Fillable Uniform Residential Loan Application

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Uniform Residential Loan Application

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Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev.6/09) Page 1 of 5 Fannie Mae Form
1003 7/05 (rev.6/09)
Uniform Residential Loan Application
___________________________________________________________________________________________________________________________________________________________________
This application is designed to be completed by the applicant(s) with the Lender’s assistance. Applicants should complete this form as “Borrower” or “Co-Borrower,” as applicable. Co-Borrower
informati
on must also be provided (and the appropriate box checked) when the income or assets of a person other than the Borrower (including the Borrower’s spouse) will be used as a basis for loan
qualification or the income or assets of the Borrower’s spouse or other person who has community property rights pursuant to state law will not be used as a basis for loan qualification, but his or her
liabilities must be considered because the spouse or other person has community property rights pursuant to applicable law and Borrower resides in a community property state, the security property is
located in a community property state, or the Borrower is relying on other property located in a community property state as a basis for repayment of the loan.
If this is an application for joint credit, B
orrower and Co-Borrower each agree that we intend to apply for joint credit (sign be
low):
_________________________________________ _________________________________________
Borrower Co-Borrower
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage
Applied for:
VA Conventional Other (explain):
FHA USDA/Rural
Housing Service
Agency Case Number Lender Case Number
Amount
$
Interest Rate
%
No. of Months
Amortization Type:
Fixed Rate
GPM
Other (explain):
ARM (type):
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
No. of Units
Subject Property Address (street, city, state & ZIP)
Legal Description of Subject Property (attach description if necessary) Year Built
Purpose of Loan Purchase Construction Other (explain):
Refinance Construction-Permanent
Property will be
:
Primary Residence Secondary Residence Investment
Complete this line if construction or construction-permanent loan.
Year Lot
Acquired
Original Cost
$
Amount Existing Liens
$
(a) Present Value of Lot
$
(b) Cost of Improvements
$
Total (a + b)
$
Complete this line if this is a refinance loan.
Year
Acquired
Original Cost
$
Amount Existing Liens
$
Purpose of Refinance Describe Improvements
Cost: $
ma
de to be made
Estate will be held in:
Fee Simple
Title will be held in what Name(s)
Manner in which Title will be held
Source of Down Payment, Settlement Charges, and/or Subordinate Financing (explain)
Leasehold
(show
expiration date)
Borrower III. BORROWER INFORMATION Co-Borrower
Borrower’s Name (include Jr. or Sr. if applicable)
Co-Borrower’s Name (include Jr. or Sr. if applicable)
Social Security Number Home Phone
(incl. area code)
DOB (mm/dd/yyyy) Yrs. School Social Security Number Home Phone
(incl. area code)
DOB (mm/dd/yyyy) Yrs. School
Dependents (not listed by Co-Borrower) Dependents (not listed by Borrower) Married Unmarried (include
Separated single, divorced, widowed)
no. ages
Marr
ied Unmarried (include
Separated single, divorced
, widowed)
no.
ages
Present Address (street, city, state, ZIP) Own Rent ____No. Yrs.
Present Address (street, city, state, ZIP) Own Rent ____No. Yrs.
Mailing Address, if different from Present Address
Mailing Address, if different from Present Address
If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP) Own Rent ____No. Yrs.
Former Address (street, city, state, ZIP) Own Rent ____No. Yrs.
Borrower IV. EMPLOYMENT INFORMATION Co-Borrower
Yrs. on this job Yrs. on this job Name & Address of Employer Self Employed
Yrs. employed in this
line of work/profession
Name & Address of Employer Self Employed
Yrs. employed in this
line of work/pro
fession
Position/Title/Type of Business
Business Phone (incl. area code) Position/Title/Type of Business
Business Phone (incl. area code)
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
0.00
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev. 6/09) Page 2 of 5 Fannie Mae Form 1003 7/05 (rev.6/09)
Borrower IV. EMPLOYMENT INFORMATION (cont’d) Co-Borrower
Dates (from – to) Dates (from – to) Name & Address of Employer Self Employed
Monthly Income
$
Name & Address of Employer Self Employed
Monthly Income
$
Position/Title/Type of Business Business Phone
(incl. area code)
Position/Title/Type of Business Business Phone
(incl. area code)
Dates (from – to) Dates (from – to) Name & Address of Employer Self Employed
Monthly Income
$
Name & Address of Employer Self E
mployed
Monthly Income
$
Position/Title/Type of Business Business Phone
(incl. area code)
Position/Title/Type of Business Business Phone
(incl. area code)
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Gross
Monthly Income
Borrower
Co-Borrower
Total
Combined Monthly
Housing Expense
Present
Proposed
Base Empl. Income* $ $ $ Rent $
Overtime First Mortgage (P&I) $
Bonuses Other Financing (P&I)
Commissions Hazard Insurance
Dividends/Interest Real Estate Taxes
Net Rental Income Mortgage Insurance
Homeowner Assn. Dues Other (before completing,
see the notice in “describe
other income,” below)
Other:
Total
$ $ $
Total
$ $
* Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financia
l statements.
Describe Other Income
Notice: Alimony, child support, or separate maintenance income need not be revealed
if the Borrower (B) or Co-Borrower (C) does not choose to have it considered
for repaying
this loan.
B/C Monthly Amount
$
VI. ASSETS AND LIABILITIES
This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are sufficiently joined so that the Statement
can be meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules are required. If the Co-Borrower section was completed about a non-applicant spouse or other
person, this Statement and supporting schedules must be completed about that spouse or other person also.
Completed J
ointly Not Jointly
ASSETS
Description
Cas
h or
Market Value
Cash deposit toward
purchase held by:
$
Liabilities and Pledged Assets. List the creditor’s name, add
ress, and account number for all outstanding debts, including
automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use
continuation sheet, if necessary. Indicate by (*) those liabilities, which will be satisfied upon sale of real estate owned or
upon refinancing of the subject property.
List checking and savings accounts below
LIABILITIES Monthly Payment &
Months Left to Pay
Unpaid Balance
Name and address of Bank, S&L, or Credit Union Name and address of Company $ Payment/Months $
Acct. no. $
Acct. no.
Name and address of Bank, S&L, or Credit Union Name and address of Company $ Payment/Months $
Acct. no. $
Acct. no.
Name and address of Bank, S&L, or Credit Union Name and address of Company $ Payment/Months $
Acct. no. $
Acct. no.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev.6/09) Page 3 of 5 Fannie Mae Form 1003 7/05 (rev.6/09)
VI. ASSETS AND LIABILITIES (cont’d)
Name and address of Bank, S&L, or Credit Union Name and address of Company $ Payment/Months $
Acct. no. $
Acct. no.
Stocks & Bonds (Company name/
number & description)
$ Name and address of Company $ Payment/Months $
Acct. no.
$ Name and address of Company
$ Payment/Months
$
Life insurance net cash value
Face amount: $
Subtotal Liquid Assets
$
Real estate owned (enter market value
from schedule of real estate owned)
$
Vested interest in retirement fund $
Net worth of business(es) owned
(attach financial statement)
$
Acct. no.
$
Alimony/Child Support/Separate
Maintenance Payments Owed to:
$
Automobiles owned (make
and year)
$ Job-Related Expense (child care, union dues, etc.) $
Other Assets (itemize)
Total Monthly Payments $
$
Total Liabilities b.
$
Total Assets a.
$
Net Worth
(a minus b)
►
Schedule of Real Estate Owned (If additional properties are owned, use continuation sheet.)
Property Address (enter S if sold, PS if pending sale or R
if rental being held for income)
▼
Type of
Property
Present
Market Value
Amount
of Mortgages
& Liens
Gross
Rental Income
Mortgage
Paym
ents
Insurance,
Main
tenance,
Taxes & Misc.
Net Rental
Income
$ $ $ $
$ $
Totals $ $ $ $
$ $
List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s):
Alternate Name
Creditor Name Account Number
VII. DETAILS OF TRANSACTION VIII. DECLARATIONS
Borrower Co-Borrower
a. Purchase price $
If you answer “Yes” to any questions a through i,
please use continuation sheet for explanation.
Yes No Yes No
b. Alterations, improvements, repairs
a. Are there any outstanding judgments against you?
   
c. Land (if acquired separately)
b. Have you been declared bankrupt within the past 7 years?
 
 
d. Refinance (incl. debts to be paid off)
c. Have you had property foreclosed upon or given title
or deed in lieu thereof in the last 7 years?
   
e. Estimated prepaid items
d. Are you a party to a lawsuit?
   
f. Estimated closing costs
   
g. PMI, MIP, Funding Fee
h. Discount (if Borrower will pay)
i. Total costs (add items a through h)
e. Have you directly or indirectly been obligated on any
loan which resulted in foreclosure, transfer of title
in lieu of foreclosure, or judgment?
(This would include such loans as home mortgage loans, SBA loans, home
improvement loans,
educational loans, manufactured (mobile) home loans, any
mortgage, financial obligation, bond, or loan guarantee. If “Yes,” provide
details, including date, name, and address of Lender, FHA or VA case number,
if any, and reasons for the action.)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
IX. ACKNOWLEDGEMENT AND AGREEMENT
Each of the undersigned specifically represents to Lender and to Lender's actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknowledges
that: (1) the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of this information contained in
this application may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application, and/or in
criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Sec. 1001, et seq.; (2) the loan requested pursuant to this application (the
"Loan") will be secured by a mortgage or deed of trust on the property described in this application; (3) the property will not be used for any illegal or prohibited purpose or use; (4) all statements made in
this application are made for the purpose of obtaining a residential mortgage loan; (5) the property will be occupied as indicated in this application; (6) the Lender, its servicers, successors or assigns may
retain the original and/or an electronic record of this application, whether or not the Loan is approved; (7) the Lender and its agents, brokers, insurers, servicers, successors, and assigns may continuously
rely on the information contained in the application, and I am obligated to amend and/or supplement the information provided in this application if any of the material facts that I have represented herein
should change prior to closing of the Loan; (8) in the event that my payments on th e Lo an become delinquent, the Lend er, its servicers, successors or assigns may, in addition to an y other rights and
remedies that it may have relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (9) ownership of the Loan and/or administration of the Loan
account may be tra nsferred with such notice as m ay be require d by law; (10) neither Lender nor i ts agents, brokers, insurers, servicers, successors or assigns has made any representation or warranty,
express or implied, to me regarding the property or the condition or value of the property; and (11) my transmission of this application as an "electronic record" containing my " electronic signature," as
those terms are d efined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my signature, shall be as
effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature.
Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or reverify any information contained in this application or
obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.
Borrower’s Signature Date Co-Borrower’s Signature Date
X
X
X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES
The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing
and ho me mortgage disclosure laws . You are no t requ ired to furnish this in formation, bu t are en couraged to do so . Th e law p rovides that a le nder m ay not discriminate either o n t he bas is of t his
information, or on whether y ou choose to fu rnish it . If y ou fu rnish th e information, p lease provide bot h ethnicity and race. Fo r race, you may check m ore t han one designation. If you do not furnish
ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not
wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable
state law for the particular type of loan applied for.)
BORROWER
I do not wish to furnish this information
CO-BORROWER
I do not wish to furnish this information
Ethnicity:
Hispanic or Latino
Not Hispanic or Latino
Ethnicity:
Hispanic or Latino
Not Hispanic or Latino
Race:
American Indian or Asian Black or African American
Race:
American Indian or Asian Black or African American
Alaska Native
Alaska Native
Native Hawaiian or White
Native Hawaiian or White
Other Pacific Islander
Other Pacific Islander
Sex:
Female Male
Sex:
Female Male
To be Completed by Loan Originator:
This information was provided:
In a face-to-face interview
In a telephone interview
By the applicant and submitted by fax or mail
By the applicant and submitted via e-mail or the Internet
Loan Originator’s Signature
X
Date
Loan Originator’s Name (print or type)
Loan Originator Identifier
Loan Originator’s Phone Number (including area code)
Loan Origination Company’s Name
Loan Origination Company Identifier
Loan Origination Company’s Address
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev.6/09)
Page 4 of 5 Fannie Mae Form 1003 7/05 (rev.6/09)
VII. DETAILS OF TRANSACTION VIII. DECLARATIONS
Borrower Co-Borrower
j.
Subordinate financing
Yes No Yes
No
If you answer “Yes” to any question a through i, please use
continuation sheet for explanation.
f. Are you presently delinquent or in default on any Federal
debt or any other loan, mortgage, financial obligation, bond,
or loan guarantee?
k.
Borrower’s closing costs paid by
Seller
g. Are you obligated to pay alimony, child support, or
separate maintenance?
h. Is any part of the down payment borrowed?
l.
Other Credits (explain)
i. Are you a co-maker or endorser on a note?
-------------------------------------------------------
m. Loan amount (exclude PMI, MIP,
Funding Fee financed)
j. Are you a U.S. citizen?
n. PMI, MIP, Funding Fee financed
k. Are you a permanent resident alien?
o.
Loan amount
(add m & n)
l. Do you intend to occupy the property as your primary
residence?
If Yes,” complete qu
estion m below.
p. Cash from/to Borrower
(subtract j, k, l & o from i)
m. Have you had an ownership interest in a property in the last
three years?
(1) What type of property did you own—principal residence
(PR), second home (SH), or investment property (IP)?
(2) How did you hold title to the home— by yourself (S),
jointly with your spouse (SP), or jointly with another person (O)?
0.00
Ronald Lee Blume II
267967
214-466-8472
Distinct Funding Solutions
265116
17330 Preston Road, Suite 130A, Dallas, TX 75252
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev.6/09) Page 5 of 5 Fannie Ma
e Form 1003 7/05 (rev.6/09)
CONTINUATION SHEET/RESIDENTIAL LOAN APPLICATION
Borrower: Agency Case Number:
Use this continuation sheet if you need more
space to complete the Residential Loan
Application. Mark B f or Borrower or C for
Co-Borrower.
Co-Borrower: Lender Case Number:
______________________________________________________________________________________________________________________________________________
I/We fully understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions
of Title 18, United States Code, Section 1001, et seq.
Borrower’s Signature
X
Date Co-Borrower’s Signature
X
Date
INSTRUCTIONS
Uniform Residential Loan Application
The lender uses this form to record relevant financial information about an applicant who applies for a
conventional one- to four-family mortgage. Roman numerals in these instructions correspond to the sections
on the form.
Lenders must use the PDF dated 6/09 for mortgage loans applications taken on or after July 1, 2010.
Copies
Original plus one.
Printing Instructions
We provide Form 1003 in an electronic format that prints as a letter size document. However, lenders may
print Form 1003 as a legal size document or with different fonts or margins that may affect pagination; we
have no specific standards for the number or size of pages the form may have. Consequently, the number
and size of pages will not affect compliance with Fannie Mae requirements pertaining to use of the Uniform
Residential Loan Application, provided that the content of the form has not been materially altered. When
printing this form, you must use the "shrink to fit" option in the Adobe Acrobat print dialogue box.
Instructions
The lender may accept applications taken during a face-to-face interview, over the telephone, through the
mail, or via the Internet. The lender should complete all blanks and attach any separate exhibits, details, or
statements that are relevant to underwriting the mortgage. The borrower(s) must sign the original application
at the time it is completed. If the application is taken over the telephone or via the Internet, the borrower(s)
must sign the completed application as soon as possible thereafter. However, an electronic signature or
facsimile of the borrower's signature is acceptable as indicated in the "Acknowledgment and Agreement"
section of the application. The lender should retain the original application with the supporting information
provided by the borrower(s). Before or at the loan closing, the borrower(s) must sign the final application that
the lender prepares based on its verification of the information that the borrower(s) provided in the original
application.
The instructions at the top of Form 1003 are consistent with the permissible inquiries that creditors are
allowed to make under the Equal Credit Opportunity Act (ECOA). Although ECOA permits the lender in a
community property state to obtain information regarding the liabilities of a borrower's spouse even though
he or she is not applying for the mortgage and his or her income will not be considered for loan qualification
purposes, we do not require the lender to obtain the information. This also means that in states where
another person shares community property rights with the applicant, the lender does not need to include
information on that person's liabilities if he or she is not an applicant.
Note: The following instructions highlight certain sections of the form.
Introductory Statement
We recognize that the introductory paragraph of Form 1003 differs slightly from the introductory paragraph in
the Uniform Residential Loan Application found on Freddie Mac's website, Freddie Mac Form 65. However,
because we have determined that these differences are not material, Fannie Mae will deem either version to
comply with our requirements for use of the Uniform Residential Loan Application.
Instructions Page 1 of 5
INSTRUCTIONS, CONTINUED
V. Monthly Income and Combined Housing Expense Information
Gross Monthly Income: If the net cash flow for an investment property (or the monthly operating income for a
two- to four-family property for which the applicant occupies one of the units as a principal residence) is a
positive number on the Operating Income Statement (Form 216), it should be listed as "net rental income." If it is
a negative number, it must be included in the applicant's monthly obligations.
Combined Monthly Housing Expense: The present monthly housing expenses for the borrower and the co-
borrower should be listed on a combined basis. The proposed monthly housing expense for a two- to four-family
property in which the applicant will occupy a unit as a principal residence should reflect the monthly payment
(PITI) for the subject property. For all one-unit investment properties and all two- to four-family properties in
which the applicant will not occupy one of the units, the present monthly housing expense should reflect the
applicant's principal residence.
VI. Assets and Liabilities
When the borrower's and co-borrower's assets and liabilities are not sufficiently joined to make a combined
statement meaningful, a separate Statement of Assets and Liabilities (Form 1003A) should be completed for the
co-borrower.
VII. Details of Transaction
The purchase price shown on Line "a" under the "Details of Transaction" should not include any discounts or
rebates or other allowances paid or allowed to the purchaser. For refinancing, the amount being refinanced
should be shown on Line "d" -- Refinance. The figure should include the total amount of all existing liens plus the
costs of improvements that have been -- or will be -- made. Lines "a", "b", and "c" should not be used to describe
a refinance transaction.
VIII. Declarations
Noncitizen Applicants: If an applicant indicates in his response to Question J that he is not a U.S. citizen, and
also indicates in his response to Question K that he is not a permanent resident alien, the lender may wish to ask
whether he is a nonpermanent resident alien or otherwise is lawfully present in the United States. Fannie Mae
will purchase loans where the borrower is not a U.S. citizen provided that the borrower is lawfully present in the
United States. We do not designate specific documentation that is required to establish lawful presence. Lenders
should consult their counsel or other sources for information on standard documents that can be used to
establish lawful presence. An Individual Tax Identification Number (ITIN) alone does not establish either that the
holder is lawfully present or that he is not lawfully present. Fannie Mae does not require that the borrower have a
Social Security Number.
Determining First-Time Homebuyers: The loan can be considered a loan to a first-time homebuyer if any of the
applicants is an individual who (1) is purchasing the security property, (2) will reside in the security property, and
(3) had no ownership interest (sole or joint) in a residential property during the three-year period preceding the
date of the purchase of the security property, unless he or she is a displaced homemaker or single parent whose
only ownership interest in a principal residence during the preceding three-year time period was a joint
ownership with a spouse. (A displaced homemaker or single parent who during the three-year period owned a
principal residence alone or with anyone other than a spouse, or who owned a second home or investment
property, cannot be considered a first-time homebuyer.)
Instructions Page 2 of 5
INSTRUCTIONS, CONTINUED
A displa
ced homemaker is an adult who:
has not worked full time in the labor force for several years
has worked in the home to care for the home and family during that time, and
is currently unemployed or underemployed and is having difficulty finding or upgrading employment
A single parent is a person who is unmarried or legally separated from his or her spouse and is pregnant or has
custody (including joint custody) of one or more minor children.
The responses to questions in the Declarations section described below will enable lenders to determine whether
an applicant qualifies as a first-time homebuyer. Note that if there is more than one applicant, only one of the
applicants has to qualify for first-time homebuyer status in order for the mortgage to be considered a mortgage to
a first-time homebuyer.
Instructions for translating these responses into a single "first-time homebuyer indicator" that can be reported to
us when the mortgage is submitted for purchase or securitization follow.
Question
Responses
If all of the applicants respond "No" to Question L, the applicants will be using the property as
a second home or as an investment property, and thus cannot be considered first-time
homebuyers.
Question L: Do you intend to occupy the property as your
primary residence?
If any of the applicants respond "Yes" to Question L, review each response to Question M to
determine if any of them is a first time homebuyer.
If any of the applicants responds "No" to Question M, the mortgage can be considered a
mortgage to a first-time homebuyer.
Question M: Have you had an ownership interest in a
property in the last three years?
If all of the applicants respond, "Yes" to Question M, review each response to the two
subsections of Question M to determine if any of the applicants is a first time homebuyer.
If all of the applicants respond that they owned a second home or investment property, the
mortgage cannot be considered a mortgage to a first-time homebuyer.
Question M--Subsection 1: What type of property did
you own--principal residence (PR), second home (SH), or
investment property (IP)?
If any of the applicants responds that he or she owned a principal residence, review that
applicant's response to subsection two of Question M to determine if he or she is a first time
homebuyer.
If all of the applicants who indicated that they owned a principal residence respond that they
owned it alone or with a person other than a spouse, the mortgage cannot be considered a
mortgage to a first-time homebuyer.
Question M--Subsection 2: How did you hold title to the
home--solely by yourself (S), jointly with your spouse (SP),
or jointly with another person (O)?
If any of the applicants who indicated that they owned a principal residence responds that it
was owned jointly with a spouse, review "Section III. Borrower Information" on Page 1 of
Form 1003 to determine the marital status and number of dependents for each applicant
who so responded. If the information on page 1 indicates that the applicant is a displaced
homemaker or a single parent, he or she qualifies as a first time homebuyer.
If any of the applicants who indicated that the principal residence was owned jointly with a
spouse has a marital status of "unmarried" or "separated" and has dependents, he or she
can be considered a first-time homebuyer.
"Marital Status" and "Number of Dependents" in
Section III.
Borrower Information
If any of the applicants who indicated that the principal residence was owned jointly with a
spouse is an adult who:
has not worked full time in the labor force for several years
has worked in the home to care for the home and family during this time, and
is currently unemployed or underemployed and is having difficulty finding or
upgrading employment,
he or she is a displaced homemaker and qualifies as a first time homebuyer.
Instructions Page 3 of 5
INSTRUCTIONS, CONTINUED
The following may be added to Section IX: Acknowledgment and Agreement at the end of the paragraph.
Right to Receive Copy of Appraisal.
I/We have the right to a copy of the appraisal report used in connection with this application for credit. To obtain
a copy, I/we must send Lender a written request at the mailing address Lender has provided. Lender must hear
from me/us no later than 90 days after Lender notifies me/us about the action taken on this application, or I/we
withdraw this application.
X. Information for Government Monitoring Purposes
This section is included to aid the federal government in monitoring compliance with equal credit opportunity, fair
housing and home mortgage disclosure laws. Supplying this information is strictly voluntary on the part of the
applicant, but lenders should ask all applicants to provide it, including those who apply by telephone and through
the Internet, and should describe the reason for collecting this data. Race and ethnicity are separate categories,
and although the lender should ask applicants to furnish information for both, applicants may furnish one but not
the other. Note that there is no longer a place for applicants to indicate race as "Other" but applicants may check
as many races as apply.
The Home Mortgage Disclosure Act and its implementing Regulation C generally require Lenders to collect sex,
race and ethnicity data on all applications.
When an application is taken in person and an applicant elects not to provide some or all of this information,
federal law requires the lender to note the applicant's sex, ethnicity, and race on the form, based on the lender's
visual observation or the applicant's surname. To aid in identifying applicants who may be of Hispanic ethnicity
and who elect not to self-identify, the lender may wish to consult the list of Spanish surnames developed by the
U.S. Bureau of the Census. Furthermore, the lender may wish to advise the applicant that he may complete or
change the information in this section after the application is approved, at any time up until closing.
To Be Completed By Interviewer
The interviewer must complete this portion of the form to indicate the method used to take the application and to
provide the name and telephone number of the interviewer, as well as his or her employer's name and address.
To Be Completed By Loan Originator (for PDF dated 06/09 for mortgage loans applications taken on or
after January 1, 2010)
The loan originator must complete this portion of the form to indicate the method used to take the application and
to provide the loan originator's name, ID, and telephone number, as well as his or her employer's name,
company ID, and address. Further details regarding implementation and exceptions are detailed in
Announcement 09-21.
Continuation Sheet/Residential Loan Application
Lenders may amend this section by including space to evidence intent to apply for joint credit. Other approaches,
such as including this information on a separate document, are also acceptable to Fannie Mae, provided they
meet the requirements of applicable law. Lenders should consult counsel to determine their alternatives.
Special Notice for Balloon Mortgages
For each balloon mortgage, the lender must insert a special notice regarding the nature of the balloon features
on Form 1003 or in a separate attachment to the form. If an attachment is used, the borrower(s) must sign the
attachment. The following language must be inserted, using capital letters:
Instructions Page 4 of 5
INSTRUCTIONS, CONTINUED
"THIS LOAN M
UST EITHER BE PAID IN FULL AT MATURITY OR REFINANCED TO A MARKET LEVEL
FIXED-RATE MORTGAGE. YOU MUST REPAY THE ENTIRE PRINCIPAL BALANCE OF THE LOAN AND
UNPAID INTEREST THEN DUE IF YOU DO NOT QUALIFY FOR THE CONDITIONAL RIGHT TO REFINANCE
AS SPECIFIED IN THE NOTE ADDENDUM AND MORTGAGE RIDER. THE LENDER IS UNDER NO
OBLIGATION TO REFINANCE THE LOAN IF QUALIFICATION CONDITIONS ARE NOT MET. YOU WILL,
THEREFORE, BE REQUIRED TO MAKE PAYMENT OUT OF OTHER ASSETS THAT YOU MAY OWN, OR
YOU WILL HAVE TO FIND A LENDER, WHICH MAY BE THE LENDER YOU HAVE THIS LOAN WITH,
WILLING TO LEND YOU THE MONEY. IF YOU REFINANCE THIS LOAN AT MATURITY, YOU MAY HAVE TO
PAY SOME OR ALL OF THE CLOSING COSTS NORMALLY ASSOCIATED WITH A NEW LOAN EVEN IF
YOU OBTAIN REFINANCING”.
For California Applications
California Civil Code 1812.30 (j) requires that credit applications clearly specify that the applicant, if married, may
apply for a separate account. This requirement is not inconsistent with the language at the beginning of Form
1003.
Lenders may revise the description of the "Married" box in Section III for Borrowers and Co-Borrowers by adding
"(includes registered domestic partners)." If lenders are unable to insert the language due to the format of the
form, this language may be added to the continuation sheet or included as an attachment to Form 1003.
Instructions Page 5 of 5
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Uniform Residential Loan Application

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Completed 12 March 2021

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