Kearny County Bank Mortgage Application


Submission of this completed mortgage application form serves as your indication that you desire to have Kearny County Bank process a mortgage loan for decision by our Loan Committee. This application is not considered complete for underwriting and/or decision until all required disclosures are returned along with all requested application fees being paid and all requested underwriting documents fowarded to the loan department. The submission of this form is the beginning of the loan process and is not an approval or commitment by the Bank. Thank you for your consideration of Kearny County Bank in this matter.
* indicates a required field

Applicants should complete this form as "Borrower" or "Co-Borrower", as applicable. Co-Borrower information must also be provided (and the appropriate box checked) when
the income or assets of a person other than the Borrower (including the Borrower's spouse) will be used as a basis for loan qualification or;
the income or assets of the Borrower's spouse or other person who has community property rights pursuant to state law will not be used as a basis for loan qualification, but his or her liabilities must be considered because the spouse or other person has community property rights pursuant to applicable law and Borrower resides in a community property state, the security property is located in a community property state, or the Borrower is relying on other property located in a community property state as a basis for repayment of the loan.
If this application is for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (If you are printing out the application instead of submitting it online, sign below).
Borrower's Signature Date
Co-Borrower's Signature Date

I. TYPE OF MORTGAGE AND TERMS OF LOAN

Mortgage Applied for: VA   FHA   Conventional   FmHA   Other  
Agency Case Number Lender Case Number
Amount $ Interest Rate
No. of Months
Amorization Type: Fixed Rate
GPM
Other (explain):
ARM (type):

II.PROPERTY INFORMATION AND PURPOSE OF LOAN

Subject Property Address(street,city,state&zip code
No. of Units
Legal Description of Subject Property
(attach description if neccessary)
Year Built
Purpose of Loan
   Purchase   Refinance   Construction   Construction-Permanent  
    Other (explain):  
Property will be:
   Primary Residence   Secondary Residence   Investment  
Complete this section if construction or construction permanent loan.
Year Lot Acquired
Original Cost $
Amount Existing Liens $
(a) Present Value of Lot $
(b) Cost of Improvements $
Total (a+b) $
Complete this section if this is a refinance loan.
Year Lot Acquired
Original Cost $
Amount Existing Liens $
Purpose of Refinance
Improvements: made   to be made  Cost $
Title will be held in what Name(s)
Manner in which Title will be held
Estate will be held in:
   Fee Simple   Leashold(show expiration date)
Source of Down Payment, Settlement Charges and/or Subordinate Financing

III. BORROWER INFORMATION

*Name (First , M. , Last)
*Social Security Number
*Home Phone Number
*Birthdate
*Education Level
*Marital Status Married
Separated
Unmarried (including single, divorced, widowed)
*Present Address
  own   rent   No. Yrs.
If residing at present address for less than two years, complete the following.
Former Address
  own   rent   No. Yrs.
Former Address
  own   rent   No. Yrs.
CO-BORROWER INFORMATION
Name (First , M. , Last)
Social Security Number
Home Phone Number
Birthdate
Education Level
Marital Status Married
Separated
Unmarried (including single, divorced, widowed)
Present Address
  own   rent   No. Yrs.
If residing at present address for less than two years, complete the following.
Former Address
  own   rent   No. Yrs.
Former Address
  own   rent   No. Yrs.

IV. EMPLOYMENT INFORMATION

Borrower
Employer
Address
Self-Employed
Years on this job
Position/Title/Type of Business
Years in this profession
Business Phone -
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Employer
Address
Self-Employed
Years on this job
Position/Title/Type of Business
Years in this profession
Business Phone -
Employer
Address
Self-Employed
Years on this job
Position/Title/Type of Business
Years in this profession
Business Phone -
Co-Borrower
Employer
Address
Self-Employed
Years on this job
Position/Title/Type of Business
Years in this profession
Business Phone -
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Employer
Address
Self-Employed
Years on this job
Position/Title/Type of Business
Years in this profession
Business Phone -
Employer
Address
Self-Employed
Years on this job
Position/Title/Type of Business
Years in this profession
Business Phone -

MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Monthly Income
  Borrower Co-Borrower
Base Employ Income
Overtime/Bonus
Dividends/Interest
Rental Income
Other
(before completing, see the notice
in "describe other income," below)
*Total:
Combined Housing Expense Information
  Present Proposed
Rent
First Mortgage (P & I)
Other Financing (P & I)
Hazard Insurance
Real Estate Taxes
Mortgage Insurance
Homeowner Assn. Dues
Other
*Total:
Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

Describe Other Income

Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower(B) or Co-Borrower(C) does not choose to have it considered for repaying this loan.
B/C   Monthly Amount
$
$
$

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. If the Co-Borrower section was completed about a spouse, this Statement and supporting schedules must be completed about that spouse also.
ASSETS

Description
Cash or Market Value
Cash deposit toward purchase held by:
$
List checking and savings accounts below
Name and address of Bank, S & L, or Credit Union


Acct. No. $
Name and address of Bank, S & L, or Credit Union


Acct. No. $
Name and address of Bank, S & L, or Credit Union


Acct. No. $
Name and address of Bank, S & L, or Credit Union


Acct. No. $
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 $
Total Assets
Liabilities and Pledged Assets. List the creditor's name, address and account number for all outstanding debts, including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use a continuation sheet, if necessary. Indicate by (*) those liabilities which will be satisfied upon sale of real estate owned or upon refinancing of the subject property.
LIABILITIES Monthly Payt. & Mos. Left to Pay Unpaid Balance
Name and address of Company

Payt.$
Mos.
$
Acct. No.
Name and address of Company

Payt.$
Mos.
$
Acct. No.
Name and address of Company

Payt.$
Mos.
$
Acct. No.
Name and address of Company

Payt.$
Mos.
$
Acct. No.
Name and address of Company

Payt.$
Mos.
$
Acct. No.
Name and address of Company

Payt.$
Mos.
$
Acct. No.
Name and address of Company

Payt.$
Mos.
$
Acct. No.
Alimony/Child Support/Separate Maintenance Payments Owed to:
$  
Job Related Expense (child care, union dues, etc.):
$  
Total Monthly Payments  
  Total Liabilities
Net Worth

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 a continuation sheet for explanation. Borrower Co-Borrower
a. Are there any outstanding judgements against you? Yes   No Yes   No
b. Have you been declared bankrupt within the past 7 years? Yes   No Yes   No
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? Yes   No Yes   No
d. Are you a party to a lawsuit? Yes   No Yes   No
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement? (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   No Yes   No
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If "Yes," give details as described in the preceding. Yes   No Yes   No
g. Are you obligated to pay alimony, child support, or separate maintenance? Yes   No Yes   No
h. Is any part of the down payment borrowed? Yes   No Yes   No
i. Are you a co-maker or endorser on a note? Yes   No Yes   No
j. Are you a U.S. citizen? Yes   No Yes   No
k. Are you a permanent resident alien? Yes   No Yes   No
l. Do you intend to occupy the property as your primary residence? If "Yes," complete question m below. Yes   No Yes   No
m. Have you had an ownership interest in a property in the last three years? Yes   No Yes   No
(1) What type of property did you own - principal residence (PR), second home (SH), or investment property (IP)?
(2) How did you hold title to the home - solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?

IX. ACKNOWLEDGEMENT AND AGREEMENT

The undersigned specifically acknowledge(s) and agree(s) that: (1) the loan requested by this application will be secured by a first mortgage or deed of trust on the property described herein; (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 the loan indicated herein; (4) occupation of the property will be as indicated above; (5) verification or reverification of any information contained in the application may be made at any time by the Lender, its agents, successors and assigns, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan is not approved; (6) the Lender, its agents, successors and assigns will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing; (7) in the event my/our payments on the loan indicated in this application become delinquent, the Lender, its agents, successors and assigns, may, in addition to all their other rights and remedies, report my/our name(s) and account information to a credit reporting agency; (8) ownership of the loan may be transferred to successor or assign of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assign of the Lender with prior notice to me; (9) the Lender, its agents, successors and assigns make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property.
*Certification: I/We certify that the information provided in this application is true and correct as of the date set forth opposite my/our signature(s) on this application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq. and liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.

If you are printing out the application instead of submitting it online, please sign below.
Borrower's Signature

X

Date

 

Co-Borrower's Signature

X

Date

 

X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES

The purpose of collecting this information is to help ensure that all borrowers are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask borrowers for their demographic information (ethnicity, race, and sex) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race". The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, race, and sex on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.

Borrower:

Ethnicity: Check one or more
Hispanic or Latino   

  •  
  •  
  •  
  •  

    For example: Argentinean, Colombian, Dominican, Nicaraguan,Salvadoran. Spaniard, and so on.

  Not Hispanic or Latino   
  I do not wish to provide this information   

Race/National Origin: Check one or more
  American Indian, Alaskan Native - Print name of enrolled or principal tribe:

  Asian

  •  
  •  
  •  
  •  
  •  
  •  
  •  

    For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.

  Black or African American
  Native Hawaiian or other Pacific Islander   
  •  
  •  
  •  
  •  

    For example: Fijian, Tongan, and so on.
  White
  I do not wish to provide this information

Sex
  Female   
  Male
  I do not wish to provide this information


CO-Borrower    I do not wish to furnish this information

Ethnicity: Check one or more
Hispanic or Latino   

  •  
  •  
  •  
  •  

    For example: Argentinean, Colombian, Dominican, Nicaraguan,Salvadoran. Spaniard, and so on.

  Not Hispanic or Latino   
  I do not wish to provide this information   

Race/National Origin: Check one or more
  American Indian, Alaskan Native - Print name of enrolled or principal tribe:

  Asian

  •  
  •  
  •  
  •  
  •  
  •  
  •  

    For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.

  Black or African American
  Native Hawaiian or other Pacific Islander   
  •  
  •  
  •  
  •  

    For example: Fijian, Tongan, and so on.
  White
  I do not wish to provide this information

Sex
  Female   
  Male
  I do not wish to provide this information


   I have read and accepted the E-sign acknowledgement to the mortgage loan application.