LOAN APPLICATION

Uniform Residential Loan Application
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 or other person who has community property rights pursuant to state law will not be used as basis for loan qualification, but his or her liabilities must be considered because the spouse or the other person has community property rights pursuant to applicable law and 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.

If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below):



I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage VAConventionalOther (explain): ___________
Applied for: FHAUSDA/Rural Housing Service
Fixed RateOther (explain):GPMARM (type):

II. PROPERTY INFORMATION AND PURPOSE LOAN
PurchaseRefinanceConstructionConstruction-PermanentOther (explain):
Primary ResidenceSecondary ResidenceInvestment
Complete this line if construction-permanent loan
Complete this line if this is a refinance loan.
madeto be made

Fee SimpleLeasehold (shoe expiration date)
Borrower
III. BORROWER INFORMATION
Co-Borrower
Married (includes registered domestic partners)Unmarried (includes single, divorced, widowed)Separated
Dependents (not listed by Co-Borrower)

No.
Ages
Married (includes registered domestic partners)Unmarried (includes single, divorced, widowed)Separated
Dependents (not listed by Borrower)

No.
Ages
Present Address (street, city, state, ZIP/country)OwnRentNo. Yrs.
Present Address (street, city, state, ZIP/country)OwnRentNo. Yrs.
Mailing Address, if different from Present Address
Mailing Address, if different from Present Address
If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP/country)OwnRentNo. Yrs.
Present Address (street, city, state, ZIP/country)OwnRentNo. Yrs.
Former Address (street, city, state, ZIP/country)OwnRentNo. Yrs.
Present Address (street, city, state, ZIP/country)OwnRentNo. Yrs.
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev. 6/09)
Borrower
Co-Borrower
Fannie Mae Form 1003 7/05 (rev. 6/09)
Calyx Form - Loanapp1.frm (09/2013)

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