Borrower Name(s):
Uniform Residential Loan Application — Lender Loan Information
Freddie Mac Form 65 • Fannie Mae Form 1003
Effective 1/2021
Community Property State
At least one borrower lives in a community property state.
The property is in a community property state.
Transaction Detail
Conversion of Contract for Deed or Land Contract
Renovation
Construction-Conversion/Construction-to-Permanent
Single-Closing
Two-Closing
Construction/Improvement Costs $
Lot Acquired Date / / (mm/dd/yyyy)
Original Cost of Lot $
Refinance Type Refinance Program
No Cash Out
Limited Cash Out
Cash Out
Energy Improvement
Mortgage loan will finance energy-related improvements.
Property is currently subject to a lien that could take priority over
the first mortgage lien, such as a clean energy lien paid for through
property taxes (e.g., the Property Assessed Clean Energy program).
Project Type
Condominium
Cooperative Planned Unit Development (PUD) Property is not located in a project
Uniform Residential Loan Application — Lender Loan Information
This section is completed by your Lender.
Title to the Property Will be Held in What Name(s): For Refinance: Title to the Property is Currently Held in What Name(s):
Estate Will be Held in
Fee Simple
Leasehold
/
/ (mm/dd/yyyy)Expiration Date
Manner in Which Title Will be Held
Sole Ownership
Joint Tenancy with Right of Survivorship
Life Estate Tenancy by the Entirety
Tenancy in Common Other
Trust Information
Title Will be Held by an Inter Vivos (Living) Trust
Title Will be Held by a Land Trust
Indian Country Land Tenure
Fee Simple On a Reservation
Individual Trust Land (Allotted/Restricted)
Tribal Trust Land On a Reservation
Tribal Trust Land Off Reservation
Alaska Native Corporation Land
Mortgage Type Applied For Terms of Loan
Note Rate %
Loan Term (months)
Mortgage Lien Type
First Lien
Subordinate Lien
Amortization Type
If Adjustable Rate:
Initial Period Prior to First Adjustment (months)
Subsequent Adjustment Period (months)
Loan Features
Proposed Monthly Payment for Property
First Mortgage (P & I)
Subordinate Lien(s) (P & I)
Homeowner’s Insurance
Supplemental Property Insurance
Property Taxes
Mortgage Insurance
Association/Project Dues (Condo, Co-Op, PUD)
Other
TOTAL
To be completed by the Lender:
Lender Loan No./Universal Loan Identifier Agency Case No.
L1. Property and Loan Information
L2. Title Information
L3. Mortgage Loan Information
Full Documentation
Interest Rate Reduction
Streamlined without Appraisal
Other
(months)/ Balloon Term Balloon
Interest Only (months)/ Interest Only Term
Prepayment Penalty (months) / Prepayment Penalty Term
Temporary Interest Rate Buydown
%
/Initial Buydown Rate
Other (explain):
Negative Amortization
Fixed Rate
Other (explain):
Adjustable Rate
Conventional USDA-RD
FHA VA
Other:
$
$
$
$
$
$
$
$
$