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Short Application

    Personal Information














    Current Address






    Subject Property











    Monthly Income

    Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.





    Assets






    Demographic Information

    The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "ethnicity" and one or more designations for "Race." The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname.The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.

    Hispanic or LatinoNot Hispanic or LatinoI do not wish to provide this information

    MexicanPuerto RicanCubanOther Hispanic or Latino

    For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.
    American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteI do not wish to provide this information

    Asian IndianChineseFilipinoJapaneseKoreanVietnameseOther Asian - Enter race
    Native HawaiianGuamanian or ChamorroSamoanOther Pacific Islander - Enter race
    MaleFemaleI do not wish to provide this information

    YesNo

    CO-Borrower Personal Information













    Co-Borrower Current Address






    Co-Borrower Monthly Income

    Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.





    CO-Borrower Assets






    Co-Borrower Demographic Information

    The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "ethnicity" and one or more designations for "Race." The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname.The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.

    Hispanic or LatinoNot Hispanic or LatinoI do not wish to provide this information

    MexicanPuerto RicanCubanCubanOther Hispanic or Latino


    For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.
    American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteI do not wish to provide this information

    Asian IndianChineseFilipinoJapaneseKoreanVietnameseOther Asian
    Native HawaiianGuamanian or ChamorroSamoanOther Pacific Islander
    MaleFemaleI do not wish to provide this information