Residential Mortgage Application

Step 1 of 5 - Financing Request

20%

Requested Loan Amount*

Loan Program Documentation*

Purpose of Loan

Mortgage Applied For

Purchase Price*

Property Type

Property Will Be

Source of Down Payment

Real Estate Owned

Title will be held in what names*

Housing Expenses Monthly

Rent, Mortgage, Car payment etc

Total Assets Approx

Down payment, Closing Costs

Subject Property Address

Street Address Address Line 2 City State ZIP Code

Schedule of Real Estate Owned

Full Address

Type of Property

Property Value

Amount Owed

Gross Rental Income

Mortgage Payment

Applicant Information:

Borrower Present Address

Street Address Address Line 2 City State ZIP Code

Borrower Name*

Home Phone:

Cell Phone:*

Date of Birth:*

MM slash DD slash YYYY

SSN:*

Email:*

Marital Status

Rent or Own

Any Additional Borrowers?

Additional Owner Details

Borrower 2 Address

Street Address Address Line 2 City State ZIP Code

Full Legal Name Borrower# 2:

Home Phone Borrower 2:

Cell Phone Borrower 2:

Date of Birth Borrower 2:

MM slash DD slash YYYY

SSN Borrower 2:

Email Borrower 2:

Marital Status Borrower 2

Rent or Own

Employment Information:

Employer Address

Street Address Address Line 2 City State ZIP Code

Employer Name

Business Phone*

Position/Title/Type of work:

Yrs. On Job:

Monthly Income

Self Employed?

Yes

Hidden

Monthly totals

Business Debt Schedule

Lender

Original Date

Original Amount

Present Balance

Interest Rate

Maturity Date

Employer Address Borrower 2

Street Address Address Line 2 City State ZIP Code

Employer Name Borrower 2

Business Phone Borrower 2

Position/Title/Type of work Borrower 2:

Yrs. On Job Borrower 2:

Monthly Income Borrower 2

Self Employed Borrower 2?

Yes

Business Debt Schedule Borrower 2

Lender

Original Date

Original Amount

Present Balance

Interest Rate

Maturity Date

VIII. Declarations

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

a. Are there any outstanding judgments against you Borrower 1

Yes

b. Have you been declared bankrupt within the past 7 years Borrower 1?

Yes

c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years Borrower 1?

Yes

d. Are you a party to a lawsuit Borrower 1?

Yes

e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement Borrower 1?

(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.)

Yes

f. Are you presently delinquent or default on any Federal debt Borrower 1?

Yes

g. Are you obligated to pay alimony, child support, or separate maintenance Borrower 1?

Yes

h. Is any part of the down payment borrowed Borrower 1?

Yes

i. Are you a co-maker or endorser on a note Borrower 1?

Yes

j. Are you a US citizen Borrower 1?*

Yes

k. Are you a permanent resident alien Borrower 1?*

Yes

l. Do you intend to occupy the property as your primary residence Borrower 1?*

Yes

VIII. Declarations Borrower #2

a. Are there any outstanding judgments against you Borrower 2

Yes

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

Yes

c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years Borrower 2?

Yes

d. Are you a party to a lawsuit Borrower 2?

Yes

e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement Borrower 2?

Yes

f. Are you presently delinquent or default on any Federal debt Borrower 2?

Yes

g. Are you obligated to pay alimony, child support, or separate maintenance Borrower 2?

Yes

h. Is any part of the down payment borrowed Borrower 2?

Yes

i. Are you a co-maker or endorser on a note Borrower 2?

Yes

j. Are you a US citizen Borrower 2?

Yes

k. Are you a permanent resident alien Borrower 2?

Yes

l. Do you intend to occupy the property as your primary residence Borrower 2?

Yes

Date Owner 1:*

MM slash DD slash YYYY

Date Owner 2:

MM slash DD slash YYYY

Consent

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 business purpose 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 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 account information to one or more consumer reporting agencies; (9) ownership of the Loan and/or administration of the Loan account 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 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. Acknowledgement: Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify 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.

Consent approval

Government Monitoring Information

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 in formation, but are encouraged to do so. The law provides that a lender may not discriminate either on the bas is 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.

Applicant

I do not wish to furnish this information

Co Applicant

I do not wish to furnish this information

Ethnicity Borrower 1:

Hispanic or Latino

Non Hispanic or Latino

Ethnicity Borrower 2:

Hispanic or Latino

Non Hispanic or Latino

Race:

American Indian or Alaska Native

Black or African American

Native Hawaiian or Other Pacific Islander

Asian

White

Race Borrower 2:

American Indian or Alaska Native

Black or African American

Native Hawaiian or Other Pacific Islander

Asian

White

Sex

Male

Female

Sex Borrower 2

Male

Female

Name

This field is for validation purposes and should be left unchanged.

VS Global Funding NMLS 2085031



Address

354 NW 132 PL
Miami, FL 33182



Email

val@vsglobalfunding.com

Call us

+1786-565-8251

Let’s talk

First Name

Last Name

Email Address

Message