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Borrower Information: Co-Borrower Information: First Name First Name Middle Name Middle Name Last Name Last Name Social Security # Social Security # Birth Date Birth Date Age Age Married  Unmarried  Separated Married  Unmarried  Separated Dependant(s) # Dependant(s) # Yrs in School Yrs in School Home Phone Home Phone Business Phone Business Phone Cell/Alt Phone Cell/Alt Phone Fax Fax Email Address Email Address Present Address Present Address Own  Rent Own  Rent Number of Years Number of Years Address Address City City State State Zip Zip Former Address Former Address Own  Rent Own  Rent Number of Years Number of Years Address Address City City State State Zip Zip Borrower Employment: Co-Borrower Employment: Present Employer Present Employer Name Name Address Address City City State State Zip Zip Position Position Yrs on work Yrs on work Yrs on job yrs mths Yrs on job yrs mths Former Employer Former Employer Name Name Address Address City City State State Zip Zip Dates: From  To Dates: From  To Monthly Income $ Monthly Income $ Position Position Business Phone Business Phone Loan Information Subject Property Street City State Zip Year Built Purchase Price $ Loan Amount $ Loan Type Conv  FHA  VA  USDA / Rural Lien Position First  Second Amortization Type Fixed  GPM  ARM  Other  Purpose of Loan Purchase  Cash-Out Refi No Cash-Out Refi  Construction Property will be Primary  Secondary  Investment Borrower Income: Co-Borrower Income: Gross Monthly Inc Gross Monthly Inc Base Income $ Base Income $ Overtime $ Overtime $ Bonuses $ Bonuses $ Commission $ Commission $ Div/Int $ Div/Int $ Net Rent $ Net Rent $ Other $ Other $ Expenses and Assets Monthly House Exp Rent $ First Mortgage $ Hazard Insurance $ Taxes $ Mortgage Insurance $ HOA Dues $ Other $ Assets Automobile 1 & Value    $ Automobile 2 & Value    $ Automobile 3 & Value    $ Stocks/Bonnds 1 & Value    $ Stocks/Bonnds 2 & Value    $ Stocks/Bonnds 3 & Value    $ Other Assets 1 & Value    $ Other Assets 2 & Value    $ Other Assets 3 & Value    $ Bank Accounts Bank Account #1 Bank Name & Address   Account Number Account Type Balance Bridge Loan Not Deposited Cash-on-Hand Checking Account Gift Gift of Equity Money Market Fund Mutual Funds Net Equity Other Liquid Assets Pending sale Proceeds from Real Estate Savings Secured Borrowed Funds Time Deposit Trust Fund Account $ Bank Account #2 Bank Name & Address   Account Number Account Type Balance Bridge Loan Not Deposited Cash-on-Hand Checking Account Gift Gift of Equity Money Market Fund Mutual Funds Net Equity Other Liquid Assets Pending sale Proceeds from Real Estate Savings Secured Borrowed Funds Time Deposit Trust Fund Account $ Bank Account #3 Bank Name & Address   Account Number Account Type Balance Bridge Loan Not Deposited Cash-on-Hand Checking Account Gift Gift of Equity Money Market Fund Mutual Funds Net Equity Other Liquid Assets Pending sale Proceeds from Real Estate Savings Secured Borrowed Funds Time Deposit Trust Fund Account $ Bank Account #4 Bank Name & Address   Account Number Account Type Balance Bridge Loan Not Deposited Cash-on-Hand Checking Account Gift Gift of Equity Money Market Fund Mutual Funds Net Equity Other Liquid Assets Pending sale Proceeds from Real Estate Savings Secured Borrowed Funds Time Deposit Trust Fund Account $ Schedule of Real Estate Owned Parcel #1 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #2 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #3 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #4 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #5 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #6 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #7 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #8 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #9 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #10 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #11 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Parcel #12 Property Address Property Status Market Value   Sold Pending Sale Rental $ City, State & Zip Type Amt of Mtg 2-4PLX COM-NR COM-R CONDO COOP FARM LAND MIXED MOBIL MULTI SFR TOWN $ Remarks Mtg Payment Gross Rent $   $ Net Rent Ins / Tax / Misc $ $ Liabilities Liability #1 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #2 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #3 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #4 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #5 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #6 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #7 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #8 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #9 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #10 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #11 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Liability #12 Company Name & Address Liability Name   Account Number Monthly Payment / Months Left Balance $          $ Declarations Borrower Y/N Co-Borrower Y/N a. Are there any outstanding judgements against you? b. Have you been declared bankrup within the last 7 years? c. Have you had property forclosed upon or given title or deed in lieu thereof in the past 7 years? d. Are you a party to a lawsuit? e. Have you been obligated on any loan resulting in a forclosure, transfer of title in lieu of forclosure, or judgement? f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgae, financial obligation bond, or loan guarantee? g. Are you obligated to pay child-support, alimony, or separate maintenance? h. Is any par of your down payment borrowed? i. Are you a co-maker or endorser on a note? j. Are you a U.S. citizen? k. Are you a permanent resident alien? l. Did you intend to occupy the the property as your primary residence? m. Have you had an ownership interest in a property in the last three years? Credit Check Approval & Payment Credit Card Number Card Type   Visa Master Card American Express Discover    Exp  Name on Card A one time fee of $18.50 will be charged to your card to check your credit. Billing Address on Card Loan Officer Please indicate which loan officer you wish to work with? [Any] Barry Sommers Beau Hadley Brad R. Miles Brandt Miles Brita Miles Dax Teuscher Jon Baclayon Josh Shaw Kristen Butcher Lorrie Frazier Nate Smith Rick M. Frazier Tesha Thomas Review & Submit Loan Application Please review your Application before pressing submit. Errors will slow down the loan approval process. By submitting this application, you are authorizing Precision Home Loans, Inc. to order a consumer credit report, to charge your credit card accordingly and to contact you regarding this application.

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