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Wisconsin Home Loans
Type of Loan Requested:
Mortgage Applied for:
Loan Term:
Amortization Type:
Estimated Loan Amount: $
Interest Rate: %
Referred By: (Ad Code)
Property Information:
Please specify the following information about the property for which you are applying:
Subject Property Address City
State Zip
Number of Units Year Built
Purpose of Loan:
Residence Type:
Property Type:
If this is a construction or construction-permanent loan fill in the following:
Year Lot Acquired (a) Present Value of Lot
Original Cost (b) Cost of Improvements
Amount Existing Liens
If this is a refinance loan fill in the following:
Year Acquired Purpose of Refinance
Original Cost Describe any Improvements
Amount Existing Liens Cost
$
Title will be held in what Name(s)
1. 2.
Manner In which Title will be held The Estate will be held in:
If you chose Leasehold for the above option, please tell us the expiration date.
Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain)
Applicant Information:
Applicant First Name SSN Date of Birth
Applicant Last Name E-Mail Home Phone
Present Address City
State Zip
Do you rent or own this property? Number of Years Number of Months
If residing at present address for less than two years, complete the following:
Former Address #1
City, State Zip
Do you rent or own this property? Number of Years Number of Months
Co-Applicant Information:
Co-Applicant First Name SSN Date of Birth
Co-Applicant Last Name E-Mail Home Phone
Present Address City
State Zip
Do you rent or own this property? Number of Years Number of Months
If residing at present address for less than two years, complete the following:
Former Address #1
City, State Zip
Did you rent or own this property? Number of Years Number of Months
Applicant Employment Information:
1. Applicant Current Employer Position
Address City, State
Zip Years on Job Years in same field
Work Phone Self Employed
If you have been employed in current position for less than two years or if you are currently employed in more than one position, please complete the following:
2. Applicant Additional Employer Position
Address City, State Zip
Work Phone Monthly Income Amt.
$
Begin Date End Date
Self Employed
Co-Applicant Employment Information:
1. Co-Applicant Current Employer Position
Address City, State
Zip Years on Job Years in same field
Work Phone Self Employed
If you have been employed in current position for less than two years or if you are currently employed in more than one position, please complete the following:
2. Co-Applicant Additional Employer Position
Address City, State Zip
Work Phone Monthly Income Amt.
$
Begin Date End Date
Self Employed
Gross Monthly Income:
Applicant Co-Applicant
Base Employment Income $ $
Overtime $ $
Bonuses $ $
Commissions $ $
Dividends/Interest $ $
Net Rental Income $ $
Other $ $
Other $ $
Please describe any other income: Monthly Amount
$ $
$ $
$ $
Combined Monthly Housing Expense: Present
Rent $
First Mortgage (Principle & Interest) $
Other Financing (Principle & Interest) $
Hazard Insurance $
Real Estate Taxes $
Mortgage Insurance $
Homeowner Assn. Dues $
Other $
Assets:
Cash Deposit (Description) Amount
1. $
2. $
Checking and Savings Accounts:
$
Address City, State Zip
2. Financial Institution Account Number Amount
$
Address City, State Zip
3. Financial Institution Account Number Amount
$
Address City, State Zip
4. Financial Institution Account Number Amount
$
Address City, State Zip
$
Stocks and Bonds (Description) Amount
1. $
2. $
3. $
Other Assets:
Life Insurance Amount
1. $
2. Vested Interest in retirement fund $
3. Net Worth of business(es) owned $
Automobiles Owned Est. Value
1. $
2. $
3. $
Other Assets (Please Describe) Amount
1. $
2. $
3. $
4. $
Monthly Debts:
1. Financial Institution Account Number
Address City, State Zip
Total Amount Owed Monthly Payment
$ $
2. Financial Institution Account Number
Address City, State Zip
Total Amount Owed Monthly Payment
$ $
3. Financial Institution Account Number
Address City, State Zip
Total Amount Owed Monthly Payment
$ $
4. Financial Institution Account Number
Address City, State Zip
Total Amount Owed Monthly Payment
$ $
5. Financial Institution Account Number
Address City, State Zip
Total Amount Owed Monthly Payment
$ $
6. Financial Institution Account Number
Address City, State Zip
Total Amount Owed Monthly Payment
$ $
Schedule of Real Estate Owned:
1. Property Address City, State Zipcode
Type of Property Gross Rental Income
$
Mortgage Payments Insurance, Taxes & Maintenance
$ $
Net Rental Income Present Market Value
$ $
Property Mortgage Liens
$
2. Property Address City, State Zipcode
Type of Property Gross Rental Income
$
Mortgage Payments Insurance, Taxes & Maintenance
$ $
Net Rental Income Present Market Value
$ $
Property Mortgage Liens
$
3. Property Address City, State Zipcode
Type of Property Gross Rental Income
$
Mortgage Payments Insurance, Taxes & Maintenance
$ $
Net Rental Income Present Market Value
$ $
Property Mortgage Liens
$
Are you looking for DOWN PAYMENT ASSISTANT? YES NO
* "I authorize Family Home Lending Corp and/or assigns to obtain my/our credit report for the purpose of determining credit worthiness. The information that is obtained is strictly confidential. By submitting this electronically, this is to be deemed to be the equivalent of the original."