Uniform Residential
  Loan Application                

       Instructions for completing 

I. TYPE OF MORTGAGE AND TERMS OF LOAN

A. MORTGAGE APPLIED FOR - Check the box next to the appropriate mortgage type. If you choose "Other," write in the loan type you would like to obtain (e.g., 2nd mortgage).
B. AGENCY CASE NUMBER - Your lender will fill in the blank.
C. LENDER CASE NUMBER - Your lender will fill in the blank.
D. AMOUNT - Enter the requested total loan amount.
E. INTEREST RATE - Enter the requested interest rate.
F. NUMBER OF MONTHS - Enter the requested term of the loan in months (e.g., a 30 year loan would be 360 months, a 15 year loan would be 180 months).
G. AMORTIZATION TYPE - Enter the requested type of loan. Check "Fixed Rate" if you are requesting a loan in which the payment will remain the same. Check "GPM" (Graduated Payment Mortgage) if you are requesting a loan in which the loan payment will increase on a predetermined schedule. "ARM" (Adjustable Rate Mortgage) should be checked if you are requesting a loan in which the payments may increase or decrease according to market conditions. Check the "Other" box if any of the above mentioned loans are NOT your requested loan.

II. PROPERTY INFORMATION AND PURPOSE OF LOAN

A. SUBJECT PROPERTY ADDRESS - Enter the property street address, city, state, and zip code.
B. NUMBER OF UNITS - Enter the number of units for this property (e.g., 1 = single family house, condominium or townhouse; 2 = duplex).
C. LEGAL DESCRIPTION OF SUBJECT PROPERTY - Enter the legal description (lot, block and subdivision; metes and bounds; or registered land survey). Include the county, if known.
D. YEAR BUILT - Enter the month and year the improvement to the real estate was built.
E. PURPOSE OF LOAN - Check the box next to your purpose for obtaining the loan.
F. PROPERTY WILL BE - Check the appropriate box as to whether the real estate being financed will be your primary residence, secondary residence or investment property.
Complete items G through L if this loan involves Construction or Construction-Permanent financing.
G. YEAR LOT ACQUIRED - Enter month and year you acquired the lot.
H. ORIGINAL COST - Enter the original cost of the lot.
I. AMOUNT EXISTING LIENS - Enter the amount of existing money owed on the lot, if any.
J. PRESENT VALUE OF LOT - Enter the present value of the lot.
K. COST OF IMPROVEMENTS - Enter the cost of improvements already made to the lot and/or the estimated cost of any improvements to be made to the lot.
L. TOTAL (a + b) - Add the figures of line J and K.
Complete items M through Q if this loan involves a refinancing of an existing loan.
M. YEAR ACQUIRED - Enter the month and year you acquired the property.
N. ORIGINAL COST - Enter the original cost of obtaining the property.
O. AMOUNT EXISTING LIENS - Enter the amount of existing money owed on the property.
P. PURPOSE OF REFINANCE - Enter your reason for requesting this loan.
Q. DESCRIBE IMPROVEMENTS - Enter the nature and estimated cost of any improvements made or to be made to the property.
R. TITLE WILL BE HELD IN WHAT NAME(S) - Enter exactly how you want your name(s) to appear on the deed of trust/mortgage deed.
S. MANNER IN WHICH TITLE WILL BE HELD - Enter how you want to hold title to the property (e.g., as joint tenants or as tenants in common).
T. ESTATE WILL BE HELD IN - Check the "Fee Simple" box if your interest in the property was acquired through a deed. If you acquired or will be acquiring your interest through a lease, check the "Leasehold" box and show the year your leasehold interest in the property will expire.
U. SOURCE OF DOWN PAYMENT, SETTLEMENT CHARGES - Show your source(s) for the down payment required to purchase the property and show your source(s) of payment for settlement charges. Disclose any subordinate financing you will use to purchase the property.

III. BORROWER INFORMATION (Complete the following information for the Borrower and all Co-Borrowers)

A. BORROWER'S NAME - Enter your complete legal name.
B. SOCIAL SECURITY NUMBER - Enter your social security number.
C. HOME PHONE - Enter your complete home phone number.

D. AGE - Enter your age.
E. YEARS OF SCHOOL - Enter the number of years of schooling. Begin with grade one of elementary school.
F. MARITAL STATUS - Check box next to your present marital status.
G. DEPENDENTS - List the number and age(s) of your dependents. Do not list any dependent that also will be listed by another borrower for this loan.
H. PRESENT ADDRESS - Enter your complete address.
I. OWN OR RENT - Check box to show whether you own or rent your present residence.
J. NUMBER OF YEARS - Enter the number of years you have lived at your present address.
Complete the remainder of this section only if you have been residing at your present address for less than two years. You must list all your residences for the past two years. Use the continuation sheet on the back of this application if you need more space. Enter the information requested, using the instructions found in Section III H-J.

IV. EMPLOYMENT INFORMATION (Complete the following information for the Borrower and all Co-Borrowers)

A. NAME AND ADDRESS OF EMPLOYER - Enter the name and complete address of your Employer.
B. SELF-EMPLOYED - Check this box if you are self-employed.
C. YEARS ON THIS JOB - Enter the number of years you have been employed by this employer.
D. YEARS EMPLOYED IN THIS LINE OF WORK/PROFESSION - Enter the number of years you have been employed in this line of work.
E. POSITION/TITLE/TYPE OF BUSINESS - Enter your position or title with your employer and the type of business.
F. BUSINESS PHONE - Enter your complete business phone number.
Complete the remainder of this section only if you have been employed at your present job for less than two years or if you are currently employed in more than one position. Enter the information requested using the instructions found in Section IV A-F.

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION (Complete the following information for the Borrower and all Co-Borrowers. Add the Borrower and Co-Borrower amounts together to give you your figures for the total column.)

Gross Monthly Income

A. BASE EMPLOYMENT INCOME - Enter your monthly income.
B. OVERTIME - Enter your monthly overtime income.
C. BONUSES - Enter your monthly bonus income.
D. COMMISSIONS - Enter your monthly commission income.
E. DIVIDEND/INCOME - Enter your monthly dividend or interest income.
F. NET RENTAL INCOME - Enter your monthly net rental income.
G. OTHER - Enter any other monthly income. Any figure entered in this column must be described in the area below.
H. TOTAL - Enter your total monthly income. Add each column to figure Borrower, Co-Borrower and Combined total monthly income.
I. DESCRIBE OTHER INCOME - Describe your source of income for amounts you listed on line G of this section. Indicate with a "B" or a "C" if the income is from the Borrower or the Co-Borrower.

Combined Monthly Housing Expenses

In the "Present" column, enter the information with regards to your existing primary residence. In the "Proposed" column, enter the information with regards to the loan for which you are applying.

VI. ASSETS AND LIABILITIES

ASSETS

A. COMPLETED JOINTLY/NOT JOINTLY - Check the box that describes how assets and liabilities are related to the Borrower and Co-Borrower. Check "Jointly" if both applicants' assets and liabilities will be disclosed by completion of this section. Check "Not Jointly" if only the Borrower's or the Co-Borrower's assets will be disclosed by completion of this section. The box must be checked "Jointly" if the Co-Borrower is a spouse.
B. CASH DEPOSIT TOWARD PURCHASE - Enter the name of the person or the company holding the earnest money that will be used for the purchase of the subject property.
C. CASH OR MARKET VALUE - Enter the amount of this cash deposit.
D. LIST CHECKING AND SAVINGS ACCOUNTS - Enter name and mailing address of any bank, savings and loan, or credit union where you have an account.

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Bankers Systems, Inc., St. Cloud, MN (1-800-397-2341) Form URLA-INST 4/28/94

E. ACCOUNT NUMBER - Enter your account number.
F. DOLLAR AMOUNT - Enter the cash value of the account.
G. STOCK AND BONDS - Enter the name and address of your Broker.
H. DOLLAR AMOUNT - Enter the cash value for each listed item.
I. LIFE INSURANCE/NET CASH VALUE - Enter your present net cash value of all your life insurance policies. This amount is what you may borrow against your life insurance policy.
J. FACE AMOUNT - Enter the death benefit value of your life insurance policy.
K. SUBTOTAL LIQUID ASSETS - Enter the total amount of all items you have listed as assets.
L. REAL ESTATE VALUE - Enter the value of all real estate listed on "Schedule of Real Estate Owned" on page 3 of this application.
M. VESTED INTEREST IN RETIREMENT ACCOUNT - Enter the amount of your retirement account.
N. NET WORTH OF BUSINESS(ES) OWNED - Enter the net worth of any business(es) you own.
O. AUTOMOBILES OWNED - Enter the year and make of each automobile you own.
P. DOLLAR OR MARKET VALUE - Enter the market value of each automobile you own.
Q. OTHER ASSETS - List any other assets that you own.
R. DOLLAR AMOUNT - Enter the value of these other assets.
S. TOTAL ASSETS - Enter the total value of listed assets.

LIABILITIES

T. NAME AND ADDRESS - Enter the name and mailing address of each company to whom you owe a debt.
U. ACCOUNT NUMBER - Enter the number of your account.
V. PAYMENT, REMAINING MONTHS - Enter your monthly payment on each debt and the number of months remaining to pay off this debt.
W. UNPAID BALANCE - Enter remaining debt balance on each account.
X. ALIMONY/CHILD SUPPORT - Enter the name of the person receiving alimony, child support or separation maintenance payments from you.
Y. DOLLAR AMOUNTS - Enter the monthly amounts of these alimony, child support or separation maintenance payments.
Z. JOB RELATED EXPENSES - Enter any expenses that are related to your job (e.g., child care, union dues, professional fees).
AA. DOLLAR AMOUNT - Enter the monthly dollar amount of these job related expenses.
AB. TOTAL MONTHLY PAYMENTS - Enter the total amount of all listed monthly payments.
AC. TOTAL LIABILITIES - Enter the total of all remaining unpaid balances.
AD. NET WORTH - Enter the figure derived from subtracting total liabilities from total assets.
AE. SCHEDULE OF REAL ESTATE OWNED - Enter complete property address of all property you own.
AF. STATUS OF PROPERTY - For each property listed, show its current status; "S" if sold, "PS" if presently listed for sale, and "R" if the property is currently being rented or will be rented.
AG. TYPE OF PROPERTY - Enter what type of property you own (e.g., condominium, townhouse, single family detached, etc.).
AH. PRESENT MARKET VALUE - Enter the present market value of the property.
AI. AMOUNT OF MORTGAGE AND LIENS - Enter the total amount of all liens against this property.
AJ. GROSS RENTAL INCOME - Enter the total amount of rental income received from this property.
AK. MORTGAGE PAYMENTS - Enter the monthly principal and interest payment for each lien on this property.
AL. INSURANCE, MAINTENANCE, TAXES AND MISC. - Enter the monthly dollar amount you pay for insurance, maintenance, taxes and any miscellaneous expense associated with this property.
AM. NET RENTAL INCOME - Subtract mortgage payments, insurance, taxes, maintenance, and miscellaneous costs from the gross rental income to derive your net rental income.
AN. COLUMN TOTALS - Add each column and enter the total.
AO. ADDITIONAL NAME FOR CREDIT - List any other names under which you have previously received credit, along with the creditor's name and your account number.

VII. DETAILS OF TRANSACTIONS - Your lender will complete this section.

VIII. DECLARATIONS

Answer "Yes" or "No" to each question, as appropriate. If you answer "Yes" to any of these questions, include an explanation of the "Yes" answer with your application. For example, if you answer "Yes" to declaring bankruptcy within the past 7 years, include:
- A letter explaining why it was necessary to file bankruptcy.
- A certified copy of the "discharge from bankruptcy."
- A certified copy of petition showing assets and liabilities involved.

IX. ACKNOWLEDGMENT AND AGREEMENT

A. SIGNATURE AND DATE - Sign and date form after reading the statement contained in Section IX.

X. INFORMATION FOR GOVERNMENT MONITORING

Complete this section should you wish to furnish this information to the Federal Government.
A. DO NOT WISH TO FURNISH - Check this box if you do not want to furnish the race/national origin and sex information.
B. RACE/NATIONAL ORIGIN - Check appropriate box.
C. SEX - Check appropriate box.
D. TO BE COMPLETED BY INTERVIEWER - The Lender will provide this information.

XI. CONTINUATION SHEET - PAGE 4

Enter Borrower and Co-Borrower name. Use this space for answers to the application that required additional explanation. Sign and date the bottom of the form.

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Bankers Systems, Inc., St. Cloud, MN (1-800-397-2341) Form URLA-INST 4/28/94