1003 Application

First Name

Last Name

Phone

Contact Preference

First Name

Last Name

Phone

Contact Preference

Privacy Act Notice

I accept the following statement:
This information is to be used by OFN Processing Services, LLC (Company NMLS 1819300) or its assignees in determining whether you qualify as a prospective mortgagor under its program. It will not be disclosed outside the agency except as required and permitted by law. You do not have to provide this information, but if you do not your application for approval as a prospective mortgagor or borrower may be delayed or rejected. The information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. seq. (if HUD/FHA); by 42 USC, Section 1452b (if HUD/CPD); and Title 42 USC, 1471 et. seq., or 7 USC, 1921 et. seq. (if USDA/FmHA). I hereby authorize OFN Processing Services, LLC (Company NMLS 1819300) to verify my past and present employment earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my mortgage loan application. I further authorize the Lender/Broker to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references. It is understood that a copy of this form will also serve as authorization. The information the Lender/Broker obtains is only to be used in the processing of my application for a mortgage loan.

E-Sign Disclosures and Consent

I accept the following statement:
Federal law requires you receive certain disclosures and information about the products, services or accounts you may receive or access in connection with your relationship with us ("Required Information"). With your consent we can deliver Required Information to you by a) displaying or delivering the Required Information electronically; and b) requesting that you print or download the Required Information and retain it for your records. This notice contains important information before you consent to electronic delivery of Required Information. Your consent also permits the general use of electronic records and electronic signatures in connection with the Required Information. After you have read this INK-it Disclosures and Consent, if you agree to receive Required Information from us electronically, and if you agree to the general use of electronic records and electronic signatures in connection with our relationship, please "SIGN" below. Statement of electronic disclosures: OFN Processing Services, LLC (Company NMLS 1819300) 1795 Northwest Highway Garland, TX 75041 If you consent to electronic disclosures, that consent applies to all Required Information we give you or receive from you in connection with our relationship and the associated notices, disclosures, and other documents. You agree to print out or download Required Information when we advise you to do so and keep it for your records. If you are unable to print or download any Required Information, you may call us and request paper copies. If you need to update your e-mail address or other contact information with us, you may do so by calling us and requesting necessary updates. Your consent does not mean that we must provide the Required Information electronically. We may at our option deliver Required Information on paper. We may also require that certain communications from you be delivered to us on paper at a specified address. Withdrawing Consent If you would like to withdraw your consent to receive future documents electronically and would prefer paper copies, please call us. If you withdraw your consent to receive documents electronically, the electronic service you are using will become unavailable to you, and your consent will not affect the validity or enforceability of prior electronic documents you received. I have read the information about the use of electronic records, disclosures, notices, and email, and consent to the use of electronic records for the delivery of Required Information in connection with our relationship. I will be able to view this information using my computer and software. I have an account with an internet service provider, and I am able to send e-mail and receive e-mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in place of written documents and handwritten signatures.

Property Address

Property City

Property State

Property Zip

What is the purpose of this loan?

What will you use this property for?

What is the Purchase Price?

First Name of Lender/Seller

Last Name of Lender/Seller

Lender/Seller Phone Number

Lender/Seller Email

Is there a Co-Borrower?

My / Our Credit is...

Date of Birth

Marital Status

Do you have any dependents?

Current Address

Current City

Current State

Current Zip

Do you own or rent your current place?

How many years have you been at this place?

What is your current monthly mortgage or rent payment?

Please list out any other addresses you resided at over the past 2 years.

Name of Employer

What does this business do?

Employer Phone Number

Employer Address

Employer City

Employer State

Employer Zip

Are you self employed?

What is your position title?

How many years have you been at this job?

How many years have you been in this line of work?

What is your gross monthly income?

Do you have income from other sources?

What is your gross monthly income from these sources?

Please provide a description of any assets you may have.

Please provide a description of any liabilities you may have.

1. Are there any outstanding judgements against you?

Yes No

If you answered yes to question 1, please explain.

2. Have you been declared bankrupt within the past 7 years?

Yes No

If you answered yes to question 2, please explain.

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

Yes No

If you answered yes to question 3, please explain.

4. Are you a party to a lawsuit?

Yes No

If you answered yes to question 4, please explain.

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

Yes No

If you answered yes to question 5, please explain.

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

Yes No

If you answered yes to question 6, please explain.

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

Yes No

If you answered yes to question 7, please explain.

8. Is any part of the down payment borrowed?

Yes No

If you answered yes to question 8, please explain.

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

Yes No

If you answered yes to question 9, please explain.

10. Are you a U.S. Citizen?

Yes No

11. Are you a permanent resident alien?

Yes No

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

Yes No

13. Have you had an ownership interest in a property in the last three years?

Yes No

What is your ethnicity?

What is your race?

What is your sex?

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1795 NW Highway Garland, TX 75041

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