Approved Credit Services, Inc. MLO-
NMLS#9604 NML
S ID#
Approved Credit Services, Inc| NMLS#9604 | 2572 Erie Blvd. East | Syracuse, New York 13224 | Tel:800-449-4007 | Fax:315-446-5767
Manufactured Housing Finance Specialists Registered In NY, PA, FL, MI, OH, TX, SC, LA, WV and OR www.ApprovedCreditNY.com
Manufactured Home Finance Application
Applicant Information
Name: Email:
Date of Birth: SSN:
Phone:
Marital Status : U=Unmarried M=Married S=Separated
Current address:
City: State: ZIP Code:
Own Rent (Check One) Monthly payment: How long?
Previous address if less than 2 years:
City: State: ZIP Code:
Owned Rented (Check One) Monthly payment: How long?
Employment Information- Please list all amounts separately (Ex. Job $2200 mo, SS $1200 mo, SSDI $900 mo, Pension $300 mo, etc...)
Current employer or Source of Income: Phone:
Employer address: How long?
City: State: ZIP Code:
Position:
Gross Monthly Wages: Last Year's W-2 Amount:
Additional Income: Source:
Previous Employer (if less than 2 Years):
Position and Gross Monthly Wage Amount: How Long?
City: State: Zip Code: Phone:
Co-applicant Information
(Must Live In Home As Well)
Name:
Date of Birth: SSN: Phone:
Marital Status: U=Unmarried M=Married S=Separated
Current address:
City: State: ZIP Code:
Own Rent (Check One) Monthly payment: How long?
Previous address:
City: State: ZIP Code:
Owned Rented ( (Check One) Monthly payment: How long?
Co-Applicant Employment Information(Ex. Job $2200 mo, SS $1200 mo, SSDI $900 mo, Pension $300 mo, etc...)
Current employer / Income Source: Phone:
Employer address: How long?
City: State: Zip Code: Position:
Gross Monthly Wages:
Last Year
'
s W-2 Amount:
Previous Employer (if less than 2 Years)
Employer Name:
City/ST: Position
:
Phone Number: How Long? Additional Income:
Note: Alimony, Child Support, or other Income does not need to be revealed unless you want it considered for repayment of this obligation. Answer Y or N.
(1) Are you a U.S. Citizen? Applicant Y/N Co-Applicant Y/N
(2) Are you a permanent resident alien? Applicant Y/N Co-Applicant Y/N
(3) Have you declared Bankruptcy within the last 10 years? If yes, when did you file? Applicant Y/N Co-Applicant Y/N
(4) Have you had any judgements or garnishments in the last 7 years? Applicant Y/N Co-Applicant Y/N
(5) Do you have any past due obligations to or insured by any ageny of the Federal Govt? Applicant Y/N Co-Applicant Y/N
Please Send All Decisions To: Support@ApprovedCreditNY.com
MANUFACTURER (MAKE) MODEL YEAR
NEW USED
PRIMARY RESIDENCE SECONDARY HOUSING LAND OR LOT PAYMENT
$
PROPERTY ADDRESS
MANUFACTURED HOME PLACEMENT:
RENTED LAND PARK
CASH SALE PRICE
SALES TAX MANUFACTURER YEAR AIR CONDITIONER
TAG / TITLE MODEL SIZE WASHER / DRYER
CASH SALE PRICE WITH TRADE-IN PAYOFF TO SKIRTING
TAX, TAG, & TITLE
GROSS TRADE-IN STEPS
LESS AMOUNT OWED DOWN PAYMENT - WAS ANY BORROWED OR GIFTED? OTHER
YES NO IF YES, HOW MUCH?
NET TRADE IF YES, WHERE WAS IT OBTAINED? OTHER
CASH DOWN PAYMENT TOTAL OPTIONS
TOTAL DOWN PAYMENT SET-UP / DELIVERY
INSURANCE MANUFACTURER'S INVOICE TAXES, TAG, TITLE
FEES
SUBTOTAL DELETION INSURANCE
BROKER FEE NET INVOICE BUYDOWN POINTS
AMOUNT TO FINANCE % OF MFG. INVOICE MAXIMUM ALLOWABLE ADVANCE
4c
2a
10
13a
Approved Credit Services, Inc.
15
16
OPTIONS
13d
13f
NOTES
SALES INFORMATION
13b11b
11a
1812d
6
11c
12
7
9
8 12b
13c
TRADE-IN / DOWN PAYMENT
13g
14
5
12a
2b
3
PRIVATE PROPERTY:
RELATIVE'S LAND
1
13e
4a
4b
PRIVATE PROPERTY:
OWNED FREE & CLEAR
11 13
PRIVATE PROPERTY:
MORTGAGED LAND
12c 17
WIDTH LENGTH
OTHER
HOME INFORMATION
Page 2
ADDITIONAL INFORMATION:
______________________________________________________________________________________________________________
I authorize the verification of the information provided on this form as to my credit and employment. I have received a copy of this application.
Signature of Applicant: Date:
Signature of Co-Applicant: Date:
* Please fax back to (315)446-5767 or scan as a PDF or Word Document Only to support@approvedcreditny.com*
Approved Credit Services, Inc| NMLS#9604 | 2572 Erie Blvd. East | Syracuse, New York 13224 | Tel:800-449-4007 | Fax:315-446-5767
Manufactured Housing Finance Specialists Registered In NY, PA, FL, MI, OH, TX, SC, LA, WV and OR www.ApprovedCreditNY.com
Applicant Name: __________________________________
PARK OR COMMUNITY NAME:
Please Send All Decisions To: Support@ApprovedCreditNY.com
Please Send All Decisions To: Support@ApprovedCreditNY.com
,
DEMOGRAPHIC INFORMATION OF APPLICANT AND CO-APPLICANT
The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are
being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, race, and sex) in order to
monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are
encouraged to do so. You may select one or more designations for “Ethnicity” and one or more designations for “Race.” The law provides that we may not
discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this
application in person, Federal regulations require us to note your ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to provide
some or all of this information, please check below.
APPLICANT
CO-APPLICANT
Ethnicity:Check one or more
Ethnicity:Check one or more
Hispanic or Latino
Hispanic or Latino
Mexican
Mexican
Puerto Rican
Puerto Rican
Cuban
Cuban
Other Hispanic or Latino Print origin, for example, Argentinean,
Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on:
Other Hispanic or Latino Print origin, for example, Argentinean,
Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on:
Not Hispanic or Latino
Not Hispanic or Latino
I do not wish to provide this information
I do not wish to provide this information
Race: - Check one or more
Race: - Check one or more
American Indian or Alaska Native Print name of enrolled
American Indian or Alaska Native Print name of enrolled
or principal tribe:
or principal tribe:
Asian
Asian
Asian Indian
Asian Indian
Chinese
Chinese
Filipino
Filipino
Japanese
Japanese
Korean
Korean
Vietnamese
Vietnamese
Other Asian Print race, for example, Hmong, Laotian, Thai,
Pakistani, Cambodian, and so on:
Other Asian Print race, for example, Hmong, Laotian, Thai,
Pakistani, Cambodian, and so on:
Black or African American
Black or African American
Native Hawaiian or Other Pacific Islander
Native Hawaiian or Other Pacific Islander
Native Hawaiian
Native Hawaiian
Guamanian or Chamorro
Guamanian or Chamorro
Samoan
Samoan
Other Pacific Islander Print race, for example, Fijian, Tongan, and so
on:
Other Pacific Islander Print race, for example, Fijian, Tongan, and so
on:
White
White
I do not wish to provide this information
I do not wish to provide this information
Sex:
Sex:
Female
Female
Male
Male
I do not wish to provide this information
I do not wish to provide this information
TO BE COMPLETED BY THE FINANCIAL INSTITUTION (for an application taken in person)
APPLICANT
CO-APPLICANT
Was the ethnicity of the applicant collected on the basis of
visual observation or surname?
Yes No
Was the ethnicity of the co-applicant collected on the basis of
visual observation or surname?
Yes No
Was the race of the applicant collected on the basis of visual
observation or surname?
Yes No
Was the race of the co-applicant collected on the basis of
visual observation or surname?
Yes No
Was the sex of the applicant collected on the basis of visual
observation or surname?
Yes No
Was the sex of the co-applicant collected on the basis of visual
observation or surname?
Yes No
THE DEMOGRAPHIC INFORMATION WAS PROVIDED THROUGH:
Face-to-Face Interview (includes Electronic Media w/ Video Component)
Telephone Interview
Fax or Mail
Email or Internet
Please Send All Decisions To: Support@ApprovedCreditNY.com
This agreement is made and entered into on
by and between ACSI with its principal place of business
located at 2572 Erie Blvd. East Syracuse, New York 13224 hereinafter referred to as "Broker," and the below signed
applicant(s) hereinafter referred to as "Borrower."
SERVICES TO BE PERFORMED:
Broker agrees to perform all Chattel Loan(Personal Property) broker services normally and customarily performed in
connection with the origination of loans but not limited to the services described below. Broker and Borrower both agree
that under this Agreement, Broker is providing loan brokering services on behalf of Borrower as Borrower's agent.
(a) taking information from the borrower and filling out the application;
(b) analyzing the prospective borrower's income and debt and prequalifying the prospective borrower to determine the
maximum mortgage that the prospective borrower can afford;
(c) educating the prospective borrower in the home buying and financing process, advising the borrower about the
different types of mortgage loan products, and demonstrating how closing costs and monthly payments would vary under
each product;
(d) collecting financial information (tax returns, bank statements) and other related documents that are part of the
application process;
(e) initiating/ordering Verification Of Employment and Verification Of Down Payments;
(f)initiating/ordering requests for chattel loan verifications;
(g) initiating/ordering appraisals;
(h) initiating/ordering inspections or engineering reports;
(i) providing disclosures (truth in lending, good faith estimate, others) to the borrower;
(j) assisting the borrower in understanding and clearing credit problems;
(k) maintaining regular contact with the borrower, realtors and lender, between application and closing to apprise them
of the status of the application and to gather any additional information as needed;
(l) ordering legal documents;
(m) determining whether the property was located in a flood zone or ordering such service; and
(n) participating in the chattel loan closing.
OTHER SERVICES, DUTIES OR OBLIGATIONS
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
CHATTEL LOAN ORIGINATION AGREEMENT
Approved Credit Services, Inc.
NMLS # 9604
2572 Erie Blvd. East
Syracuse, New York 13224
Phone (315)446-4007 Fax (315)446-5767
Approved Credit Services, Inc. (ACSI) is a New York corporation incorporated June 15, 1994, and began operations as a
loan broker on June 15, 1994. ACSI is a privately owned company and is doing business under no other names.
Originator’s Signature Date Borrower’s Signature Date
Type Originator Name License # Borrower’s Signature Date
Originator’s Street Address
City State Zip
Telephone Number
2572 Erie Blvd. East
Syracuse NY 13224
Phone (315)446-4007 Fax (315)446-5767
COMPENSATION
Compensation for Broker's services rendered on behalf of Borrower shall be equal to up to 5% of the principal loan
amount with said fees to be paid directly to Broker from the loan proceeds at the time of settlement. This fee is
not imposed by the mortgage lender; however, it may be disclosed by the lender in connection with other services.
In addition to the broker fee paid to Broker by Borrower at settlement, Broker may receive additional amounts
from the lender such as servicing release fees or yield spread premiums based on the difference in the Lender's wholesale
rates and the retail note rate paid by the Borrower on the chattel loan.
If the chattel loan is denied or does not close by the expiration of this contract, said Borrower is only liable for actual
expenses incurred for the appraisal.
DUTIES OF APPLICANT
Borrower agrees to provide Broker true, complete and accurate information upon request and to pay all fees required
pursuant to this Agreement. Borrower must obtain, upon request, any information or documentation that Broker cannot
obtain due to policies of various employers, lending institutions, government agencies, etc. Borrower must pay for any
and all costs of obtaining payoff balances, verifications, recordings and cancellations. Borrower further agrees to pay all
third party fees incurred in connection with the chattel loan.
TERM
The original term of this agreement shall be from date signed until the date of loan closing, but no later than 30 days from
the date of this agreement.
COMPLAINTS
If you have a complaint regarding this loan transaction you can call our Management Team at (800)449-4007 or your
states Department of Financial Institutions which are listed on our website at http://www.approvedcreditny.com.
AFFIRMATION BY BORROWER
This agreement contains the entire agreement between Broker and Borrower and supersedes all prior agreements or
understandings relating to the subject matter thereof. There are no written or oral agreements between the parties other
than set forth in this agreement.
By signing below, the Borrower acknowledges receipt of this Chattel Loan Brokerage Agreement and Disclosure
Statement.
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Privacy Policy - No Affiliate No Opt Out (p1)
Rev. 2/19
FACTS
WHAT DOES APPROVED CREDIT SERVICES, INC DO WITH YOUR
PERSONAL INFORMATION?
Why?
Financial companies choose how they share your personal information. Federal law gives
consumers the right to limit some but not all sharing. Federal law also requires us to tell you
how we collect, share, and protect your personal information. Please read this notice carefully to
understand what we do.
What?
The types of personal information we collect and share depend on the product or service you
have with us. This information can include:
Social Security Number
and Employment information
Credit scores
and Credit history
Credit card or other debt
and Mortgage rates and payments
How?
All financial companies need to share Customers personal information to run their everyday
business. In the section below, we list the reasons financial companies can share their
Customers personal information; the reasons Approved Credit Services, Inc. chooses to
share; and whether you can limit this sharing.
Reasons we can share your personal information
Does Approved Credit
Services, Inc. share?
Can you limit this sharing?
For our everyday business purposes
such as to process your transactions, maintain
your account(s), respond to court orders and legal
investigations, or report to credit bureaus
Yes
No
For our marketing purposes
to offer our products and services to you
Yes
No
For joint marketing with other financial companies
No
We Don't Share
For our affiliates' everyday business purposes
information about your transactions and experiences
No
We Don't Share
For our affiliates' everyday business purposes
information about your creditworthiness
No
We Don't Share
For nonaffiliates to market to you
No
We Don't Share
Questions?
Call 800-449-4007 or go to www.approvedcreditny.com
Privacy Policy - No Affiliate No Opt Out (p2)
Page 2
Who we are
Who is providing this notice?
Approved Credit Services, Inc.
What we do
How does
protect my personal information?
To protect your personal information from unauthorized access and use,
we use security measures that comply with federal law. These measures
include computer safeguards and secured files and buildings.
How does
collect my personal information?
We collect your personal information, for example, when you
Apply for a loan or
Apply for financing or
Give us your income information or
Provide employment information or
Give us your contact information
We also collect your personal information from others, such as
credit bureaus, affiliates, or other companies
Why can't I limit all sharing?
Federal law gives you the right to limit only
sharing for affiliates' everyday business purposes information
about your creditworthiness
affiliates from using your information to market to you
sharing for nonaffiliates to market to you
State laws and individual companies may give you additional rights to
limit sharing. See below for more on your rights under state law.
Definitions
Affiliates
Companies related by common ownership or control. They can be
financial and nonfinancial companies.
Approved Credit Services, Inc.
- The DNK Agency, Inc. - In-House Insurance Agency
Nonaffiliates
Companies not related by common ownership or control. They can be
financial and nonfinancial companies.
Approved Credit Services, Inc. We do not share personal
information with non-affiliated third parties
Joint marketing
A formal agreement between nonaffiliated financial companies that
together market financial products or services to you.
Approved Credit Services, Inc. We do not engage in joint marketing.
Other important information
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