Let's Get Started Answer a few quick questions to begin.Are you buying or refinancing? *(Select One)BuyingRefinancingDo you have a preferred Loan Officer? *(Select One)Chandler SampsonJustin Troy CoxNo PreferenceRefinance Property Information Please provide some information about the property securing your refinance mortgage.Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweDo you reside at this property? *(Select One)Yes, this is my primary residence.Yes, this is a second home.No, this is an investment property.Have you lived here for two (2) or more years? *(Select One)Yes.No.How many years have you lived here?How many months have you lived here?Total Time at Current AddressWhat is the estimated value of this property? *USDIs there an existing mortgage against this property, or is it owned free-and-clear? *(Select One)Yes, there is an existing mortgage.No, I own this property free-and-clear.Does your existing mortgage include an escrow account for property taxes and/or insurance? *(Select One)Yes, both property taxes and insurance are escrowed.Yes, but it is only for property taxes.Yes, but it is only for insurance.No, escrows are waived. I pay for property taxes and insurance separately.How much do you owe on your current mortgage(s)? *USDPurchase Information Tell us a bit about your purchase goals.Have you already identified the home you would like to purchase?(Select One)Yes.No.Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweWhat is your estimated purchase price? *USDHow much do you have saved for a down payment? *USDBase Loan Amount CalculationPersonal Information Please provide some information about yourself.Are you applying alone or together with someone else? *(Select One)Alone.Joint with my spouse.Joint with someone else.How many additional applicants would you like to add? *You may add up to 3 additional applicants for a total of 4 applicants.What is your first name? *What is your middle name (if applicable)?What is your last name? *What is your marital status? *(Select One)MarriedUnmarriedSeparatedAre you a U.S. Citizen?(Select One)Yes.No, I am a Permanent Resident.No, I am a Non-Permanent Resident.No, I am a Non-ResidentWhat is your date of birth? *In MM/DD/YYYY formatWhat is your Social Security Number? *Enter 9-digits with or without dashes.0 / 11What's the best phone number to reach you at? *Numbers only.0 / 10What is the best e-mail address for correspondence related to your application? *Confirm Email Address *Additional Applicant Please provide information about the second applicant.What is your first name? *What is your middle name (if applicable)?What is your last name? *What is your marital status? *(Select One)MarriedUnmarriedSeparatedAre you a U.S. Citizen? *(Select One)Yes.No, I am a Permanent ResidentNo, I am a Non-Permanent ResidentNo, I am a Non-ResidentWhat is your date of birth? *In MM/DD/YYYY format.What is your Social Security Number? *Enter 9-digits with or without dashes.0 / 11What's the best phone number to reach you at? *Numbers only.0 / 10What is the best e-mail address for correspondence related to your application? *Confirm Email Address *Residential History Please provide your residential history for a minimum of the past two years.We'll begin with your residential history before reviewing residential history for the second applicant.What is your current address?Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHave you lived here for two (2) or more years?(Select One)Yes.No.How many years have you lived here? *How many months have you lived here? *Purchase - Total Time at Current Residence (in Months)Do you own or rent this home? *(Select One)OwnRentLive Rent FreeHow much do you pay in rent? *USDA full two-year residential history is required. Please provide additional residential history. What was your previous address?Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHow many years did you reside here? *How many months did you reside here? *B1 - Time at Previous Address (in Months)Did you own or rent this home? *(Select One)OwnRentLive Rent FreeHow much did you pay in rent? *USDResidential History (Continued) Please provide residential history for the second applicant for a minimum of the past two years.Does this applicant have the same residential history as the first applicant for the past two years? *(Select One)Yes, their address(es) were the same.No, they had different residential history.What is this applicant's current address? Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHas the applicant lived here for two (2) or more years? *(Select One)YesNoHow many years has the applicant lived here? *How many months has the applicant lived here? *B2 - Total Time at Current Address (in Months)Does the applicant own or rent this home? *(Select One)OwnRentLives Rent FreeHow much does the applicant pay in rent? *USDA full two-year residential history is required. Please provide the applicant's previous address(es).Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHow many years did the applicant reside here? *How many months did the applicant reside here? *B2 - Total Time at Previous Address (in Months)Did the applicant own or rent this home? *(Select One)OwnRentLived Rent FreeHow much did the applicant pay in rent? *USDResidential History (Continued) Please provide residential history for the third applicant for a minimum of the past two years.Does this applicant have the same residential history as the first applicant for the past two years? *(Select One)Yes, their address(es) were the same.No, they had different residential history.What is this applicant's current address? Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHas the applicant lived here for two (2) or more years? *(Select One)YesNoHow many years has the applicant lived here? *How many months has the applicant lived here? *B3 - Total Time at Current Address (in Months)Does the applicant own or rent this home? *(Select One)OwnRentLives Rent FreeHow much does the applicant pay in rent? *USDA full two-year residential history is required. Please provide the applicant's previous address(es).Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHow many years did the applicant reside here? *How many months did the applicant reside here? *B3 - Total Time at Previous Address (in Months)Did the applicant own or rent this home? *(Select One)OwnRentLived Rent FreeHow much did the applicant pay in rent? *USDResidential History (Continued) Please provide residential history for the fourth applicant for a minimum of the past two years.Does this applicant have the same residential history as the first applicant for the past two years? *(Select One)Yes, their address(es) were the same.No, they had different residential history.What is this applicant's current address? Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHas the applicant lived here for two (2) or more years? *(Select One)YesNoHow many years has the applicant lived here? *How many months has the applicant lived here? *B4 - Total Time at Current Address (in Months)Does the applicant own or rent this home? *(Select One)OwnRentLives Rent FreeHow much does the applicant pay in rent? *USDA full two-year residential history is required. Please provide the applicant's previous address(es).Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHow many years did the applicant reside here? *How many months did the applicant reside here? *B4 - Total Time at Previous Addresses (in Months)Did the applicant own or rent this home? *(Select One)OwnRentLived Rent FreeHow much did the applicant pay in rent? *USDYour Employment History Tell us about your current job. You can add more jobs if needed. What best describes your work situation? *(Select One)I work for an employer (W-2 job)I am self-employed (I own 25% or more of a business)What is your employer's name? *0 / 75What is the name of your company? *If your business is a sole proprietorship, enter your name or DBA (if applicable) here.0 / 75What is your job title? *0 / 75Company Phone NumberNumbers only. This helps us verify employment, if needed.0 / 10Do you know the business address? *This helps us verify employment, if needed.(Select One)YesNoStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHave you worked here for 2 years or more? *(Select One)YesNoHave you been self-employed for 2 years or more?(Select One)YesNoStart Date *In MM/DD/YYYY. If you do not know the exact date, please provide your best estimate.How long have you been in this line of work or profession? (This helps when you've changed employers but stayed in the same career field.) Number of Years *Additional Months *How are you paid at this job? *HourlySalaryCommissionBonusesTipsOtherWhat is your average monthly net income? *If uncertain, please provide your best estimate and we will review supporting documentation to confirm an exact amount.USDWhat is your hourly rate of pay? *If you receive any differential pay rates, please include only your base hourly rate here for now.USDDo you consistently work at least full-time hours (40 hours per week)? *If you ever work less than 40 paid hours per week, please select 'No'.(Select One)YesNoHow many hours do you work per week on average? *Please estimate conservatively.What is your annual salary? *USDDo you consistently work overtime hours? *Select 'No' if you do not have consistent history of receiving overtime pay.(Select One)YesNoHow many hours of overtime do you work per week on average? *Please estimate conservatively.How long have you been receiving commission pay? *(Select One)Less than 6 monthsBetween 6 and 12 monthsMore than 12 monthsOn average, how much do you receive per month in commissions? *USDHow long have you been receiving bonuses? *(Select One)Less than 6 monthsBetween 6 and 12 monthsMore than 12 monthsOn average, how much do you receive per month in bonuses? *USDHow long have you been receiving tips? *(Select One)Less than 6 monthsBetween 6 and 12 monthsMore than 12 monthsOn average, how much do you receive per month in tips? *USDPlease provide a description for your "other" pay. *0 / 100How long have you been paid in this manner? *(Select One)Less than 6 monthsBetween 6 and 12 monthsMore than 12 monthsOn average, how much "other" pay do you receive per month? *USDDo you currently work a second job? *(Select One)YesNoHave you worked two (or more) jobs for at least the past 2 consecutive years? *This is important for determining loan options.(Select One)YesNoAdditional Current EmploymentPlease provide any additional current employer(s) below.What is this employer's name? *0 / 75What is your job title? *0 / 75Company Phone NumberNumbers only. This helps us verify employment, if needed.0 / 10Do you know this employer's address? *This helps us verify employment, if needed.(Select One)YesNoStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweStart Date *In MM/DD/YYYY. If you do not know the exact date, please provide your best estimate.How are you paid with this employer? *e.g. Salary, Hourly, Commission, Tips, Bonuses, etc.0 / 100How much are you paid per month on average? *Please estimate conservatively.USDPrevious EmployersPlease provide previous employment history below. We need a cumulative two-year work history.What is your previous employer's name? *0 / 75What was your job title? *0 / 75Company Phone NumberNumbers only. This helps us verify employment, if needed.0 / 10Do you know this employer's address? *This helps us verify employment, if needed.(Select One)YesNoStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweStart Date *In MM/DD/YYYY. If you do not know the exact date, please provide your best estimate.End Date *In MM/DD/YYYY. If you do not know the exact date, please provide your best estimate.Employment History (Continued) Tell us about the second applicant's current job. You can add more jobs if needed.What best describes your work situation? *(Select One)I work for an employer (W-2 job)I am self-employed (I own 25% or more of a business)What is the name of your employer? *0 / 75What is the name of your company? *If your business is a sole proprietorship, enter your name or DBA (if applicable) here.0 / 75What is your job title? *0 / 75Company Phone NumberNumbers only. This helps us verify employment, if needed.0 / 10Do you know the business address? *This helps us verify employment, if needed.(Select One)YesNoStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHave you worked here for 2 years or more? *(Select One)YesNoHave you been self-employed for 2 years or more? *(Select One)YesNoStart Date *In MM/DD/YYYY. If you do not know the exact date, please provide your best estimate.How long have you been in this line of work or profession? (This helps when you've changed employers but stayed in the same career field.) Number of Years *Additional Months *How are you paid at this job? *HourlySalaryCommissionBonusesTipsOtherWhat is your average monthly net income? *If uncertain, please provide your best estimate and we will review supporting documentation to confirm an exact amount.USDWhat is your annual salary? *USDWhat is your hourly rate of pay? *If you receive any differential pay rates, please include your base here for now.USDDo you consistently work at least full-time hours (40 hours per week)? *If you ever work less than 40 paid hours per week, please select 'No'.(Select One)YesNoHow many hours do you work per week on average? *Please estimate conservatively.Do you consistently work overtime hours? *Select 'No' if you do not have consistent history of receiving overtime pay.(Select One)YesNoHow many hours of overtime do you work per week on average? *Please estimate conservatively.How long have you been receiving commission pay? *(Select One)Less than 6 monthsBetween 6 and 12 monthsMore than 12 monthsOn average, how much do you receive per month in commissions? *USDHow long have you been receiving bonuses? *(Select One)Less than 6 monthsBetween 6 and 12 monthsMore than 12 monthsOn average, how much do you receive per month in bonuses? *USDHow long have you been receiving tips? *(Select One)Less than 6 monthsBetween 6 and 12 monthsMore than 12 monthsOn average, how much do you receive per month in tips? *USDPlease provide a description for your "other" pay. *0 / 100How long have you been paid in this manner? *(Select One)Less than 6 monthsBetween 6 and 12 monthsMore than 12 monthsOn average, how much "other" pay do you receive monthly? *USDDo you currently work a second job? *(Select One)YesNoHave you worked two (or more) jobs for at least the past 2 consecutive years? *This is important for determining loan options.(Select One)YesNoAdditional Current EmploymentPlease provide any additional current employer(s) below.What is this employer's name? *0 / 75What is your job title? *0 / 75Company Phone NumberNumbers only. This helps us verify employment, if needed.0 / 10Do you know this employer's address? *This helps us verify employment, if needed.(Select One)YesNoStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweStart Date *In MM/DD/YYYY. If you do not know the exact date, please provide your best estimate.How are you paid with this employer? *0 / 100How much are you paid per month on average? *Please estimate conservatively.USDPrevious EmployersPlease provide previous employment history below. We need a cumulative two-year work history.What is your previous employer's name? *0 / 75What was your job title? *0 / 75Company Phone NumberNumbers only. This helps us verify employment, if needed.0 / 10Do you know this employer's address? *This helps us verify employment, if needed.(Select One)YesNoStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweStart Date *In MM/DD/YYYY. If you do not know the exact date, please provide your best estimate.End Date *In MM/DD/YYYY. If you do not know the exact date, please provide your best estimate.Additional Sources of Income Tell us about any additional sources of income we should take into account. Do you receive any other income that should be included in your application? *e.g. Social Security, Pension, Child Support/Alimony, VA Benefits, etc.(Select One)YesNoWhat type of additional income do you receive? *Rental Property IncomeChild Support/AlimonySocial Security IncomePension or Retirement Income (Non-SSI)Dividends, Interest, or Capital GainsOther (Provide Description)Rental Income You will have an opportunity to provide rental income later in the application when disclosing any real estate you own.How much do you receive monthly from Child Support/Alimony *USDHow much do you receive monthly in Social Security Benefits? *USDHow much do you receive monthly from pension(s) and/or non-SSI retirement income? *USDHow much do you receive annually in Dividends, Interest, and/or Capital Gains Income *USDPlease provide a description for your "other" additional income. *0 / 100How much is this income on a monthly basis? *USDAdditional Sources of Income Tell us about any additional sources of income we should take into account for the second applicant.Do you receive any other income that should be included in your application? *e.g. Social Security, Pension, Child Support/Alimony, VA Benefits, etc.(Select One)YesNoWhat type of additional income do you receive? *Rental Property IncomeChild Support/AlimonySocial Security IncomePension or Retirement Income (Non-SSI)Dividends, Interest, or Capital GainsOther (Provide Description)Rental Income You will have an opportunity to provide rental income later in the application when disclosing any real estate you own.How much do you receive monthly from Child Support/Alimony *USDHow much do you receive monthly in Social Security Benefits? *USDHow much do you receive monthly from pension(s) and/or non-SSI retirement income? *USDHow much do you receive annually in Dividends, Interest, and/or Capital Gains Income *USDPlease provide a description for your "other" additional income. *0 / 100How much is this income on a monthly basis? *USDAssets In this section, please tell us about your assets that you’ll use as the source of your down payment and closing costs. Anything more than this will be considered “reserves”, which can help strengthen your application if your credit is on the lower-end, or your income is more modest. We’ll ask about any real estate you own (if applicable) in the next section.Where will you source any applicable down payment and closing costs? *Checking/SavingsCash on HandEquity from the Sale of Other Real EstateGift FundsOther (Provide Description)Assets In this section, please tell us about any financial assets you would like us to consider as part of your application. Anything more than this will be considered “reserves”, which can help strengthen your application if your credit is on the lower-end, or your income is more modest. We’ll ask about any real estate you own (if applicable) in the next section. Where will you source any funds due at closing (if applicable) for this refinance? *Checking/SavingsCash on HandEquity from the Sale of Other Real EstateGift FundsOther (Provide Description)Who is the account holder? *MeCo-ApplicantIs this a checking or savings account? *(Select One)CheckingSavingsWhat bank is this account with? *0 / 50Please provide the last four digits of this account.This helps us differentiate between accounts with the same bank.What is the current balance in this account? *USDHow much cash on hand do you have saved? *USDWhat are your anticipated sale proceeds from real estate holdings? *USDWho will be providing this gift? *0 / 50How much is the anticipated gift? *USDHas the gift already been received? *(Select One)YesNoPlease tell us where these funds are being held. *(e.g. Big Bank account ending in 1111)0 / 100Gift Funds Not Yet Received We will make note of this on your application. Please hold off on receiving any gift funds until your Loan Officer has provided exact guidance on the process of documenting gift funds.Where are your funds being sourced? *(e.g. Sale of a Vehicle, Sale of Stocks or Other Assets, etc.)0 / 100What is the amount of these funds? *USDReal Estate Owned We'll now review any real estate you own. Please provide information on any real estate that you (or any other applicant) personally own. Real estate not personally owned (i.e. owned via an entity such as an LLC) should not be included here. Contact us with any questions or concerns.Do you currently own any real estate? *(Select One)YesNoDo you or your co-applicant currently own any real estate?(Select One)YesNoPlease provide the following information about any real estate owned:Who owns this real estate? *MeCo-ApplicantIs this property being sold to source funds to close this transaction? *(Select One)YesNoOriginal Purchase Date *In MM/DD/YYYY format. Please provide your best estimate if uncertain.Property Type *(Select One)Single Family ResidenceTownhomeCondominiumDuplexTriplexQuadplexCommercial (Non-Residential)LandHow is this property used? *(Select One)Primary ResidenceSecond/Vacation HomeInvestment PropertyIs this property currently leased? *(Select One)YesNoHow much rent do you receive monthly? *USDStreet Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweWhat is the estimated value of this property? *USDIs this property mortgaged? *(Select One)Yes.No, it is owned free and clear.Are property taxes and/or insurance paid from an escrow account? *(Select One)Yes, for both property taxes and insurance.Yes, but only for property taxes.Yes, but only for insurance.No, I pay property taxes and insurance separately.Please provide details on any mortgage(s) secured by this property. *(e.g. Mortgaged with Big Bank, account ending in 1111)0 / 150Declaration Questions Almost at the finish line! Please answer the following questions regarding your application:Will you occupy the property securing this mortgage as your primary residence? *(Select One)YesNoHave you had an ownership interest in another property in the last three years? *(Select One)YesNoWhat type of property did you own? *(Select One)Primary ResidenceSecond HomeSecond Home (with an FHA Mortgage)Investment PropertyHow did you hold title to this property? *(Select One)By YourselfJointly with Your SpouseJointly with Another PersonAre you a co-signer or guarantor on any debt or loan for someone else?e.g. I co-signed for my daughter's auto loan.(Select One)YesNoPlease provide details about the other debt or loan. *e.g. I co-signed on my daughter's auto loan with Big Bank.0 / 150Are there any outstanding judgments against you? *e.g. I was sued and the court awarded a judgment for $2,000 to the plantiff.(Select One)YesNoPlease provide details about the judgment(s). *e.g. I was sued and the court awarded a judgment for $2,000 to the plantiff.0 / 150Are you currently delinquent or in default on a Federal debt? *e.g. I owe the IRS $20,000 for back taxes.(Select One)YesNoPlease provide details about this Federal debt. *e.g. I owe the IRS $20,000 for back taxes.0 / 150Are you a party to a lawsuit in which you potentially have any personal financial liability *e.g. I am being sued in relation to a recent car accident.(Select One)YesNoPlease provide additional details about the lawsuit(s). *e.g. I am being sued in relation to a recent car accident.0 / 150In the past 7 years, have you declared bankruptcy, had property foreclosed on, completed a pre-foreclosure sale or short sale, or given up the title to a property in lieu of foreclosure? *(Select One)YesNoWhich situation(s) applied to you during the last 7 years?BankruptcyForeclosureDeed-in-Lieu of ForeclosureShort Sale or Pre-Foreclosure SalePlease provide a detailed explanation including the property and lender involved. *e.g. I filed for Chapter 11 Bankruptcy in 2020 after going through a short sale of my primary residence in 2019 with Big Bank..0 / 500Declaration Questions Now for the second applicant. Please answer the following questions:Will you occupy the property securing this mortgage as your primary residence? *(Select One)YesNoHave you had an ownership interest in another property in the last three years? *(Select One)YesNoWhat type of property did you own? *(Select One)Primary ResidenceSecond HomeSecond Home (with an FHA Mortgage)Investment PropertyHow did you hold title to this property? *(Select One)By YourselfJointly with Your SpouseJointly with Another PersonAre you a co-signer or guarantor on any debt or loan for someone else?e.g. I co-signed on my daughter's auto loan.(Select One)YesNoPlease provide details about the other debt or loan. *e.g. I co-signed on my daughter's auto loan with Big Bank.0 / 150Are there any outstanding judgments against you? *e.g. I was sued and the court awarded a judgment for $2,000 to the plantiff.(Select One)YesNoPlease provide details about the judgment(s). *e.g. I was sued and the court awarded a judgment for $2,000 to the plantiff.0 / 150Are you currently delinquent or in default on a Federal debt? *e.g. I owe the IRS $20,000 for back taxes.(Select One)YesNoPlease provide details about this Federal debt. *e.g. I owe the IRS $20,000 for back taxes.0 / 150Are you a party to a lawsuit in which you potentially have any personal financial liability *e.g. I am being sued in relation to a recent car accident.(Select One)YesNoPlease provide additional details about the lawsuit(s). *(e.g. I am being sued in relation to a recent car accident.)0 / 150In the past 7 years, have you declared bankruptcy, had property foreclosed on, completed a pre-foreclosure sale or short sale, or given up the title to a property in lieu of foreclosure? *(Select One)YesNoWhich situation(s) applied to you during the last 7 years?BankruptcyForeclosureDeed-in-Lieu of ForeclosureShort Sale or Pre-Foreclosure SalePlease provide a detailed explanation including the property and lender involved. *e.g. I filed for Chapter 11 Bankruptcy in 2020 after going through a short sale of my primary residence in 2019 with Big Bank.0 / 500Demographic Information Pursuant to the federal Home Mortgage Disclosure Act, we must keep demographic records for mortgage applicants. This information helps prevent discriminatory lending by promoting transparency regarding applicants and application decisions. Your responses to the following questions are voluntary. If you do not feel comfortable providing this information, you may indicate that you do not wish to provide this information.Which of the following best describes your ethnicity? *(Select One)Hispanic or LatinoNot Hispanic or LatinoI do not wish to discloseOf what origin?MexicanPuerto RicanCubanOther (Provide Description)Please provide a description. *(e.g. Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on)0 / 100What is your gender? *(Select One)MaleFemaleI do not wish to discloseWhat is your race? *American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteI do not wish to discloseWhat is the name of your enrolled or principal tribe?0 / 60Asian IndianChineseFilipinoJapaneseKoreanVietnameseOther (Provide Description)Please provide a description. *(e.g. Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.)0 / 60Native HawaiianGuamanian or ChamorroSamoanOther (Provide Description)Please provide a description. *(e.g. Fijian, Tongan, and so on.)0 / 60Demographic Information - Second Applicant Pursuant to the federal Home Mortgage Disclosure Act, we must keep demographic records for mortgage applicants. This information helps prevent discriminatory lending by promoting transparency regarding applicants and application decisions. The second applicant's responses to the following questions are voluntary. If you do not feel comfortable providing this information, you may indicate that you do not wish to provide this information.Which of the following best describes your ethnicity? *(Select One)Hispanic or LatinoNot Hispanic or LatinoI do not wish to discloseOf what origin?MexicanPuerto RicanCubanOther (Provide Description)Please provide a description. *(e.g. Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on)0 / 100What is your gender? *(Select One)MaleFemaleI do not wish to discloseWhat is your race? *American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteI do not wish to discloseWhat is the name of your enrolled or principal tribe?0 / 60Asian IndianChineseFilipinoJapaneseKoreanVietnameseOther (Provide Description)Please provide a description. *(e.g. Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.)0 / 60Native HawaiianGuamanian or ChamorroSamoanOther (Provide Description)Please provide a description. *(e.g. Fijian, Tongan, and so on.)0 / 60Credit Authorization To process your mortgage application, we need your permission to obtain your credit report. Please choose from the following options: Soft Credit Check Does not affect your credit score. Shows credit data with only one bureau for estimate purposes. Recommended for Pre-Qualification or when you are not concerned about credit score or history. Full "Hard" Credit Check Includes a full tri-merged credit report from Equifax, Experian, and Transunion. Results in a hard inquiry with each bureau that may affect your credit score. Required for official pre-approval and underwriting approval. I authorize Imagination Financial (DBA Imagination Realty Network) to obtain a credit report based on my selection. *Soft CheckHard CheckFinal Review and Submission Please review the following statements and provide your acknowledgement/consent where applicable before submitting your application! As always, don't hesitate to reach out with any questions or concerns.Electronic Authorization Consent By checking this box, I agree to receive information and disclosures electronically from Imagination Financial (DBA Imagination Realty Network). This includes, but is not limited to, credit authorization forms, payment confirmations, and other application-related notices. I understand that I may withdraw this consent at any time by contacting the company.Privacy Policy Acknowledgment By checking this box, I confirm that I have reviewed and understand the Privacy Policy for Imagination Financial (DBA Imagination Realty Network) I understand how my information may be collected, used, stored, and shared for the purpose of evaluating and processing my mortgage application.Certification & Agreement By checking this box, I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that knowingly submitting false or misleading information may affect my eligibility for mortgage financing. I also authorize Imagination Financial (DBA Imagination Realty Network) to contact me using the information provided and to verify the details necessary to process my application.Submit