Application - All Counties Funding

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. You may also download a PDF version of this form to print and manually turn in to your lender.

Will the income or assets of a person other than the Borrower (including the Borrower’s spouse) be used as a basis for loan qualification?

If 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 a basis for loan qualification, must his or her liabilities be considered because:

the spouse or 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
the Borrower is relying on other property located in a community property state as a basis for repayment of the loan

Borrower Full Name

First Last

Will you have a Co-Borrower?

TYPE OF MORTGAGE AND TERMS OF LOAN

Mortgage Applying for

Mortgage Amount

Please enter a number greater than or equal to 1.

Amortization Type

PROPERTY INFORMATION AND PURPOSE OF LOAN

Subject Property Address

Street Address Address Line 2 City State ZIP Code

Purpose of Loan

Property will be

Title will be held under what name(s)?

BORROWER INFORMATION

Social Security Number

Phone Number

Date of Birth

Years of School

Borrower's marital status

Number of Borrower's dependents (that will not be listed by Co-Borrower)

Borrower's dependents age(s) (separate with commas)

Borrower's present address

Street Address Address Line 2 City State ZIP Code

Own or Rent?

Number of years?

Please enter a number from 0 to 99.

Different mailing address for Borrower?

Borrower's Mailing Address

Street Address Address Line 2 City State ZIP Code

BORROWER EMPLOYMENT INFORMATION

Name of Borrower's Employer

Borrower Self-Employed?

Address of Borrower's Employer

Street Address Address Line 2 City State ZIP Code

Years with Employer

Please enter a number from 0 to 99.

Years working in profession

Please enter a number from 0 to 99.

Position/Title/Type of Business

Business Phone

CO-BORROWER INFORMATION

Co-Borrower Full Name

First Last

Social Security Number

Phone Number

Date of Birth

Years of School

Please enter a number from 1 to 99.

Co-Borrower's marital status

Number of Co-Borrower's dependents (that will not be listed by Borrower)

Co-Borrower's dependents age(s) (separate with commas)

Co-Borrower's present address

Street Address Address Line 2 City State ZIP Code

Own or Rent?

Number of years?

Please enter a number from 0 to 99.

Different mailing address for Co-Borrower?

Co-Borrower's Mailing address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

CO-BORROWER EMPLOYMENT INFORMATION

Name of Co-Borrower's Employer

Co-Borrower Self-Employed?

Address of Co-Borrower's Employer

Street Address Address Line 2 City State ZIP Code

Years with Employer

Please enter a number from 0 to 99.

Years working in profession

Please enter a number from 0 to 99.

Position/Title/Type of Business

Business Phone

MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan.

Describe Other Income

Borrower or Co-Borrower?	Description	Monthly Amount	Actions

There are no Incomes.

ASSETS AND LIABILITIES

This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules are required. If the Co-Borrower section was completed about a non-applicant spouse or other person, this Statement and supporting schedules must be completed by that spouse or other person also.

Enter each Asset and Liability

Completed	Cash deposit toward purchase held by:	Actions

There are no Assets or Liabilities.

Checking and Savings Accounts

List each Checking and Savings account you wish to be used when considering your loan application. Click the "Add Another" button to add addition Checking and Savings accounts as needed.

Enter each Checking or Savings Account

Name of Bank, S&L, or Credit Union	Bank Address	Account Number	Amount	Actions

There are no Checking or Savings Accounts.

Stocks and Bonds

List all Stocks and Bonds you wish to be considered with your loan application. Click the "Add another" button to add another Stock or Bond as needed.

Enter each Stock or Bond

Company name	Company number	Amount	Actions

There are no Stocks or Bonds.

Vested interest in retirement fund

Liabilities and Pledged Assets

List the creditor's name, address and account number for all outstanding debts, including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc.

Enter each Liability or Pledged Asset

Company Name	Address	Account Number	Monthly Payment Amount	Months left to pay	Unpaid balance	Actions

There are no Liabilities or Pledged Assets.

Other monthly payments owed

Untitled

Payments owed to	Describe 'Other'	Amount	Actions

There are no Other Monthly Payments.

Name

This field is for validation purposes and should be left unchanged.

Loan Application

TYPE OF MORTGAGE AND TERMS OF LOAN

PROPERTY INFORMATION AND PURPOSE OF LOAN

BORROWER INFORMATION

BORROWER EMPLOYMENT INFORMATION

CO-BORROWER INFORMATION

CO-BORROWER EMPLOYMENT INFORMATION

MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

ASSETS AND LIABILITIES

Checking and Savings Accounts

Stocks and Bonds

Liabilities and Pledged Assets

Other monthly payments owed