LOANAPP FNMA 1003 Loan Application
User Manual: FNMA 1003 Loan Application
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Freddie Mac Form 65 10/92 Page 1 of 4 Borrower ____________ Fannie Mae Form 1003 10/92
Co-Borrower ____________
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 information 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 will not be used as
a basis for loan qualification, but his or her liabilities must be considered because the 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.
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage V.A. Conventional Other: Agency Case Number Lender Case Number
Applied for: FHA FmHA
Amount Interest Rate No. of Months Amortization Fixed Rate Other (explain):
$%Type GPM ARM (type):
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject Property Address (street, city, state, ZIP) No. of Units
Legal Description of Subject Property (attach description if necessary) Year Built
Purpose of Loan Purchase Construction Other (explain): Property will be:
Primary Secondary
Refinance Construction-Permanent Residence Residence
Investment
Complete this line if construction or construction-permanent loan.
Year Lot Original Cost Amount Existing Liens (a) Present Value of Lot (b) Cost of Improvements Total (a+b)
Acquired $$$$$
Complete this line if this is a refinance loan.
Year Original Cost Amount Existing Liens Purpose of Refinance Describe Improvements made
to be made
Acquired $ $ Cost $
Title will be held in what Name(s) Manner in which Title will be held Estate will be held in:
Fee Simple
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)
Social Security Number Home Phone (incl. area code) Age Yrs. School
Married Unmarried (include single, Dependents (not listed by Co-Borrower)
divorced, widowed) no. ages
Separated
Present Address (street, city, state, ZIP Own Rent No. Yrs.
Co-Borrower’s Name (include Jr. or Sr. if applicable)
Social Security Number Home Phone (incl. area code) Age Yrs. School
Married Unmarried (include single, Dependents (not listed by
Co-Borrower)
divorced, widowed) no . ages
Separated
Present Address (street, city, state, ZIP Own Rent No. Yrs.
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.
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
Name and Address of Employer Self Employed Yrs. on this job
Yrs. employed
in this line of
work/profession
Position/Title/Type of Business Business Phone (incl. area code)
Name and Address of Employer Self Employed Yrs. on this job
Yrs. employed
in this line of
work/profession
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:
Name and Address of Employer Self Employed Dates (from-to)
Monthly Income
$
Position/Title/Type of Business Business Phone (incl. area code)
Name and Address of Employer Self Employed Dates (from-to)
Monthly Income
$
Position/Title/Type of Business Business Phone (incl. area code)
Name and Address of Employer Self Employed Dates (from-to)
Monthly Income
$
Position/Title/Type of Business Business Phone (incl. area code)
Name and Address of Employer Self Employed Dates (from-to)
Monthly Income
$
Position/Title/Type of Business Business Phone (incl. area code)
Freddie Mac Form 65 10/92 Page 2 of 4 Borrower ____________ Fannie Mae Form 1003 10/92
Co-Borrower ____________
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Combined
Gross Monthly Income Borrower Co-Borrower Total 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
OTHER (before completing Homeowner Assn. Dues
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 financial 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 spouse, this Statement and supporting schedules must be completed about that spouse also.
Completed Jointly Not Jointly
ASSETS Cash or Market
Description Value
Cash deposit toward purchase held by: $
List checking and savings accounts below
Name and address of Bank, S&L, or Credit Union
Acct. no . $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Stocks & Bonds (Company Name/ $
number & description)
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)
Automobiles owned (make and year) $
Other Assets (itemize) $
Total Assets a. $
Liabilities and Pledged Assets. List the creditor’s name, address 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. Monthly Payt. & Unpaid
LIABILITIES Mos. Left to Pay Balance
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Alimony/Child Support/Separate Maintenance Payments
Owed to: $
Job Related Expense (child care, union dues, etc.) $
Total Monthly Payments $
Net Worth (a-b) $Total Liabilities b. $
Freddie Mac Form 65 10/92 Page 3 of 4 Fannie Mae Form 1003 10/92
VI. ASSETS AND LIABILITIES (cont.)
Schedule of Real Estate Owned (if additional properties are owned, use continuation sheet.) Insurance
Property Address (enter S if sole, PS if pending Type of Present Amount of Gross Mortgage Maintenance Net
sale or R if rental being held for income) Property Market Value Mortgages & Liens Rental Income Payments Taxes & Misc. 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
a. Purchase price $
b. Alterations, improvements, repairs
c. Land (if acquired separately)
d. Refinance (include. debts to be paid off)
e. Estimated prepaid items
f. Estimated closing costs
g. PMI, MIP, Funding Fee
h. Discount (if Borrower will pay)
i. Total costs (add items a through h)
j. Subordinate financing
k. Borrower’s closing costs paid by Seller
l. Other Credits (explain)
m. Loan amount (exclude PMI, MIP,
Funding Fee financed)
n. PMI, MIP, Funding Fee financed
o. Loan amount (add m & n)
p. Cash from/to Borrower
(subtract j, k, l & o from i)
If you answer “yes” to any questions a through i, please Borrower Co-Borrower
use continuation sheet for explanation Yes No Yes No
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 of VA case
number, if any, and reasons for the action.)
f. Are you presently delinquent of 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)?
IX. ACKNOWLEDGMENT AND AGREEMENT
The undersigned specifically acknowledge(s) and agree(s) that: (1) the loan requested by this application will be secured by a first mortgage or deed or trust
on the property described herein; (2) the property will not be used for any illegal or prohibited purpose or use; (3) all statements made in this application are
made for the purpose of obtaining the loan indicated herein; (4) occupation of the property will be as indicated above; (5) verification or reverification of any
information contained in the application may be made at any time by the Lender, its agents, successors and assigns, either directly or through a credit
reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan is not
approved; (6) the Lender, its agents successors and assigns will rely on the information contained in the application and I/we have a continuing obligation to
amend and/or supplement the information provided in this application of any of the material facts which I/we have represented herein should change prior to
closing; (7) in the event my/our payments on the loan indicated in this application become delinquent, the Lender, its agents, successors and assigns, may in
addition to all their other rights and remedies, report my/our name(s) and account information to a credit reporting agency; (8) ownership of the loan may be
transferred to successor or assign of the Lender with prior notice to me; (9) the Lender, its agents, successors and assigns make no representations or
warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property.
Certification: I/We certify that the information provided in this application is true and correct as of the date set forth opposite my/our signature(s) on this
application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application
may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United
States Code, Section 1001, et seq. and liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who
may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.
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 home mortgage disclosure laws. You are not required to furnish 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 it, under Federal regulations this Lender is required to note race and sex on the basis of visual observation or surname.
If you do not wish to furnish the above information, please check the box below. (Lender must review the above material to assure that the disclosure satisfy
all requirements to which the Lender is subject under applicable law for the particular type of loan applied for.)
BORROWER I do not wish to furnish this information
Race/National American Indian or Alaskan Native Asian or Pacific Islander
Origin Black, not of White, not of
Hispanic origin Hispanic Hispanic origin
Other (Specify)
Sex Female Male
CO-BORROWER
I do not wish to furnish this information
Race/National American Indian or Alaskan Native Asian or Pacific Islander
Origin Black, not of White, not of
Hispanic origin Hispanic Hispanic origin
Other (Specify)
Sex Female Male
To be completed by Interviewer Interviewer’s Name (print or type) Name and Address Interviewer’s Employer
This application was taken by:
face to face interview Interviewer’s Signature Date
by mail
by telephone Interviewer’s Phone Number (incl. area code)
Freddie Mac Form 65 10/92 Page 4 of 4 Fannie Mae Form 1003 10/92
Continuation Sheet/Residential Loan Application
Use this continuation sheet if you Borrower: Agency Case Number:
need more space to complete the
Residential Loan Application.
Mark B for Borrower or C for Co-Borrower Lender Case Number:
Co-Borrower.
VI. ASSETS AND LIABILITIES (cont.)
ASSETS Cash or Market
Value
Name and address of Bank, S&L, or Credit Union
Acct. no . $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Monthly Payt. & Unpaid
LIABILITIES Mos. Left to Pay Balance
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
Name and Address of Company $ Payt./Mos. $
Acct. No.
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 : Date Co-Borrower’s Signature: Date
X X
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