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SECTION C-MARITAL STATUS

¿De not complete if this is an application for individual unsecured credit.1
Applicant (Married
Other Parly

Married

Separated
Separated

Unmaused tincluding wagie, divorced, and widowed!
12 Unmarried fincluding singit, divorced, and widowed)

SECTION D-ASSET AND DEST INFORMATION (If Section 8 has been completed, this Section should be completed rising information about both the Appliant and Jenni Applicant or her Person. Please mark Appleant-related information with at A. If Section # was not completed, only give information about the Applicant in this Section.)

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OUTSTANDING DEBTS (lachude charpe accounts, instalment contracts, credit cards, pent, mortgages, etc. Liso separate sheet if

Creditor

1. (Landlord of Mortgage Holder)

nevessary.

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Other obligations—¿E.g., liabilky to pay alimony, child support, separate mantenance. Use separate sheet if necessary.)

SECTION E--SECURED CREDIT (Complete only if credit is in be secured.) Briefly describe the property to be given as security;

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Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about your credit experience with me.

Applicant's Signature

Date

Other Signature
(Whare Applicable)

Date

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Community property}

CREDIT APPLICATION

IMPORTANT: Read these Directions before compisting this Applicatio

If you are applying for individual credit in your own name, are not married, and are not relying on alimony, child support, or separate maintenance payments or on the income or assets of another person as the basis for repayment of the credit requested, compiste only Sections A and D. If the requested credit is to be secured, also complete Section E

In all other situations, complete all Sections except 2. providing information in a about your spouse. A joint applicant or user, or the person on whose alimony, support, or maintenance payments or income or assets you are relying. If the requested credit is to be secured, also complete Section E.

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Alimony, child support, separate maintenance received under: court order ☐ written agreement □ oral understanding □

Source(a) of other income:

ls any income koted in this Section äkely to be reduced in the next two years or before the credit requested is paid off? Yes (Explain in detail on a separate sheet.) No O

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SECTION 8—INFORMATION REGARDING SPOUSE, JOINT APPLICANT, USER, OR OTHER PARTY (Uss aparata shosta messary.)

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Around, or separate maintenance income need not be revealed if you do not wish to have it considered

this

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SECTION C--MARITAL STATUS

Applicant: Married

Other Party: Married

Separated
Separated

Unmarried (including single, divorced, and widowed)
Unmarried (including single, divorced, widowed)

SECTION D-ASSET AND DEBT INFORMATION (If Section B has been completed, this Section should be completed giving information about both the Applicant and Spouse, Joint Applicant, User, or Other Person. Please mark Applicantrelated information with an "A." If Section B was not completed, only give information about the Applicant in this Section.)

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OUTSTANDING DEBTS (Include charge accounts, instalment contracts, credit cards, rent, mortgages, etc. Use separate sheet if

necessary.)

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Other obligations—(E.g., Liability to pay alimony, child support, separate maintenance. Use separate sheet if necessary.)

If "yes,"

to whom owed?

Date Paid

SECTION E-SECURED CREDIT (Complete only if credit is to be secured.) Briefly describe the property to be given as security:

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Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about your credit experience with me.

Applicant's Signature

Date

Other Signature
(Where Applicable)

Date

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This application is designed to be completed by the borrower(s) with the lender's assistance. The Co-Borrower Section and all other Co-Borrower questions must be completed and the appropriate bos(es) checked if another person will be jointly obligated with the Borrower on the loan. the Borrower is relying on income from alimony. child support, or separate maintenance or on the income or assets of another person as a basis for repayment of the loan, or the Borrower is married and resides, or the property is located, in a community property state.

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B-Borrower C-Co-Borrower

Co-Borrower

6. DETAILS OF PURCHASE

Business Phone

Social Security Number

Home Phone

Total

Rent

S. MONTHLY HOUSING EXPENSE
Present Proposed

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First Mortgage (Phi)
Other Financing (P&l)

Hazard Insurance

Real Estate Taxes

Mortgage Insurance

Ja. Purchase Price

b. Total Closing Costs (Est.)

d. Total (a+b+c)

$

Pre Paid Escrows (Est.)

le. Amount of Mortgage

Homeowner Assn. Dues

. Other Financing

(
(

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8. IF EMPLOYED IN CURRENT POSITION FOR LESS THAN TWO YEARS COMPLETE THE FOLLOWING Previous Employer/School

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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 sepa rate statements and schedules are required. If the Co-Borrower section was completed about a spouse, this statement and supporting schedules must be completed about that spouse also. Not Completed Jointly

10. ASSETS

Completed Jointly

11. LIABILITIES

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AGREEMENT. The Undersigned applies for the loan indicated in this application, to be secured by a first mortgage or deed of trust on the property described herein, and represents that the property will not be used for any illegal or restricted purpose and that all statements made in this application are true and are made for the purpose of obtaining the loan Verification may be obtained from any source named in this application The original or a copy of this application will be retained by the lender, even if the loan is not granted.

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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 and fair housing laws. You are not required to funish this information, but are encouraged to do so. The law provides that a lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish the information, under federal regulations the lender is required to note race or national origin and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please check below BORROWER:

RACE OR
NATIONAL
ORIGIN

SEX Femal

I do not wish to furnish this information D
American Indian, Alaskan Native L. Asian, Pacific Islander
Black
Other (specify)
Mak

Hispanic C White

I do not wish to furnish this information i
American Indian, Alaskan Native
Asian, Pacific Islander
Black
Other (specify)
Male

CO-BORROWER:
RACE OR
NATIONAL
ORIGIN

SEX L Female

FOR LENDER'S USE ONLY

Hispanic

White

Reverse

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