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UNIFORM RESIDENTIAL LOAN APPLICATION

Fannie Mae Form 1003 07/05 (rev.6/09)

Keystone Home Loan

WE SHOP, YOU SAVE

(818) 880-1466 | support@keystonehomeloan.com | Calabasas, CA

I. TYPE OF MORTGAGE AND TERMS OF LOAN

II. PROPERTY INFORMATION AND PURPOSE OF LOAN

Street

No. of Units

City

State

ZIP

Year lot acquired:

Original Cost: $

Amount existing liens: $

Present value of lot: $

Cost of improvements: $

III. BORROWER INFORMATION

Borrower

Former Address (street, city, state, ZIP)

Co-Borrower

Former Address (street, city, state, ZIP)

IV. EMPLOYMENT INFORMATION

Borrower

Name & Address of Employer ☐ Self Employed

If employed in current position for less than two years or if currently employed in more than one position, complete the following:

Co-Borrower

Name & Address of Employer ☐ Self Employed

If employed in current position for less than two years or if currently employed in more than one position, complete the following:

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Gross Monthly IncomeBorrowerCo-BorrowerTotalCombined Monthly Housing ExpensePresentProposed
Base Empl. Income*Rent
OvertimeFirst Mortgage (P&I)
BonusesOther Financing (P&I)
CommissionsHazard Insurance
Dividends/InterestReal Estate Taxes
Net Rental IncomeMortgage Insurance
OtherHomeowner Assn. Dues
TotalOther
Total

*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

VI. ASSETS AND LIABILITIES

This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules are required.

ASSETS

Cash deposit toward purchase held by:

$

Checking and savings accounts (Name and address of Bank, S&L, or Credit Union)

$
$
$
$

Stocks & Bonds (Company name/number & description)

$
$
$

Life insurance net cash value

Face amount: $

$

Subtotal Liquid Assets

$

Real estate owned (enter market value from schedule of real estate owned)

$

Vested interest in retirement fund

$

Net worth of business(es) owned (attach financial statement)

$

Automobiles owned (make and year)

$
$

Other Assets (itemize)

$
$

Total Assets

$

LIABILITIES AND PLEDGED ASSETS

Creditor NameMonthly Payment & Months Left to PayUnpaid Balance

Job-Related Expense (child care, union dues, etc.)

$

Total Monthly Payments

$

Net Worth (a minus b)

$

Total Liabilities

$

VII. DETAILS OF TRANSACTION

a. Purchase price$
b. Alterations, improvements, repairs$
c. Land (if acquired separately)$
d. Refinance (incl. debts to be paid off)$
e. Estimated prepaid items$
f. Estimated closing costs$
g. PMI, MIP, Funding Fee$
h. Discount (if Borrower will pay)$
i. Total costs (add items a through h)$
j. Subordinate financing$
k. Borrower's closing costs paid by Seller$
l. Other Credits (explain)$
m. Loan amount (exclude PMI, MIP, Funding Fee financed)$
n. PMI, MIP, Funding Fee financed$
o. Loan amount (add m & n)$
p. Cash from/to Borrower (subtract j, k, l & o from i)$

VIII. DECLARATIONS

If you answer "Yes" to any questions a through i, please use continuation sheet for explanation.

Borrower

YesNoa. Are there any outstanding judgments against you?
YesNob. Have you been declared bankrupt within the past 7 years?
YesNoc. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
YesNod. Are you a party to a lawsuit?
YesNoe. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?
YesNof. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
YesNog. Are you obligated to pay alimony, child support, or separate maintenance?
YesNoh. Is any part of the down payment borrowed?
YesNoi. Are you a co-maker or endorser on a note?
YesNoj. Are you a U.S. citizen?
YesNok. Are you a permanent resident alien?
YesNol. Do you intend to occupy the property as your primary residence?

Co-Borrower

YesNoa. Are there any outstanding judgments against you?
YesNob. Have you been declared bankrupt within the past 7 years?
YesNoc. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
YesNod. Are you a party to a lawsuit?
YesNoe. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?
YesNof. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
YesNog. Are you obligated to pay alimony, child support, or separate maintenance?
YesNoh. Is any part of the down payment borrowed?
YesNoi. Are you a co-maker or endorser on a note?
YesNoj. Are you a U.S. citizen?
YesNok. Are you a permanent resident alien?
YesNol. Do you intend to occupy the property as your primary residence?

IX. ACKNOWLEDGMENT AND AGREEMENT

Each of the undersigned specifically represents to Lender and to Lender's designated agent, broker, processor, attorney, insurer, servicer, successor and/or assignee and agrees that: (1) the information provided in this application is true and correct as of the date set forth opposite my signature and is provided to Lender for the purpose of obtaining the related mortgage financing; (2) the property will not be used for any illegal or prohibited purpose or use; (3) all statements made in this application are made for the purpose of obtaining a residential mortgage loan; (4) the property will be occupied as indicated herein; (5) the Lender, its servicer, successors or assigns may retain the original and/or an electronic record of this application, whether or not a loan is approved; (6) 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; (7) in the event that my payments on the loan become delinquent, the Lender, its servicer, successors or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (8) ownership of the loan and/or administration of the loan account may be transferred with such notice as may be required by law; (9) 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 (10) my transmission of this application as an "electronic record" containing my "electronic signature," as those terms 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.

Acknowledgment. Each of the undersigned hereby acknowledges that any owner of the loan, its servicers, successors and assigns, may verify or reverify any information contained in this application or obtain any information or data relating to the loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.

Borrower's Signature

Date

Co-Borrower's Signature

Date

Uniform Residential Loan Application Fannie Mae Form 1003 07/05 (rev. 6/09) - Page 4 of 4

For office use only: Application taken by: Date:

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