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NMLS# 303311

What is your first name?(legal name)

What is your middle initial?

What is your last name?(legal name)

Please Specify generation?

Are you applying for this loan with another borrower?

What is your first name?  (legal name)

What is your middle initial?

What is your last name? (legal name)

What is your daytime /Work phone?

What is your evening phone number?

What is your mobile number?

IMPORTANT: We will use this email address to update you on the status of your application.

What is your email address?

Please re-enter your email address

Please create a password

Please re-enter your password

Where did you hear about US Morgage Capital?

What is the purpose of this loan?

What state is the property located in?

What type of loan are you looking for?

Loan Type?

Why are you refinancing?

To improve my current interest rate. (no cash from closing)
To receive cash from closing.
To pay off a construction loan.
To consolodate my first and second mortgage.
Borrower's Details

Is this your current address?

What is your current address?

City

State

Zip

Do you rent or own this resident?

What is your monthly rent?

$

How long have you lived at this address?

  Year   Month

Social Security Number (xxx-xx-xxxx)

Date of Birth (mm-dd-yyyy)?

Marital Status?

Do you have any dependents?

Number of Dependents?

Age of Dependents?
(separate by commas)

Years of School completed?

Level of Education?

Borrower is Currently?

Have you ever filed bankruptcy?

What type of bankruptcy did you file?

How long your bankruptcy been discharged or dismissed?

Have you ever been in foreclosure?

How long ago did the foreclosure occur?

Are you currently in the military or have you received an honorable discharge?

Were you Regular Military, Reserves or National Guard?

Have you ever had or do you currently have a VA loan?

How many jobs have you held within the last 2 years?

Can you provide full documentation of income?

Borrower's Income Sources

What are the sources of income?

Primary Employment
 
Other Taxable income (2nd job etc.)
 
Retirement ,Pension or Social Security
 
Child support , Alimony or Separate maintenance
 
Interest income or divided income

Will be changing sources of income or employment prior to closing on the new home?

Employment base income?

$ 

Employment Bonus?

$ 

Is Borrower paid by hour?

Yes
No

Employment Comission?

$ 

Employment Overtime?

$ 

Does Borrower own 25% or more of the company?

Yes
No

Other income supported by tax returns or W-2 statements?

$ 

Please answer the following questions

Describe the other taxable income you receive

Income from retirement ,pension,IRA, or 410K accounts?

$ 

Income from social security, or disability?

$ 

Child support , Alimony or Separate maintenance?

$ 

Interest and/or dividend income?

$ 
Borrower's Income & Expenses

What are Borrower's approximate monthly debt. Payments,excluding housing?

$

What is you estimated credit score?(800 excellent .,680 Good ,660 or less than perfect )

Do you have cosigner available to cosign for the mortgage , if necessary?

Yes
No

Co-signer name

Co-signer relation to you?

Borrower & Co Borrower's Combined Asset Information

How much are you receiving as a gift for your down payment?

$

Name of Financial Institution

Account Type

Balance

Account Number

Do you own any real estate?

Do you intend to occupy this property for the next 12 months?

Yes
No

Are you converting your old primary residence to a rental property?

Yes
No

Are there any outstanding judgements against you?

Borrower

Yes
No

Have you been declared bankrupt within the past 7 years?

Borrower

Yes
No
 

Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

Borrower

Yes
No

Are you a party to a lawsuit?

Borrower

Yes
No

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?

Borrower

Yes
No

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?

Borrower

Yes
No

Are you obligated to pay alimony, child support, or separate maintenance?

Borrower

Yes
No

Is any part of the down payment borrowed?

Borrower

Yes
No

Are you a co-maker or endorser on a note?

Borrower

Yes
No

Are you a United States Citizen?

Borrower

Yes
No

Are you a permanent resident alien?

Borrower

Yes
No

Do you intend to occupy the property as your primary residence?

Borrower

Yes
No

Have Borrower owned a property (including your own home) in the last three years?

Yes
No

* What type of property did you own?

* How did you hold title to the home?

Have
owned a property (including your own home) in the last three years?

Yes
No

* What type of property did you own?

* How did you hold title to the home?

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 furnish this information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which lender is subject under applicable state law for the particular type of loan applied for.

Borrower

I do not wish to furnish this information

Ethnicity

Race

Sex

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 furnish this information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which lender is subject under applicable state law for the particular type of loan applied for.

I do not wish to furnish this information

Ethnicity

Race

Sex

Have you retained an attorney to represent you?

First Name

Last Name

Job Title

Email

Email Address 2

Business phone

Fax (Address 1)

Mobile Phone

Address1

Address2

City

State

Zip Code

Attorneys

Do you have a real estate agent who is representing you?

First Name

Last Name

Job Title

Email

Email Address 2

Business phone

Fax (Address 1)

Mobile Phone

Address1

Address2

City

State

Zip Code

Realtors

Do you have the listing/selling agent's contact information?

First Name

Last Name

Job Title

Email

Email Address 2

Business phone

Fax (Address 1)

Mobile Phone

Address1

Address2

City

State

Zip Code

Realtors

Do you have the seller's attorney's contact information?

First Name

Last Name

Job Title

Email

Email Address 2

Business phone

Fax (Address 1)

Mobile Phone

Address1

Address2

City

State

Zip Code

Attorneys

Is this a purchase of a new construction home? If so, do you have the Builders contact information?

First Name

Last Name

Job Title

Email

Email Address 2

Business phone

Fax (Address 1)

Mobile Phone

Address1

Address2

City

State

Zip Code

Builders

Have you selected a title company for this transaction?

First Name

Last Name

Job Title

Email

Email Address 2

Business phone

Fax (Address 1)

Mobile Phone

Address1

Address2

City

State

Zip Code

Title Companies

Have you selected an insurance agent or company to procure homeowners insurance for this home?

First Name

Last Name

Job Title

Email

Email Address 2

Business phone

Fax (Address 1)

Mobile Phone

Address1

Address2

City

State

Zip Code

Insurance Age

In some cases, we may be able to save you time by interacting directly with your CPA, would you like to provide their contact information?

First Name

Last Name

Job Title

Email

Email Address 2

Business phone

Fax (Address 1)

Mobile Phone

Address1

Address2

City

State

Zip Code

CPA

In some cases, we may be able to save you time by interacting directly with your Financial Planner, would you like to provide their contact information?

First Name

Last Name

Job Title

Email

Email Address 2

Business phone

Fax (Address 1)

Mobile Phone

Address1

Address2

City

State

Zip Code

Financial Planner

I hereby authorize USMC to obtain a credit report in connection with my mortgage application. Further, I agree to receive electronic documents. By checking this box, I understand that the lender will obtain a tri-merged credit report and that I am willing to sign all of my loan disclosures electronically.
I decline the ability to receive electronic documents and do not authorize USMC to obtain a credit report at this time. By declining, I acknowledge that the loan process may be prolonged by not choosing to receive electronic disclosures and by not allowing my credit to be verified. I would like to be contacted by phone prior to authorizing USMC to obtain a tri-merged credit report in connection with my loan application.
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