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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)