Please complete the following questions and return to Centurion Funding Group, via facsimile at
888-412-8950 for the fastest, most convenient mortgage loan experience you have ever had!
Client Information
LOAN AMOUNT: $ ______SALES PRICE: $______
BORROWER CO-BORROWER
First Name:______
Last Name: ______
Email Address:______
Social Security Number:______
Date of Birth:______
Home Phone Number:______
Work Phone Number:______
Present Address:______
City, State, ZIP:______
Rent Own Rent Own
Years at this Residence:______
Employer:______
Address:______
Yrs w/ Co. / Position:______
Financial Information
Gross Monthly Income: $ ______$ ______
Bonuses: $ ______$______
Commissions: $ ______$______
Over time/Other: $ ______$______
Funds available for
Down Payment:: $______$ ______
BANKING/INVESTMENT
INFORMATION
Name of Bank: ______
Account Number ______
Balance: $______$ ______
CURENT HOUSING
EXPENSES
First Mortgage or Rent Payment: $ ______$ ______
Other Financing: $ ______$ ______
Hazard Insurance: $ ______$ ______
Real Estate Taxes: $ ______$ ______
Mortgage Insurance: $ ______$ ______
Homeowners Dues: $ ______$ ______
Other: $ ______$ ______
MONTHLY DEBTS
Credit Cards: $ ______$ ______
Auto Loans: $ ______$ ______
Other Loans: $ ______$ ______
OTHER ASSETS
Retirement Fund,
Vested Interest: $ ______$ ______
Automobiles, Make, Model, Year: ______
Value: $ ______$ ______
Other Assets: $ ______$ ______
Estimated value: $ ______$ ______
Borrowers Initials ______Co-Borrowers Initials ______
SCHEDULE OF REAL ESTATE OWNED
Monthly Insurance
Type of Present Amount of Gross Mortgage Maintenance, Rental
Address Property Market Value Mortgages & Liens Rental Income Payments Taxes & Misc. Income
Totals
Declarations
ITEMS BORROWER CO-BORROWER
A. Are there any outstanding judgments against you? Yes No Yes No
B. Have you been declared bankrupt in the last 7 years? Yes No Yes No
C. Have you had a property foreclosed on in the last 7 years? Yes No Yes No
D. Are a party to a lawsuit? Yes No 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 judgment? Yes No Yes No
F. Are you presently delinquent or in default on any Federal
debt or any other loan, mortgage, financial obligation, bond
or loan guarantee? Yes No Yes No
G. Are you obligated to pay alimony, child support or separate
Maintenance? Yes No Yes No
H. Is any part of the down payment borrowed? Yes No Yes No
I. Are you the co-maker of endorser on a note? Yes No Yes No
J. Are you a U.S. Citizen Yes No Yes No
K. Are you a permanent resident alien? Yes No Yes No
L. Do you intend to occupy the property as your primary residence? Yes No Yes No
M. Have you had an ownership interest in a property in the last 3 years? Yes No Yes No
If the answer to M. above is yes:
· What type of property did you own? ______
· How did you hold title to the home? ______
Thank you for completing our loan application!
Please review the following disclosure, if you agree with it, please sign below and fax to Centurion Funding Group at 888-412-8950.
The applicant(s) specifically acknowledge(s) and agree(s) that:
· The loan requested will be secured by a first mortgage or deed of trust on the property described herein;
· The property will not be used for any illegal or prohibited purpose or use;
· All statements made in this application are made for the purpose of obtaining the loan indicated herein;
· Verification or reverification of any information contained in the application may be made at any time by the Lender, it’s agents, successors or 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;
· The Lender, its agents, successors or 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 if any of the material facts which I/we have represented herein should change prior to closing;
· The Lender, its agents, successors or assigns make no representations or warranties, expressed or implied, to the Borrowers(s) regarding the property, the condition of the property, or the value of the property;
· Authorization is given to THIS LENDER to obtain my/our credit report.
Certification: I/We certify that the information provided in this application is true and correct 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.
Borrowers signature date Co-borrowers signature date
Application Submitted by date
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