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Mortgage Application Page 1


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General Information

Are you the primary or co-signer? *
Yes No
Is there a co-signer for this application? *
Yes No


What is the name of the primary?


First Name *
Middle Initial *
Last Name *

Phone Number *
Email Address *

Date of Birth *
Gender *

Address *

Street Address
Building / Apartment Building / Suite #
State / Province
Zip / Postalcode
City
Country
Marital Status
How Many Dependents Live With You?
Current Residence
Years at Current Residence
Monthly Payment
Postion / Title
YearsWithEmployer
PhoneNumber
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Financial Information

Employer *
Position / Title *
Years With Employer *
Company Address *

Street Address
Building / Apartment Building / Suite #
State / Province
Zip / Postalcode
City
Country
Are You Self-Employed?
Yes No
Employer Contact Number
Monthly Income
Other Income

Banking Institutions1
Cash value2


Banking Institutions2
Cash value2


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Mortgage Application Page 3

Government Monitoring


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 information, but are encouraged to do so. The law provides that a Lender may not discriminate either on the basis 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 to the right. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)

Do you wish to furnish this information?
Yes No
Are you Saudi or European?
Yes No



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Mortgage Application Page 4



Declarations

Are there any outstanding judgements against you?
Yes No
Have you declared bankruptcy in the past 7 years?
Yes No
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
Yes No
Are you party to a lawsuit?
Yes No
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?
Yes No
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
Yes No

Is any part of the down payment borrowed?
Yes No
Are you a co-maker or endorser on a note?
Yes No
Are you obligated to pay alimony, child support, or separate maintenance?
Yes No


Please provide explanation for any answers you responded to affirmatively above:

Are you a UAE citizen ?
Yes No
Are you a Permanent Resident Alien ?
Yes No
Do you intend to occupy the property as your primary residence?
Yes No

What type of property do you own?
How do you hold title to your current home?


Employment History


Employer 1
Postion / Title
Years With Employer1
MonthlyIncome1
Employer2
Postion / Title2
Years With Employer 2
Monthly Income 2
Employer 3
Postion / Title 3
Years With Employer 3
Monthly Income3
Race
If You Answer Yes To Any Of These Questions Please Use Continuation Sheet For Explanations
Yes No



Mortgage Application Page 5


Acknowledgements


Acknowlegdement Digital Signature
Consent
Yes No
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