan, credit card, etc.) on or before closing this loan that's not disclosed on this application?

Yes No

Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g. the Property Assessed Clean Energy Program)?

Yes No

Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?

Yes No

Are there any outstanding judgments against you?

Yes No

Are you currently delinquent or in default on a Federal debt?

Yes No

Are you a party to a lawsuit in which you potentially have any personal financial liability?

Yes No

Have you conveyed title to any property in lieu of foreclosure in the past 7 years?

Yes No

Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?

Yes No

Have you had property foreclosed upon in the last 7 years?

Yes No

Have you declared bankruptcy within the past 7 years?

Yes No

If YES, identify the type(s) of bankruptcy

Ethnicity:

Hispanic or Latino Not Hispanic or Latino I do not wish to provide this information

Sex:

Female Male I do not wish to provide this information

Race:

American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White I do not wish to provide this information