Real Estate Loan Application

Applicant Name:
Co-Applicant Name: leave this field blank if no Co-Applicant
Purpose:
Physical Address of Unit:
Block:
Lot:
Yearly taxes? $
Year built $ (yyyy)
Sale Price: $
Down payment : $
Loan amount requested: $

Comment:

 

 

Applicant

Name
SSN: (555-55-55555)
Date of Birth: (mm/dd/yyyy)
Marital status:
Home Phone: (555-555-5555)
Address:
Residence:
  • Own
  • Rent
  • With Family
Years at Residence:
Monthly Amt. $
Previous Address
if less then 2 years.
Years at Previous Address:
Checking Account:
Institution:
Savings Account:
Institution:
Name of Nearest Relative not living with you
Address:
Relationship:
Phone: (555-555-5555)
Name of Personal Friend:
Address:
Phone: (555-555-5555)
Are you a first time home buyer? Yes No

I authorize Key One Inc. to make or have any credit, employment or investigate inquiry that the Bank determine for the extension of credit or the collection of amounts owed to the Bank. The Bank can furnish information concerning my account to consumer reporting agencies and others who may properly receive that information. If I ask, I will be informed whether or not a consumer report was requested, I will be informed of the name and address of the consumering reporting agency that furnished this report. I agree that this application will remain the property of Key One and the Bank agency that furnished this report. I agree that this application will remain the property of Key One and the Bank

I have read and understand the above statement : Please Initial Below :

Applicant: (initial)
Employer:
City:
State:
Position:
Yrs:
Work #: (555-555-5555)
Gross Income: $
Previous: Employer:
Previous Work #: (555-555-5555)
Years:
Other : $
Source:
Other : $
Source:
Are you currently obligated to pay Child Support or Alimony?
  • Yes
  • No
What is the amount $
  • Per Month
  • Per week
Is this Obligation Court Ordered
  • Yes
  • No
For How many Children
How many Years
Have You ever filed for Bankruptcy?
  • Yes
  • No
If yes, what was the discharge date? (mm/dd/yyyy)
Are there any outstanding Judgments, Garnishments or other Legal proceedings against you?
  • Yes
  • No

Information For Governmental Monitoring Purposes

The following information is requested by the Federal Government, if this loan is for the purchase, construction, improvement, repairs maintenance or refinancing of a home, in order to monitor the lender's compliant with the Equal Credit Opportunity and Fair Housing Laws. You are not required to furnish this information but you are encouraged to do so. The law provides that lender may neither discriminate on the basis of this information nor on whether or not it is furnished. If you choose not to provide this information, the law requires the creditor to note your race or national origin and sex on the basis of visual observation or surname. If you do not wish to furnish any of the following information, please initial below.

I do not wish to furnish this information :
Ethnicity:
  • Hispanic or Latin
  • Non Hispanic or Latino
Race:
  • American Indian or Alaska Native
  • Black or African American
  • Native Hawaiian or Pacific Islander
  • Asian
  • White
  • Hispanic
  • Other :
Sex:
  • Male
  • Female
Question Yes No
Have you had a property foreclosed upon or given title or deed in lieu thereof in the past 7 years?
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer or title in lieu of foreclosure of judgment?
Are you present delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
Is any part of the down payment borrowed?
Are you a co-maker or endorser on a note?
Are you a US Citizen?
Are you a permanent resident alien?
Do you intend to occupy this home as your primary residence?
Have you had an ownership interested in a property in the last three years?
What type of property did you own
  • Principal Residence
  • Second Home
  • Investment Property
How did you hold the title to the home
  • Solely by yourself
  • Jointly with your spouse
  • Jointly with another person
Signature:
(Please enter your full name)

Co-Applicant - leave blank if no Co-Applicant

Name:
SSN: (000-55-5500)
Date of Birth: (mm/dd/yyyy)
Marital Status :
Home Phone : (555-555-5555)
Address:
Residence:
  • Own
  • Rent
  • With Family
Years at Residence:
Monthly Amt. $
Previous Address:
if less then 2 years.
Years at Previous Address:
Checking Account :
Institution:
Savings Account :
Institution:
Name of Nearest Relative not living with you:
Address:
Relationship:
Phone: (555-555-5555)
Name of Personal Friend:
Address:
Phone: (555-555-5555)
Are you a first time home buyer? Yes No

I authorize Key One Inc. to make or have any credit, employment or investigate inquiry that the Bank determine for the extension of credit or the collection of amounts owed to the Bank. The Bank can furnish information concerning my account to consumer reporting agencies and others who may properly receive that information. If I ask, I will be informed whether or not a consumer report was requested, I will be informed of the name and address of the consumering reporting agency that furnished this report. I agree that this application will remain the property of Key One and the Bank agency that furnished this report. I agree that this application will remain the property of Key One and the Bank

I have read and understand the above statement : Please Initial Below :

Co-Applicant: (initial)
Employer:
City:
State:
Position:
Years:
Work #: (555-555-5555)
Gross Income: $
Previous Employer:
Previous Work #: (555-555-5555)
Years:
Other : $
Source:
Other : $
Source:
Are you currently obligated to pay Child Support or Alimony?
  • Yes
  • No
What is the amount $
  • Per Month
  • Per week
Is this Obligation Court Ordered
  • Yes
  • No
For How many Children
How many Years
Have You ever filed for Bankruptcy?
  • Yes
  • No
If yes, what was the discharge date? (mm/dd/yyyy)
Are there any outstanding Judgments, Garnishments or other Legal proceedings against you?
  • Yes
  • No

Information For Governmental Monitoring Purposes

The following information is requested by the Federal Government, if this loan is for the purchase, construction, improvement, repairs maintenance or refinancing of a home, in order to monitor the lender's compliant with the Equal Credit Opportunity and Fair Housing Laws. You are not required to furnish this information but you are encouraged to do so. The law provides that lender may neither discriminate on the basis of this information nor on whether or not it is furnished. If you choose not to provide this information, the law requires the creditor to note your race or national origin and sex on the basis of visual observation or surname. If you do not wish to furnish any of the following information, please initial below.

I do not wish to furnish this information :
Ethnicity:
  • Hispanic or Latin
  • Non Hispanic or Latino
Race:
  • American Indian or Alaska Native
  • Black or African American
  • Native Hawaiian or Pacific Islander
  • Asian
  • White
  • Hispanic
  • Other :
Sex:
  • Male
  • Female
Question Yes No
Have you had a property foreclosed upon or given title or deed in lieu thereof in the past 7 years?
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer or title in lieu of foreclosure of judgment?
Are you present delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
Is any part of the down payment borrowed?
Are you a co-maker or endorser on a note?
Are you a US Citizen?
Are you a permanent resident alien?
Do you intend to occupy this home as your primary residence?
Have you had an ownership interested in a property in the last three years?
What type of property did you own
  • Principal Residence
  • Second Home
  • Investment Property
How did you hold the title to the home
  • Solely by yourself
  • Jointly with your spouse
  • Jointly with another person
Signature:
(Please enter your full name)

Agreement to Provide Physical Damage Insurance
Property Insurance is required in connection with this loan. Key One Inc. IS the parent company of Key Insurance Agency. Please be aware that you are free to purchase insurance from any agent you prefer for the principle amount of the loan. Use of the service and purchase of any insurance products offered by Key Insurance Agency is at your sole discretion. The insurance policy you are required to purchase is to note the lender's interest with a loss payable clause in the lender's favor.

Authorization to Investigate Credit, Employment and Required Information
I authorize Key One Inc, any of it's subsidiaries , and any other Lender to whom Key One Inc or any of it's subsidiaries may seek to review this application for loan funding purposes to make or have any credit, employment or investigative inquiry that Key One Inc, it's subsidiaries, or any of its chosen Lenders may determine for the extension of credit or the collection of amounts owed by the Applicant and or Co-Applicant. Key One Inc. any of it's subsidiaries, and chosen Lenders, can furnish information concerning my account to consumer reporting agencies and others who may properly receive that information. If I/we ask, I/we will be informed whether or not a consumer report was requested. I/we will be informed of the name and address of the consumer reporting agency that furnished this report. I agree that this application remain the property of Key One Inc. and any of its subsidiaries and chosen lenders.

Key One Inc. and it'd subsidiaries Key One Mortgage, Inc. acts as a consultant only on Real Estate transactions for the benefit of the home purchaser and as a referral source to qualified brokers and Lenders.

By Submitting this application I agree to hold Key One Inc. and any of it's subsidiaries harmless if financing cannot be secured and the loan for which I am applying cannot be furnished for any reason.

I certify that no essential information has been concealed and that no misrepresentations have been made in this application.