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V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Gross Monthly
Income
  Borrow   Co-Borrow   Total   Combined Monthly
  Housing Expense
  Present   Proposed
Base Empl.   $   $   $   Rent   $   
Overtime   $   $   $   First Mortgage(P&I)   $ $
Bonuses   $   $   $   Other Financing(P&I)   $ $
Commissions   $   $   $   Hazard Inurance   $ $
Dividends/Interest   $   $   $   Real Rstate Taxes   $ $
Net Rental   $   $   $   Mortgage Insurance   $ $
Other (before
complet-
  $   $   $   Homeowner assn. Dues   $ $
"describe other
income,"below)
  $   $   $   Other:   $ $
Total   $   $   $   Total   $ $
*self Employed Borrower(s) may be required to provide additioanal documentation such as tax returns and financial statements.
  
B/C
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.
  
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 aslo.
completed      Jointly  Not Jointly
   
Assets Cash or Market
Description Value
Cash deposit toward puchase held by:   $
  
  
  
  
List checking and savings accounts below
Name and address of Bank, S & L, or Credit Union
  Name:  
  Street:  
  City:    
  State, Zip:
Acct.no.     $
Name and address of Bank, S & L, or Credit Union
 
  Name:  
  Street:  
  City:    
  State, Zip:
Acct.no.     $
Name and address of Bank, S & L, or Credit Union
 
  Name:  
  Street:  
  City:    
  State, Zip:
Acct.no.     $
Name and address of Bank, S & L, or Credit Union
 
  Name:  
  Street:  
  City:    
  State, Zip:
Acct.no.     $
Stocks & Bonds (Company name/number
& description)
  $
  
  
  
  
  
  
Life insurance net cash value

  Face amount: $
  $
Subtotal Liquid Assets   $
Real estate owned (enter market value
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 (itemize)   $
  
  
  
  
  
  
  
  
Total Assets a.   $
Borrower's Signature: Date      
    
X   
  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 pleges, etc, use
  continuation sheet, if necessary. Indicate by (*) those liablities which will be satisfied upon sale of real estate owned or
  upon refinancing of the subject property.
LIABILITIES Monthly Pmt. &
Mos. Left to Pay
Unpaid
Balance
Name and address of Company   $   Pmt./Mos.   $
  Name:  
  Street:  
  City:    
  State, Zip:
$ /
    mos.
  Acct.no.      
Name and address of Company   $   Pmt./Mos.   $
  Name:  
  Street:  
  City:    
  State, Zip:
$ /
    mos.
  Acct.no.      
Name and address of Company   $   Pmt./Mos.   $
  Name:  
  Street:  
  City:    
  State, Zip:
$ /
    mos.
  Acct.no.      
Name and address of Company   $   Pmt./Mos.   $
  Name:  
  Street:  
  City:    
  State, Zip:
$ /
    mos.
  Acct.no.      
Name and address of Company   $   Pmt./Mos.   $
  Name:  
  Street:  
  City:    
  State, Zip:
$ /
    mos.
  Acct.no.      
Name and address of Company   $   Pmt./Mos.   $
  Name:  
  Street:  
  City:    
  State, Zip:
$ /
    mos.
  Acct.no.      
Name and address of Company   $   Pmt./Mos.   $
  Name:  
  Street:  
  City:    
  State, Zip:
$ /
    mos.
  Acct.no.      
  Alimony/Child Support/Separate Maintenamce
  Payments Owed to: 
$  
  Job Related Exp. (child care, union dues, etc.)   $  
           
  Total Nonthly Payments $  
  Net Worth
  (a minus b)  
$ 
Total Liabilites b.   $ 
Co-Borrower's Signature: Date         
       
X