Second Mortgage or Home Improvement Loan Application

Federal Law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances, we may use outside sources to confirm the information. The information you provide is protected by our privacy policy and federal law.

I. TYPE AND TERMS OF LOAN

Mortgage applied for: Conventional, Secured or Unsecured:
 Loan Amount   No. Years (10, 15, 20 or 30)
Amortization Type (Fixed Rate or Adjustable Rate)

II. PROPERTY INFORMATION AND PURPOSE OF LOAN

Subject Property Address
Subject Property City
Property State Property Zip
 
Purchase Price: Date Purchased: Cash Down Payment:
Title in what name(s) Property Type: (Single Family, 2-4 Family, Condo, PUD)
 
Year House Built: No of Rooms: No. of bedrooms: No. of baths: Gross living area: sq ft.
Family Room or Den? Central Air? Garage/Carport? (Specify type & no):
Improvements Planned:
III. BORROWER INFORMATION
Borrower
Name (Include Jr. or Sr. if applicable)
Social Security Number
Date of Birth
Home Phone (including area code)
Email Address
What is your marital status?
Dependants (not listed by Co-Borrower)  No.  Ages 
Present Address
City
State  Zip  
Do you Own or Rent? No. Years  
Mailing Address, if different from Present Address
City
State  Zip 
If residing at present address for less than two years, complete the following
Former Address
City
State Zip  
Did you Own or Rent? No. Years  
Co-Borrower
Name (Include Jr. or Sr. if applicable)
Social Security Number
Date of Birth
Home Phone (including area code)
Email Address
What is your marital status?
Dependants (not listed by Borrower) No. Ages 
Present Address                     Same as Borrower
City
State  Zip 
Do you Own or Rent? No. Years 
Mailing Address, if different from Present Address
City
State  Zip
If residing at present address for less than two years, complete the following
Former Address                      Same as Borrower
City
State Zip
Did you Own or Rent? No. Years 
IV. EMPLOYMENT INFORMATION
Borrower
Employer Name
    Self Employed  
Address
City
State Zip
Business Phone (include area code)
Position/Title/Type of Business
Yrs. on this job
Yrs. employed in this line of work/profession
If employed in current position for less than 2 years or if currently employed in more than one position, complete the following:
Employer Name   
    Self Employed   
Address
City
State  Zip
Business Phone (include area code)
Position/Title/Type of Business
Dates (from - to):
Monthly Income:
Co-Borrower
Employer Name 
    Self Employed  
Address
City
State Zip 
Business Phone (include area code)
Position/Title/Type of Business
Yrs. on this job
Yrs. employed in this line of work/profession
If employed in current position for less than 2 years or if currently employed in more than one position, complete the following:
Employer Name 
    Self Employed   
Address
City
State Zip
Business Phone (include area code)
Position/Title/Type of Business
Dates (from - to):
Monthly Income:

 

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Gross Monthly Income Borrower Co-Borrower Total
Base empl. Income*
Overtime
Bonuses
Commissions
Dividends/Interest
Net Rental Income
Other
Total
 
Monthly Housing Expense Present  
Rent  
First Mortgage (P&I)  
Other Financing (P&I)  
Hazard Insurance  
Real Estate Taxes  
Mortgage Insurance  
Homeowner Assn. Dues  
Other  
Total  
* Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements

 

B/C 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.) 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 spouse, this Statement and supporting schedules must be completed about that spouse also.
Completed: ( Jointly Not Jointly)
Assets
List checking and savings accounts below
Name of Bank, S&L, or Credit Union
     Address
     City, State, Zip
     Account Number Balance
Name of Bank, S&L, or Credit Union
     Address
     City, State, Zip
     Account Number Balance
Name of Bank, S&L, or Credit Union
     Address
     City, State, Zip
     Account Number / Balance
Name of Bank, S&L, or Credit Union
     Address
     City, State, Zip  
     Account Number Balance
Stocks & Bonds (Company name/number & description) Value

 

Liabilities and Pledged Assets. List the creditor’s name, address and account number for all outstanding debts, including automobile loans, revolving charge accounts, real state 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.
Liabilities
Name of Company
     Account Number
     Approx. Balance
     Min. Monthly Payment
   To be paid from sale or refinance?
Name of Company
     Account Number
     Approx. Balance
     Min. Monthly Payment
  To be paid from sale or refinance?
Name of Company
     Account Number
     Approx. Balance
     Min. Monthly Payment
  To be paid from sale or refinance?
Name of Company
     Account Number
     Approx. Balance
     Min. Monthly Payment
  To be paid from sale or refinance?
Name of Company
     Account Number
     Approx. Balance
     Min. Monthly Payment
  To be paid from sale or refinance?
Name of Company
     Account Number
     Approx. Balance
     Min. Monthly Payment
  To be paid from sale or refinance?
Name of Company
     Account Number
     Approx. Balance
     Min. Monthly Payment
                                                                           To be paid from sale or refinance?

Alimony/Child Support/Separate Maintenance Payments Owed to:

Amount

 

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
(condo, land, single family residence)
Present Market Value Amount of Mort. & Liens Gross Rental Income Mort. Payments Insurance, Maint., Taxes,
& Misc.
Net Rental Income



 

 

 

VII. DECLARATIONS

If you answer “yes” to any questions a through I, please use continuation sheet for explanation.

Borrower
Y/N
Co-Borrower
Y/N
a. Are there any outstanding judgments against you?
b. Have you been declared bankrupt within the past 7 years?
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
d. Are you a party to a lawsuit?  
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.)
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If “Yes” give details as described in the preceding question.
g. Are you obligated to pay alimony, child support, or separate maintenance?
h. Is any part of the down payment borrowed?
i. Are you a co–maker or endorser on a note?
j. Are you a U.S. citizen?
k. Are you a permanent resident alien?
l. Do you intend to occupy the property as your primary residence? If “Yes”, complete question m below.
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–solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?

 

VIII. ACKNOWLEDGMENT 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 herein; (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 herein; (6) any owner or servicer of the Loan may verify or reverify any information contained in the application from any source named in this application, and Lender, its successors or assigns may retain the original and/or an electronic record of this application, even if the Loan is not 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 the Loan become delinquent, the owner or servicer of the Loan may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer credit reporting agencies; (9) ownership of the Loan and/or administration of the Loan account may be transferred with such notice as may be required by law; (10) neither Lender nor its 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 defined 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.
 

Borrower’s Signature Co-Borrower’s Signature
Date Date

 

 

CONTINUATION SHEET/SECOND MORTGAGE - HOME IMPROVMENT LOAN APPLICATION

Use this continuation sheet if you need more space to complete the Residential Loan Application. Mark B for Borrower or C for Co–Borrower

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 provision of Title 18,
United States Code, Section 1001, et. Seq.
Borrower’s Signature Co-Borrower’s Signature
Date Date
 

Do you have a banking center location that is more convenient for you? 
If yes, please indicate which one: (Carthage, Joplin, Neosho, Oronogo or Pineville
)

Someone will contact you very soon to discuss this loan request. We can discuss specific loan products, rates, and terms at that time. Thank you in advance for giving us this opportunity.


AUTHORIZATION
By submitting the electronic loan application borrower(s) authorize Hometown Bank to perform all normal credit investigations which includes, but is not limited to, credit and employment history.


NOTICE
Before submitting your application, please review our Privacy Statement, Federal Credit Application Insurance Disclosure, Notice to Loan Applicant, & Notice of Right to Receive Copy of Appraisal.

.
Please type your initials here indicating you have reviewed the Privacy Statement, Federal Credit Application Insurance Disclosure, Notice to Loan Applicant, Notice of Right to Receive Copy of Appraisal and authorize Hometown Bank to perform all normal credit and employment history investigations.

 

Comments / Questions?

 

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