Other assests

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Households

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Total Assets

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Liabilities

Name of Company, payment, unpaid balance

Name of Company, payment, unpaid balance

Name of Company, payment, unpaid balance

Credit Score (if known)

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Schedule of Real Estate Owned
Property Address

Type of property
Select One Sold Pending Sale Rental being held for income

Present market value

Amount of mortgages and liens

Gross rental income

Mortgage payment

Insurance, maintenance, taxes and Misc

Net rental income

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Schedule of Real Estate Owned
Property Address

Type of property
Select One Sold Pending Sale Rental being held for income

Present market value

Amount of mortgages and liens

Gross rental income

Mortgage payment

Insurance, maintenance, taxes and Misc

Net rental income

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Schedule of Real Estate Owned
Property Address

Type of property
Select One Sold Pending Sale Rental being held for income

Present market value

Amount of mortgages and liens

Gross rental income

Mortgage payment

Insurance, maintenance, taxes and Misc

Net rental income

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Declarations

If you answer "yes" to any questions a through i, please explain at bottom of questions.

a. Are there any outstanding judgements against you?
Borrower Select One Yes No Co-Borrower Select One Yes No

b. Have you been declared bankrupt within the last 7 years?
Borrower Select One Yes No Co-Borrower Select One Yes No

c. Have you had property foreclosed upon or given title or deed in lieu thereof in the past 7 years?
Borrower Select One Yes No Co-Borrower Select One Yes No

d. Are you a party to a lawsuit?
Borrower Select One Yes No Co-Borrower Select One Yes No

e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement? (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 reason for the action.)
Borrower Select One Yes No Co-Borrower Select One Yes No

f. Are you presently delinguent or in default on any federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee? If "Yes", give details as descibed in the proceding question.
Borrower Select One Yes No Co-Borrower Select One Yes No

g. Are you obligated to pay obligated to pay alimony, child support, or separate maintenance?
Borrower Select One Yes No Co-Borrower Select One Yes No

h. Is any part of the down payment borrowed?
Borrower Select One Yes No Co-Borrower Select One Yes No

i. Are you a co-maker or endorser on a note?
Borrower Select One Yes No Co-Borrower Select One Yes No

j. Are you a U.S. citizen?
Borrower Select One Yes No Co-Borrower Select One Yes No

k. Are you a permanent resident alien?
Borrower Select One Yes No Co-Borrower Select One Yes No

l. Do you intend to occupy the property as your primary residence? If "Yes", complete question below.
Borrower Select One Yes No Co-Borrower Select One Yes No

m. Have you had an ownership interest in a property in the last three years?
Borrower Select One Yes No Co-Borrower Select One Yes No

   1. What type of property did you own? Select One Principal residence second home investment property

   2. How did you hold title to the home? Select One solely by yourself jointly with your spouse jointly with another person

If you answered "Yes" to any of the above, explain here.