Borrower's Information Co-Borrowers Information
General
Information:
Last Name:
First Name:
Street Address:
City:
State:
Zip:
Time at Current Residence:
Date of Birth:
Social Security #
Employer:
Employment Length: Yrs: Yrs:
Income and Expense Information:
Monthly Salary (Include taxes)
Bonuses (average for a year)
Any Other Monthly Income:
Monthly Mortgage Payment or Rent
Auto & Other Monthly Payments:
Contact Information:
Email Address:
Home Phone:
Work Phone:
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 mortgage disclosures laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. If you choose not to furnish ethnicity, race, or sex, under Federal regulations, we are required to note the information on the basis of visual observation or surname.
Ethnicity:
I Decline To Specify
Asian or Pacific Islander
Hispanic
White
Black
American Indian
Other
I Decline To Specify
Asian or Pacific Islander
Hispanic
White
Black
American Indian
Other
Gender:
I Decline To Specify
Male
Female
I Decline To Specify
Male
Female
Comments:
I have read and accept the Bay Area Homes Privacy Policy
STATE NOTICES
WISCONSIN: No provision of any mandated property agreement unilateral statement under s.766.50 Wis. Stats, or court decree under s.766.50 adversely affects the interest of the creditor unless the creditor prior to the time the credit is granted or an open-end credit plan is entered into, is furnished a copy of the agreement, statement, or decree or has actual working knowledge of the adverse provision.
YOU WARRANT THAT THE INFORMATION YOU ARE FURNISHING ABOVE IS TRUE, ACCURATE, SUPPLIED VOLUNTARILY, AND NOT MISLEADING. YOU AUTHORIZE US, AT OUR OPTION: TO CHECK YOUR CREDIT AND EMPLOYMENT HISTORIES NAMED ABOVE; TO ANSWER QUESTIONS ABOUT YOUR CREDIT HISTORY WITH US; AND TO KEEP THIS APPLICATION WHETHER OR NOT IT IS APPROVED. WE MAY OBTAIN CONSUMER CREDIT REPORTS PERIODICALLY FROM ONE OR MORE CONSUMER REPORTING AGENCIES (CREDIT BUREAUS) IN CONNECTION WITH YOUR APPLICATIONS AND ANY UPDATE, RENEWAL, REFINANCING, MODIFICATION, OR EXTENSION OF THE CREDIT. WE OR ANY AFFILIATE OF OURS MAY OBTAIN ONE OR MORE CONSUMER CREDIT REPORTS ON YOUR FROM TIME TO TIME FOR ANY LEGITIMATE BUSINESS PURPOSE. IF YOU ASK, YOU WILL BE TOLD WHETHER A CREDIT REPORT WAS REQUESTED, AND IF SO, THE NAME AND ADDRESS OF ANY CREDIT BUREAU FROM WHICH WE OR OUR AFFILIATE OBTAINED YOUR CREDIT REPORT. WE MAY ALSO VERIFY YOUR EMPLOYMENT, PAY, ASSETS, AND DEBTS. YOU AGREE THAT ANYONE RECEIVING A COPY OF THIS IS AUTHORIZED TO PROVIDE US WITH SUCH INFORMATION.
