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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 or other person who has community property rights pursuant to state law will not be used as a basis for loan qualification, but his or her liabilities must be considered because the spouse or other person has community property rights pursuant to applicable law and 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. If this is an application for t credit, Borrower and Co-Borrower each agree that we intend to apply for t credit (sign below):
Borrower
Co-Borrower
I. TYPE OF MORTGAGE AND OF LOAN Mortgage Applied for:
Amount $
VA FHA
124,000
Agency Case Number Conventional Other (explain): USDA/Rural Housing Service Amortization Type: Interest Rate No. of Months Fixed Rate 8.500 % 180/180 GPM
Lender Case Number
TC008.fnm Other (explain): ARM (type):
II. PROPERTY INFORMATION AND PURPOSE OF LOAN Subject Property Address (street, city, state, & ZIP)
No. of Units
8 Ash Street, Fairfax, VA 22033
1
County: Fairfax
Legal Description of Subject Property (attach description if necessary)
Purpose of Loan
Purchase Refinance
Construction Construction-Permanent
Year Built
Property will be: Primary Residence
Other (explain):
Complete this line if construction or construction-permanent loan. Year Lot Original Cost Amount Existing Liens (a) Present Value of Lot Acquired $ $ $ Complete this line if this is a refinance loan. Year Original Cost Amount Existing Liens Acquired $ Title will be held in what Name(s)
(b) Cost of Improvements
Total (a+b)
$
$ Describe Improvements
Purpose of Refinance
$
Secondary Residence
Investment
made
Cost: $ Manner in which Title will be held
to be made
Estate will be held in: Fee Simple Leasehold(show expiration date)
Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain)
Equity from Pending Sale 175 Thirteenth Street Borrower
III. BORROWER INFORMATION
Co-Borrower
Borrower's Name (include Jr. or Sr. if applicable)
Co-Borrower's Name (include Jr. or Sr. if applicable)
John Harmon Homeowner, II
Mary Faith Homeowner
Social Security Number Home Phone (incl. area code) DOB (mm/dd/yyyy) Yrs. School Social Security Number Home Phone (incl. area code) DOB (mm/dd/yyyy) Yrs. School
300-40-5000
202-555-1210
02/14/1970
Married (includes ed domestic partners)
24
500-22-2000
Dependents (not listed by
Co-Borrower)
202-555-1210
09/21/1975
Married (includes ed domestic partners)
Borrower)
Unmarried (includes single, divorced, widowed)
No.
Unmarried (includes single, divorced, widowed)
No.
Separated
Ages
Separated
Ages
Present Address (street, city, state, ZIP)
Own
Rent
175 Thirteenth Street NW
3
No. Yrs. Present Address (street, city, state, ZIP)
Own
Washington, DC 20013
Washington, DC 20013 Mailing Address, if different from Present Address
Post Office Box 10 Farragut St
Post Office Box 15 Farragut St
Washington, DC 20013-1234
Washington, DC 20013-1234
If residing at present address for less than two years, complete the following: Former Address (street, city, state, ZIP) Own Rent 3.42 No. Yrs. Former Address (street, city, state, ZIP)
4540 Talmadge
3
No. Yrs.
Own
Rent
3.42 No. Yrs.
Own
Rent
No. Yrs.
4540 Talmadge
Annandale, VA 22091-1234
Fannie Mae Form 1003 07/05 CALYX Form Loanapp1.frm 09/05
Rent
175 Thirteenth Street NW
Mailing Address, if different from Present Address
Former Address (street, city, state, ZIP)
21
Dependents (not listed by
Annandale, VA 22091-1234 Own
Rent
No. Yrs. Former Address (street, city, state, ZIP)
Page 1 of 5
Borrower Co-Borrower
Freddie Mac Form 65
07/05
Borrower Name & Address of Employer Self Employed
IV. EMPLOYMENT INFORMATION Yrs. on this job Name & Address of Employer
NIH 8050 Wisconsin Avenue Bethesda, MD 20730
3 yr(s) 0 mth(s)
Co-Borrower Self Employed
Columbia Hospital Yrs. employed in this 3514 M Street line of work/profession Washington, DC 20010 8
Yrs. on this job
3 yr(s) 0 mth(s) Yrs. employed in this line of work/profession
9
Position/Title/Type of Business
Business Phone (incl. area code)
Position/Title/Type of Business
Business Phone (incl. area code)
Physician
301-555-1000
Specialist
202-555-3434
If employed in current position for less than two years or if currently employed in more than one position, complete the following: Name & Address of Employer
Self Employed
Dates (from-to)
Name & Address of Employer
Self Employed
Monthly Income $ Position/Title/Type of Business
Name & Address of Employer
Monthly Income $
Business Phone (incl. area code)
Self Employed
Position/Title/Type of Business
Business Phone (incl. area code)
Name & Address of Employer
Dates (from-to)
Self Employed
Monthly Income $ Position/Title/Type of Business
Name & Address of Employer
Position/Title/Type of Business
Business Phone (incl. area code)
Name & Address of Employer
Dates (from-to)
Self Employed
Name & Address of Employer
Business Phone (incl. area code)
Self Employed
Position/Title/Type of Business
Business Phone (incl. area code)
Name & Address of Employer
Dates (from-to)
Self Employed
Monthly Income $ Position/Title/Type of Business
Dates (from-to)
Monthly Income $
Monthly Income $ Position/Title/Type of Business
Dates (from-to)
Monthly Income $
Business Phone (incl. area code)
Self Employed
Dates (from-to)
Dates (from-to)
Monthly Income $
Business Phone (incl. area code)
Position/Title/Type of Business
Business Phone (incl. area code)
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION Gross Monthly Income Base Empl. Income*
Borrower $
7,300.00
Co-Borrower $
Overtime
3,000.00
Total $
10,300.00 1,000.00
1,000.00
Combined Monthly Housing Expense Rent
Present
Proposed
$
First Mortgage (P&I)
1,200.00
$
1,221.08
Bonuses
Other Financing (P&I)
Commissions
Hazard Insurance
20.00
15.00
Dividends/Interest
Real Estate Taxes
80.00
100.00
Net Rental Income
Mortgage Insurance
15.00
Other (before completing,
Homeowner Assn. Dues
see the notice in "describe other income," below)
Other:
75.00 11.00
Total *
$
7,300.00
$
4,000.00
$
11,300.00
Total
100.00
$
1,300.00
$
1,537.08
Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
Describe Other Income
Notice: Alimony, child , 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 $
Fannie Mae Form 1003 07/05 CALYX Form Loanapp2.frm 09/05
Page 2 of 5
Borrower Co-Borrower
Freddie Mac Form 65
07/05
VI. ASSETS AND LIABILITIES This Statement and any applicable ing schedules may be completed tly by both married and unmarried Co-borrowers if their assets and liabilities are sufficiently ed 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 non-applicant spouse or other person, this Statement and ing schedules must be completed by that spouse or other person also. Completed tly Not tly
ASSETS Description Cash deposit toward purchase held by:
Cash or Market Value
Liabilities and Pledged Assets. List the creditor's name, address and number for all outstanding debts, including automobile loans, revolving charge s, real estate loans, alimony, child , 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 Payment & Months Left to Pay $ Payment/Months
LIABILITIES List checking and savings s below
Name and address of Company
Name and address of Bank, S&L, or Credit Union
Best Buy PO Box 356 Tampa, FL 63782
Crestar Bank 342 Harvey Street Baltimore, MD 37485 Acct. no. 39845 $ Name and address of Bank, S&L, or Credit Union
$ Payment/Months
257 /20
Acct. no. 58652333 Name and address of Company
30,000
$
Stocks & Bonds (Company name/number description)
$
5,000
$ Payment/Months
$
SALLIE MAE
Acct. no. 950254520 Name and address of Company Acct. no.
145,000 $
CHASE
Crestar Bank 7593 Harold Square Washington, DC 85930 Acct. no. 743682 $ Name and address of Bank, S&L, or Credit Union
$
* (1,200) /121
Acct. no. Name and address of Company
5,000
Unpaid Balance
49 /51
2,500
$ Payment/Months
$
SALLIE MAE
Fidelity
3,232
Acct. no. 950752340 Name and address of Company
25 /45
1,100
$ Payment/Months
$
TOYOTA CREDIT Life insurance net cash value
$
Face amount: $ Subtotal Liquid Assets
$
38,232
Real estate owned (enter market value $ from schedule of real estate owned)
500 /32
Acct. no. 3210989098 Name and address of Company
$
Net worth of business(es) owned (attach financial statement) Automobiles owned (make and year)
$ $
Acct. no. 6011785239 Alimony/Child /Separate Maintenance Payments Owed to:
Other Assets (itemize)
$
Job-Related Expense (child care, union dues, etc.) $
25 /38
=>
Net Worth (a minus b)
438,232
$ $
856
Total Liabilities b.
267,844
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)
175 Thirteenth Street NW Washington, DC 20013
PS
Type of Property
950
$
Total Monthly Payments $
$
UNIVERSAL VISA
400,000
Vested interest in retirement fund
Total Assets a.
15,838
$ Payment/Months
Present Amount of Gross Market Value Mortgages & Liens Rental Income
Mortgage Payments
$
170,388
Insurance, Maintenance, Net Taxes & Misc. Rental Income
SFR
$
400,000 $
145,000
$
$
1,200 $
100 $
Totals
$
400,000 $
145,000
$
$
1,200 $
100 $
List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and number(s):
Alternate Name
Fannie Mae Form 1003 07/05 CALYX Form Loanapp3.frm 09/05
Creditor Name
Page 3 of 5
Number
Borrower Co-Borrower
Freddie Mac Form 65
07/05
VII. DETAILS OF TRANSACTION a. Purchase price
$
VIII. DECLARATIONS 134,000.00
b. Alterations, improvements, repairs
If you answer "Yes" to any questions a through i, please use continuation sheet for explanation.
Borrower Co-Borrower
0.00 a. Are there any outstanding judgments against you? 0.00 b. Have you been declared bankrupt within the past 7 years?
c. Land (if acquired separately) d. Refinance (incl. debts to be paid off)
Yes No
Yes No
PR
PR
SP
SP
c. Have you had property foreclosed upon or given title or deed in lieu thereof
e. Estimated prepaid items
in the last 7 years?
0.00
f. Estimated closing costs
1,000.00 d. Are you a party to a lawsuit?
g. PMI, MIP, Funding Fee
0.00 e. Have you directly or indirectly been obligated on any loan which resulted in
h. Discount (if Borrower will pay)
0.00
i. Total costs (add items a through h)
135,000.00
j. Subordinate financing
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.)
0.00 f. Are you presently delinquent or in default on any Federal debt or any other
k. Borrower's closing costs paid by Seller
loan, mortgage, financial obligation, bond, or loan guarantee?
l. Other Credits (explain)
CASH DEPOSIT ON SALES CONTRACT
1,000.00
If "Yes," give details as described in the preceding question.
g. Are you obligated to pay alimony, child , 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?
m. Loan amount (exclude PMI, MIP, Funding Fee financed)
If "Yes," complete question m below.
n. PMI, MIP, Funding Fee financed
124,000.00 m. Have you had an ownership interest in a property in the last three years? 0.00 (1) What type of property did you own-principal residence (PR),
o. Loan amount (add m & n)
124,000.00
p. Cash from/to Borrower (subtract j, k, l & o from i)
second home (SH), or investment property (IP)? (2) How did you hold title to the home-solely by yourself (S),
10,000.00
tly with your spouse (SP), or tly with another person (O)?
IX. ACKNOWLEDGEMENT 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 in this application; (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 in this application; (6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application, whether or not the loan is 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 Lender, its servicers, successors, or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and information to one or more consumer credit reporting agencies; (9) ownership of the Loan and/or istration of the Loan 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 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. Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may or re any information contained in this application or obtain any information or data relating to the Loan, for any legitimate purpose through any source, including a source named in this application or a consumer reporting agency.
Right to Receive Copy of Appraisal I/We have the right to a copy of the appraisal report used in connection with this application for credit. To obtain a copy, I/we must send Lender a written request at the mailing address Lender has provided. Lender must hear from me/us no later than 90 days after Lender notifies me/us about the action taken on this application, or I/we withdraw this application.
Borrower's Signature
Date
Co-Borrower's Signature
X
Date
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 not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.) BORROWER
I do not wish to furnish this information
CO-BORROWER
I do not wish to furnish this information
Ethnicity:
Hispanic or Latino
Not Hispanic or Latino
Ethnicity:
Hispanic or Latino
Not Hispanic or Latino
American Indian or Alaska Native
Asian
Race:
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
White
Native Hawaiian or Other Pacific Islander
White
Female
Male
Female
Male
Race:
Sex:
To be Completed by Interviewer This application was taken by: Face-to-face interview Mail Telephone Internet Fannie Mae Form 1003 07/05 CALYX Form Loanapp4.frm 07/07
Black or African American
Sex:
Interviewer's Name (print or type)
Black or African American
Name and Address of Interviewer's Employer
Larry Loantaker Interviewer's Signature
Date
Interviewer's Phone Number (incl. area code) Freddie Mac Form 65 Page 4 of 5
07/05
TAX FORM 1098 INFORMATION Recipient's/Lender's name, address, and telephone number
Recipient's Federal ID: Payer's/Borrower's name:
Payer's SSN: 300-40-5000 John Jacop Homeowner, III
Payer's/Borrower's address: 5510 Clifford Blvd Frederick, MD 21705
number:
1. Mortgage interest received from payer(s)/borrower(s): 2. Points paid on purchase of principal residence: 3. Refund of overpaid interest: 4.
GOOD FAITH ESTIMATE Applicants: Property Addr: Prepared By:
John Jacop Homeowner, III / Mary Homeowner 5510 Clifford Blvd, Frederick, MD 21705
Application No: Date Prepared: Loan Program:
WctSdkArmLoanCredit 10/16/2006 5-1 IO ARM
The information provided below reflects estimates of the charges which you are likely to incur at the settlement of your loan. The fees listed are estimates-actual charges may be more or less. Your transaction may not involve a fee for every item listed. The numbers listed beside the estimates generally correspond to the numbered lines contained in the HUD-1 settlement statement which you will be receiving at settlement. The HUD-1 settlement statement will show you the actual cost for items paid at settlement. Total Loan Amount $
77,600
Interest Rate:
8.000 %
Term:
360 / 60 mths PFC S F POC
800 801 802 803 804 805 808 809 810 811 812
ITEMS PAYABLE IN CONNECTION WITH LOAN: Loan Origination Fee Loan Discount Appraisal Fee Credit Report Lender's Inspection Fee Mortgage Broker Fee Tax Related Service Fee Processing Fee Underwriting Fee Wire Transfer Fee
1100 1101 1105 1106 1107 1108
TITLE CHARGES: Closing or Escrow Fee: Document Preparation Fee Notary Fees Attorney Fees Title Insurance:
1200 1201 1202 1203
GOVERNMENT RECORDING & TRANSFER CHARGES: Recording Fees: City/County Tax/Stamps: State Tax/Stamps:
1300 1302
ADDITIONAL SETTLEMENT CHARGES: Pest Inspection
900 901 902 903 904 905
ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE: 17.2444 Interest for days @ $ Mortgage Insurance Hazard Insurance VA Funding Fee
1000 1001 1002 1003 1004 1005
RESERVES DEPOSITED WITH LENDER: Hazard Insurance Mortgage Ins. Reserves School Tax Taxes and Assessment Reserves Flood Insurance Reserves
$
PFC S F POC $
PFC S F POC $
PFC S F POC $
Estimated Closing Costs
PFC S F POC per day
$
PFC S F POC months @ $ months @ $ months @ $ months @ $ months @ $ months @ $ months @ $
75.00 per month 85.00 per month
$
per month
225.00 per month per month per month per month Estimated Prepaid Items/Reserves
TOTAL ESTIMATED SETTLEMENT CHARGES COMPENSATION TO BROKER (Not Paid Out of Loan Proceeds): $ TOTAL ESTIMATED FUNDS NEEDED TO CLOSE: Purchase Price/Payoff (+) 80,000.00 77,600.00 Loan Amount (-) 0.00 Est. Closing Costs (+) Est. Prepaid Items/Reserves (+) 0.00 Amount Paid by Seller (-)
TOTAL ESTIMATED MONTHLY PAYMENT: Principal & Interest 517.33 Other Financing (P & I) Hazard Insurance 75.00 Real Estate Taxes 225.00 Mortgage Insurance 85.00 Homeowner Assn. Dues Other
New First Mortgage(-) Sub Financing(-) New 2nd Mtg Closing Costs(+)
Total Est. Funds needed to close
2,400.00
Total Monthly Payment
902.33
This Good Faith Estimate is being provided by , a mortgage broker, and no lender has been obtained. These estimates are provided pursuant to the Real Estate Settlement Procedures Act of 1974, as amended (RESPA). Additional information can be found in the HUD Special Information Booklet, which is to be provided to you by your mortgage broker or lender, if your application is to purchase residential real property and the lender will take a first lien on the property. The undersigned acknowledges receipt of the booklet "Settlement Costs," and if applicable the Consumer Handbook on ARM Mortgages.
Applicant
John Jacop Homeowner, III
Calyx Form gfe.frm 11/01
Date
Applicant
Mary Homeowner
Date
GIFT LETTER Applicant(s):
I,
Loan Number: WctSdkArmLoanCredit
John Jacop Homeowner, III Mary Homeowner 5510 Clifford Blvd Frederick, MD 21705
, do hereby certify the following:
(Donor)
(1) I have made a gift of $ Whose relationship is:
to
(Amount)
(Recipient)
(Relationship)
(2) This gift is to be applied toward the purchase of the property located at: 5510 Clifford Blvd Frederick, MD 21705 (Property Address)
(3) No repayment of the gift is expected or implied in the form of cash or by future services of the recipient. (4) The funds given to the homebuyer were not made available to the donor from any person or entity with an interest in the sale of the property including the seller, real estate agent or broker, builder, loan officer, or any entity associated with them. (5) The source of this gift is:
Donor Signature
(Source)
Date
Donor Name (Print or Type)
Borrower Signature
John Jacop Homeowner, III
Borrower Signature
Mary Homeowner
Donor Address ( ) Donor Phone Number
WARNING: Our signatures above indicate that we fully understand that it is a Federal Crime punishable by fine, imprisonment, or both to knowingly make any false statement concerning any of the above facts as applicable under the provision of Title 18, United States Code, Section 1012 and 1014.
Attachments: 1. Evidence of Donor's Ability to Provide Funds. 2. Evidence of Receipt of Transfer of Funds.
Calyx Form - giftlttr.frm (05/02)
Page 1 of 1
http://www.tax.state.nm.us/mvd/CDL.jpg
12/5/2007
Borrower
Co-Borrower
I. TYPE OF MORTGAGE AND OF LOAN Mortgage Applied for:
Amount $
VA FHA
124,000
Agency Case Number Conventional Other (explain): USDA/Rural Housing Service Amortization Type: Interest Rate No. of Months Fixed Rate 8.500 % 180/180 GPM
Lender Case Number
TC008.fnm Other (explain): ARM (type):
II. PROPERTY INFORMATION AND PURPOSE OF LOAN Subject Property Address (street, city, state, & ZIP)
No. of Units
8 Ash Street, Fairfax, VA 22033
1
County: Fairfax
Legal Description of Subject Property (attach description if necessary)
Purpose of Loan
Purchase Refinance
Construction Construction-Permanent
Year Built
Property will be: Primary Residence
Other (explain):
Complete this line if construction or construction-permanent loan. Year Lot Original Cost Amount Existing Liens (a) Present Value of Lot Acquired $ $ $ Complete this line if this is a refinance loan. Year Original Cost Amount Existing Liens Acquired $ Title will be held in what Name(s)
(b) Cost of Improvements
Total (a+b)
$
$ Describe Improvements
Purpose of Refinance
$
Secondary Residence
Investment
made
Cost: $ Manner in which Title will be held
to be made
Estate will be held in: Fee Simple Leasehold(show expiration date)
Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain)
Equity from Pending Sale 175 Thirteenth Street Borrower
III. BORROWER INFORMATION
Co-Borrower
Borrower's Name (include Jr. or Sr. if applicable)
Co-Borrower's Name (include Jr. or Sr. if applicable)
John Harmon Homeowner, II
Mary Faith Homeowner
Social Security Number Home Phone (incl. area code) DOB (mm/dd/yyyy) Yrs. School Social Security Number Home Phone (incl. area code) DOB (mm/dd/yyyy) Yrs. School
300-40-5000
202-555-1210
02/14/1970
Married (includes ed domestic partners)
24
500-22-2000
Dependents (not listed by
Co-Borrower)
202-555-1210
09/21/1975
Married (includes ed domestic partners)
Borrower)
Unmarried (includes single, divorced, widowed)
No.
Unmarried (includes single, divorced, widowed)
No.
Separated
Ages
Separated
Ages
Present Address (street, city, state, ZIP)
Own
Rent
175 Thirteenth Street NW
3
No. Yrs. Present Address (street, city, state, ZIP)
Own
Washington, DC 20013
Washington, DC 20013 Mailing Address, if different from Present Address
Post Office Box 10 Farragut St
Post Office Box 15 Farragut St
Washington, DC 20013-1234
Washington, DC 20013-1234
If residing at present address for less than two years, complete the following: Former Address (street, city, state, ZIP) Own Rent 3.42 No. Yrs. Former Address (street, city, state, ZIP)
4540 Talmadge
3
No. Yrs.
Own
Rent
3.42 No. Yrs.
Own
Rent
No. Yrs.
4540 Talmadge
Annandale, VA 22091-1234
Fannie Mae Form 1003 07/05 CALYX Form Loanapp1.frm 09/05
Rent
175 Thirteenth Street NW
Mailing Address, if different from Present Address
Former Address (street, city, state, ZIP)
21
Dependents (not listed by
Annandale, VA 22091-1234 Own
Rent
No. Yrs. Former Address (street, city, state, ZIP)
Page 1 of 5
Borrower Co-Borrower
Freddie Mac Form 65
07/05
Borrower Name & Address of Employer Self Employed
IV. EMPLOYMENT INFORMATION Yrs. on this job Name & Address of Employer
NIH 8050 Wisconsin Avenue Bethesda, MD 20730
3 yr(s) 0 mth(s)
Co-Borrower Self Employed
Columbia Hospital Yrs. employed in this 3514 M Street line of work/profession Washington, DC 20010 8
Yrs. on this job
3 yr(s) 0 mth(s) Yrs. employed in this line of work/profession
9
Position/Title/Type of Business
Business Phone (incl. area code)
Position/Title/Type of Business
Business Phone (incl. area code)
Physician
301-555-1000
Specialist
202-555-3434
If employed in current position for less than two years or if currently employed in more than one position, complete the following: Name & Address of Employer
Self Employed
Dates (from-to)
Name & Address of Employer
Self Employed
Monthly Income $ Position/Title/Type of Business
Name & Address of Employer
Monthly Income $
Business Phone (incl. area code)
Self Employed
Position/Title/Type of Business
Business Phone (incl. area code)
Name & Address of Employer
Dates (from-to)
Self Employed
Monthly Income $ Position/Title/Type of Business
Name & Address of Employer
Position/Title/Type of Business
Business Phone (incl. area code)
Name & Address of Employer
Dates (from-to)
Self Employed
Name & Address of Employer
Business Phone (incl. area code)
Self Employed
Position/Title/Type of Business
Business Phone (incl. area code)
Name & Address of Employer
Dates (from-to)
Self Employed
Monthly Income $ Position/Title/Type of Business
Dates (from-to)
Monthly Income $
Monthly Income $ Position/Title/Type of Business
Dates (from-to)
Monthly Income $
Business Phone (incl. area code)
Self Employed
Dates (from-to)
Dates (from-to)
Monthly Income $
Business Phone (incl. area code)
Position/Title/Type of Business
Business Phone (incl. area code)
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION Gross Monthly Income Base Empl. Income*
Borrower $
7,300.00
Co-Borrower $
Overtime
3,000.00
Total $
10,300.00 1,000.00
1,000.00
Combined Monthly Housing Expense Rent
Present
Proposed
$
First Mortgage (P&I)
1,200.00
$
1,221.08
Bonuses
Other Financing (P&I)
Commissions
Hazard Insurance
20.00
15.00
Dividends/Interest
Real Estate Taxes
80.00
100.00
Net Rental Income
Mortgage Insurance
15.00
Other (before completing,
Homeowner Assn. Dues
see the notice in "describe other income," below)
Other:
75.00 11.00
Total *
$
7,300.00
$
4,000.00
$
11,300.00
Total
100.00
$
1,300.00
$
1,537.08
Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
Describe Other Income
Notice: Alimony, child , 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 $
Fannie Mae Form 1003 07/05 CALYX Form Loanapp2.frm 09/05
Page 2 of 5
Borrower Co-Borrower
Freddie Mac Form 65
07/05
VI. ASSETS AND LIABILITIES This Statement and any applicable ing schedules may be completed tly by both married and unmarried Co-borrowers if their assets and liabilities are sufficiently ed 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 non-applicant spouse or other person, this Statement and ing schedules must be completed by that spouse or other person also. Completed tly Not tly
ASSETS Description Cash deposit toward purchase held by:
Cash or Market Value
Liabilities and Pledged Assets. List the creditor's name, address and number for all outstanding debts, including automobile loans, revolving charge s, real estate loans, alimony, child , 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 Payment & Months Left to Pay $ Payment/Months
LIABILITIES List checking and savings s below
Name and address of Company
Name and address of Bank, S&L, or Credit Union
Best Buy PO Box 356 Tampa, FL 63782
Crestar Bank 342 Harvey Street Baltimore, MD 37485 Acct. no. 39845 $ Name and address of Bank, S&L, or Credit Union
$ Payment/Months
257 /20
Acct. no. 58652333 Name and address of Company
30,000
$
Stocks & Bonds (Company name/number description)
$
5,000
$ Payment/Months
$
SALLIE MAE
Acct. no. 950254520 Name and address of Company Acct. no.
145,000 $
CHASE
Crestar Bank 7593 Harold Square Washington, DC 85930 Acct. no. 743682 $ Name and address of Bank, S&L, or Credit Union
$
* (1,200) /121
Acct. no. Name and address of Company
5,000
Unpaid Balance
49 /51
2,500
$ Payment/Months
$
SALLIE MAE
Fidelity
3,232
Acct. no. 950752340 Name and address of Company
25 /45
1,100
$ Payment/Months
$
TOYOTA CREDIT Life insurance net cash value
$
Face amount: $ Subtotal Liquid Assets
$
38,232
Real estate owned (enter market value $ from schedule of real estate owned)
500 /32
Acct. no. 3210989098 Name and address of Company
$
Net worth of business(es) owned (attach financial statement) Automobiles owned (make and year)
$ $
Acct. no. 6011785239 Alimony/Child /Separate Maintenance Payments Owed to:
Other Assets (itemize)
$
Job-Related Expense (child care, union dues, etc.) $
25 /38
=>
Net Worth (a minus b)
438,232
$ $
856
Total Liabilities b.
267,844
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)
175 Thirteenth Street NW Washington, DC 20013
PS
Type of Property
950
$
Total Monthly Payments $
$
UNIVERSAL VISA
400,000
Vested interest in retirement fund
Total Assets a.
15,838
$ Payment/Months
Present Amount of Gross Market Value Mortgages & Liens Rental Income
Mortgage Payments
$
170,388
Insurance, Maintenance, Net Taxes & Misc. Rental Income
SFR
$
400,000 $
145,000
$
$
1,200 $
100 $
Totals
$
400,000 $
145,000
$
$
1,200 $
100 $
List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and number(s):
Alternate Name
Fannie Mae Form 1003 07/05 CALYX Form Loanapp3.frm 09/05
Creditor Name
Page 3 of 5
Number
Borrower Co-Borrower
Freddie Mac Form 65
07/05
VII. DETAILS OF TRANSACTION a. Purchase price
$
VIII. DECLARATIONS 134,000.00
b. Alterations, improvements, repairs
If you answer "Yes" to any questions a through i, please use continuation sheet for explanation.
Borrower Co-Borrower
0.00 a. Are there any outstanding judgments against you? 0.00 b. Have you been declared bankrupt within the past 7 years?
c. Land (if acquired separately) d. Refinance (incl. debts to be paid off)
Yes No
Yes No
PR
PR
SP
SP
c. Have you had property foreclosed upon or given title or deed in lieu thereof
e. Estimated prepaid items
in the last 7 years?
0.00
f. Estimated closing costs
1,000.00 d. Are you a party to a lawsuit?
g. PMI, MIP, Funding Fee
0.00 e. Have you directly or indirectly been obligated on any loan which resulted in
h. Discount (if Borrower will pay)
0.00
i. Total costs (add items a through h)
135,000.00
j. Subordinate financing
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.)
0.00 f. Are you presently delinquent or in default on any Federal debt or any other
k. Borrower's closing costs paid by Seller
loan, mortgage, financial obligation, bond, or loan guarantee?
l. Other Credits (explain)
CASH DEPOSIT ON SALES CONTRACT
1,000.00
If "Yes," give details as described in the preceding question.
g. Are you obligated to pay alimony, child , 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?
m. Loan amount (exclude PMI, MIP, Funding Fee financed)
If "Yes," complete question m below.
n. PMI, MIP, Funding Fee financed
124,000.00 m. Have you had an ownership interest in a property in the last three years? 0.00 (1) What type of property did you own-principal residence (PR),
o. Loan amount (add m & n)
124,000.00
p. Cash from/to Borrower (subtract j, k, l & o from i)
second home (SH), or investment property (IP)? (2) How did you hold title to the home-solely by yourself (S),
10,000.00
tly with your spouse (SP), or tly with another person (O)?
IX. ACKNOWLEDGEMENT 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 in this application; (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 in this application; (6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application, whether or not the loan is 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 Lender, its servicers, successors, or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and information to one or more consumer credit reporting agencies; (9) ownership of the Loan and/or istration of the Loan 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 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. Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may or re any information contained in this application or obtain any information or data relating to the Loan, for any legitimate purpose through any source, including a source named in this application or a consumer reporting agency.
Right to Receive Copy of Appraisal I/We have the right to a copy of the appraisal report used in connection with this application for credit. To obtain a copy, I/we must send Lender a written request at the mailing address Lender has provided. Lender must hear from me/us no later than 90 days after Lender notifies me/us about the action taken on this application, or I/we withdraw this application.
Borrower's Signature
Date
Co-Borrower's Signature
X
Date
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 not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.) BORROWER
I do not wish to furnish this information
CO-BORROWER
I do not wish to furnish this information
Ethnicity:
Hispanic or Latino
Not Hispanic or Latino
Ethnicity:
Hispanic or Latino
Not Hispanic or Latino
American Indian or Alaska Native
Asian
Race:
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
White
Native Hawaiian or Other Pacific Islander
White
Female
Male
Female
Male
Race:
Sex:
To be Completed by Interviewer This application was taken by: Face-to-face interview Mail Telephone Internet Fannie Mae Form 1003 07/05 CALYX Form Loanapp4.frm 07/07
Black or African American
Sex:
Interviewer's Name (print or type)
Black or African American
Name and Address of Interviewer's Employer
Larry Loantaker Interviewer's Signature
Date
Interviewer's Phone Number (incl. area code) Freddie Mac Form 65 Page 4 of 5
07/05
TAX FORM 1098 INFORMATION Recipient's/Lender's name, address, and telephone number
Recipient's Federal ID: Payer's/Borrower's name:
Payer's SSN: 300-40-5000 John Jacop Homeowner, III
Payer's/Borrower's address: 5510 Clifford Blvd Frederick, MD 21705
number:
1. Mortgage interest received from payer(s)/borrower(s): 2. Points paid on purchase of principal residence: 3. Refund of overpaid interest: 4.
GOOD FAITH ESTIMATE Applicants: Property Addr: Prepared By:
John Jacop Homeowner, III / Mary Homeowner 5510 Clifford Blvd, Frederick, MD 21705
Application No: Date Prepared: Loan Program:
WctSdkArmLoanCredit 10/16/2006 5-1 IO ARM
The information provided below reflects estimates of the charges which you are likely to incur at the settlement of your loan. The fees listed are estimates-actual charges may be more or less. Your transaction may not involve a fee for every item listed. The numbers listed beside the estimates generally correspond to the numbered lines contained in the HUD-1 settlement statement which you will be receiving at settlement. The HUD-1 settlement statement will show you the actual cost for items paid at settlement. Total Loan Amount $
77,600
Interest Rate:
8.000 %
Term:
360 / 60 mths PFC S F POC
800 801 802 803 804 805 808 809 810 811 812
ITEMS PAYABLE IN CONNECTION WITH LOAN: Loan Origination Fee Loan Discount Appraisal Fee Credit Report Lender's Inspection Fee Mortgage Broker Fee Tax Related Service Fee Processing Fee Underwriting Fee Wire Transfer Fee
1100 1101 1105 1106 1107 1108
TITLE CHARGES: Closing or Escrow Fee: Document Preparation Fee Notary Fees Attorney Fees Title Insurance:
1200 1201 1202 1203
GOVERNMENT RECORDING & TRANSFER CHARGES: Recording Fees: City/County Tax/Stamps: State Tax/Stamps:
1300 1302
ADDITIONAL SETTLEMENT CHARGES: Pest Inspection
900 901 902 903 904 905
ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE: 17.2444 Interest for days @ $ Mortgage Insurance Hazard Insurance VA Funding Fee
1000 1001 1002 1003 1004 1005
RESERVES DEPOSITED WITH LENDER: Hazard Insurance Mortgage Ins. Reserves School Tax Taxes and Assessment Reserves Flood Insurance Reserves
$
PFC S F POC $
PFC S F POC $
PFC S F POC $
Estimated Closing Costs
PFC S F POC per day
$
PFC S F POC months @ $ months @ $ months @ $ months @ $ months @ $ months @ $ months @ $
75.00 per month 85.00 per month
$
per month
225.00 per month per month per month per month Estimated Prepaid Items/Reserves
TOTAL ESTIMATED SETTLEMENT CHARGES COMPENSATION TO BROKER (Not Paid Out of Loan Proceeds): $ TOTAL ESTIMATED FUNDS NEEDED TO CLOSE: Purchase Price/Payoff (+) 80,000.00 77,600.00 Loan Amount (-) 0.00 Est. Closing Costs (+) Est. Prepaid Items/Reserves (+) 0.00 Amount Paid by Seller (-)
TOTAL ESTIMATED MONTHLY PAYMENT: Principal & Interest 517.33 Other Financing (P & I) Hazard Insurance 75.00 Real Estate Taxes 225.00 Mortgage Insurance 85.00 Homeowner Assn. Dues Other
New First Mortgage(-) Sub Financing(-) New 2nd Mtg Closing Costs(+)
Total Est. Funds needed to close
2,400.00
Total Monthly Payment
902.33
This Good Faith Estimate is being provided by , a mortgage broker, and no lender has been obtained. These estimates are provided pursuant to the Real Estate Settlement Procedures Act of 1974, as amended (RESPA). Additional information can be found in the HUD Special Information Booklet, which is to be provided to you by your mortgage broker or lender, if your application is to purchase residential real property and the lender will take a first lien on the property. The undersigned acknowledges receipt of the booklet "Settlement Costs," and if applicable the Consumer Handbook on ARM Mortgages.
Applicant
John Jacop Homeowner, III
Calyx Form gfe.frm 11/01
Date
Applicant
Mary Homeowner
Date
GIFT LETTER Applicant(s):
I,
Loan Number: WctSdkArmLoanCredit
John Jacop Homeowner, III Mary Homeowner 5510 Clifford Blvd Frederick, MD 21705
, do hereby certify the following:
(Donor)
(1) I have made a gift of $ Whose relationship is:
to
(Amount)
(Recipient)
(Relationship)
(2) This gift is to be applied toward the purchase of the property located at: 5510 Clifford Blvd Frederick, MD 21705 (Property Address)
(3) No repayment of the gift is expected or implied in the form of cash or by future services of the recipient. (4) The funds given to the homebuyer were not made available to the donor from any person or entity with an interest in the sale of the property including the seller, real estate agent or broker, builder, loan officer, or any entity associated with them. (5) The source of this gift is:
Donor Signature
(Source)
Date
Donor Name (Print or Type)
Borrower Signature
John Jacop Homeowner, III
Borrower Signature
Mary Homeowner
Donor Address ( ) Donor Phone Number
WARNING: Our signatures above indicate that we fully understand that it is a Federal Crime punishable by fine, imprisonment, or both to knowingly make any false statement concerning any of the above facts as applicable under the provision of Title 18, United States Code, Section 1012 and 1014.
Attachments: 1. Evidence of Donor's Ability to Provide Funds. 2. Evidence of Receipt of Transfer of Funds.
Calyx Form - giftlttr.frm (05/02)
Page 1 of 1
http://www.tax.state.nm.us/mvd/CDL.jpg
12/5/2007
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