Form 1003

UNIFROM RESIDENTIAL LOAN APPLICATION

This application is designed to be completed by the applicant(s) with the lender's assistance. 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 will not be used as a basis for loan qualification, but his or her liabilities must be considered because the 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.

I . TYPE OF MORTAGE AND TERMS OF LOAN

Mortage Applied For

Conv FHA VA USDA / Rural Housing Other

Preference

First Second

Amortization Type

Fixed Rate GPM ARM Other

Terms Of Loan
Purchase Price	Loan Amount	Total Loan Amount

Note Rate	Qual Rate	Term Months	Due In Months

II . PROPERTY INFORMATION AND PURPOSE OF LOAN

Property Information
Street	Country	City	State

Zip	No. Of Units	Year Built

Legal Description

Purpose Of Loan :

Purchase Cash-Out Refinance No Cash-Out Refinance Construction Construction Permanent Other

Property Will Be :
Primary Residence Secondary Residence Investment
Gross Rent	Occup. Rate [%]

Hold Information's :

Name(s) To Hold Title

Manner in which Title will be Held

Source Of Down Payment

Estate will be Held in.

Fee Simple Lease Hold

III . BORROWER INFORMATION

Borrower Information

Co-Borrower Information

First Name

Middle Name

First Name

Middle Name

Last Name

Suffix

Last Name

Suffix

Social Security Number

Date Of Birth

Social Security Number

Date Of Birth

Home Phone

Age

Home Phone

Age

Years In School

Unmarried Married Separated

Present Address

Own Rent

Present Address

Own Rent

No. Of Years

Address

City

Address

City

State

Zip

State

Zip

Mailing Address

Same as above New

Mailing Address

Same as above New

Former Address [1]

Own Rent

Former Address [1]

Own Rent

No. Of Years

Address

City

Address

City

State

Zip

State

Zip

Former Address [2]

Own Rent

Former Address [2]

Own Rent

No. Of Years

Address

City

Address

City

State

Zip

State

Zip

IV . EMPLOYMENT INFORMATION

Borrower Information		Co-Borrower Information
Self Employed No		Self Employed No
Name	Address	Name	Address

City	State	City	State

Zip	Position	Zip	Position

Business Phone	Years On Work	Business Phone	Years On Work

Years On Job	Months On Job	Years On Job	Months On Job

Former Employer		Former Employer
Name	Address	Name	Address

City	State	City	State

Zip	Position	Zip	Position

Dates : From	Dates : To	Dates : From	Dates : To

Monthly Increment	Business Phone	Monthly Increment	Business Phone

V . MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Gross Monthly Income				Monthly Housing Expenses
	Borrower	Co-Borrower	Total		Present	Proposed
Base Income				Rent
Overtime				First Mtg.
Bonuses				Other Fin.
Commission				Haz Ins.
Div / Int				Taxes
Net Rent				Mtg Ins.
Other				HOA Dues
Other				Other
Total				Total

Describe Other Income
Description [1]	Income [1]	Description [2]	Income [2]

Description [3]	Income [3]

VI . ASSETS AND LIABILITES

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 the spouse also.
Assets
Cash Deposit Held By.	Cash Or Market Value	Cash Deposit Held By.	Cash Or Market Value

Assets I
Name Of Bank / Address	City / Zip	State	SL or Credit Union

Account Number	Balance

Assets II
Name Of Bank / Address	City / Zip	State	SL or Credit Union

Account Number	Balance

Assets III
Name Of Bank / Address	City / Zip	State	SL or Credit Union

Account Number	Balance

Stocks And Bonds I
Stocks And Bonds	Shares	Amount

Stocks And Bonds II
Stocks And Bonds	Shares	Amount

Stocks And Bonds III
Stocks And Bonds	Shares	Amount

Life Insurance
Life Insurance Company	Amount	Sub-Total Liquid Assets

Automobiles
Make and Year I	Amount I	Make and Year II	Amount II

Make and Year III	Amount III

Other Assets
Description I	Amount I	Description II	Amount II

Description III	Amount III	Description IV	Amount IV

General
Real Estate Owned $	Retire Funds $	Business(es) Owned $	Joint System
			Yes No
Total Assets

Liabilities
Liability and Pledged Assets. List the creditors name, address and account number for all outstanding debts,including auto loans, revolving charge accounts, real estate loans, alimony, child support, stock , etc.
Liabilities I
Name Of Company / Address	City / Zip	State	Extra Line

Account Number	Balance	Monthly Payment	Months To Left

Liabilities II
Name Of Company / Address	City / Zip	State	Extra Line

Account Number	Balance	Monthly Payment	Months To Left

Liabilities III
Name Of Company / Address	City / Zip	State	Extra Line

Account Number	Balance	Monthly Payment	Months To Left

Alimony / Child Support
Description	Amount	Months Left

Job Related Expanses
Description I	Amount I	Months Left I

Description II	Amount II	Months Left II

VII . DECLARATIONS

		Borrower		Co-Borrower
		Yes	No	Yes	No
a.	Are there any outstanding judgments against you?
b.	Have you been declared bankrupt within the past 7 years?
c.	Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
d.	Are you a party to a lawsuit?
e.	Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured home loans, any mortgage, financial obligation. bond, or loan guarantee.)
f.	Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
g.	Are you obligated to pay alimony, child support, or separate maintenance?
h.	Is any part of the down payment borrowed?
i.	Are you the co-maker or endorser on a note?
j.	Are you a U.S. citizen?
k.	Are you a permanent resident alien?
l.	Do you intend to occupy the property as your primary residence?
m.	Have you had an ownership interest in a property in the last three years?
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)?

VIII .INFORMATION FOR GOVERNMENT MONITORING PURPOSES

The following information is requested by 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 discriminate neither 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. For race, you observation or surname. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all the requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)

Borrower Information		Co-Borrower Information
	I don't wish to furnish this information.		I don't wish to furnish this information.
Ethnicity	Hispanic or Latino NotHispanic or Latino	Ethnicity	Hispanic or Latino NotHispanic or Latino
Race	American Indian or Alaskan Native	Race	American Indian or Alaskan Native
	Asian		Asian
	Black or African American		Black or African American
	White		White
	American Indian or Alaskan Native		Native Hawaiian or Other Pacific Islander
Sex	Male Female	Sex	Male Female
This Application Taken By
Face-to-Face Interview Mail Telephone Internet
Interviewer's Information
Interviewer's Name Interviewer's Phone Number

IX . ACKNOWLEDGE 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 re-verification of any information contained in the application may be made at any time by the lender, it's agents, successors and assigns, either directly or through a credit reporting agent, 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, it's 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, it's 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, it's agents, successors and assigns make no representations or warranties, expressed or implied, to the borrower(s) regarding the property, the condition of the property, or the value of the property.

Right to Receive Copy of Appraisal. I/We have the right to a copy of the appraisal report used in connection with this application for credit. To obtain a copy, I/We must send Lender a written request at the mailing address Lender has provided. Lender must hear form me/us no later than 90 days after Lender notifies me/us about the action taken on this application, or I/We withdraw this application.

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 my 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 sec. and liability for monetary damages to the lender, it's agents, successors and assigns, insurers and any other person who may suffer any loss due to the reliance upon any misrepresentation which I/we have made on this application.

Borrower Information		Co-Borrower Information
Borrower's Signature	Date	Co-Borrower's Signature	Date

1. I / We have applied for a mortgage online from Virtual Processing. As part of the application process, Virtual Processing and the mortgage guaranty insurer (if any), may verify information contained in my/your loan application and in other documents required in connection with the loan, either before the loan is closed or as part of it's quality control program.

2. I / We authorize you to provide Virtual Processing, any and all information and documentation that they request. Such information includes, but is not limited to, employment his troy and income; bank, money market and similar account balances; credit history, and copies of income tax returns.

3. Virtual Processing or any investor that parches the mortgage may address this authorization to any party named in the loan application.

I/We hereby grant permission to IAM Loans to obtain my/our credit report and to review our credit with our Realtor, Builder, Dealer or Seller Representative. Should I/we desire to process a mortgage loan this can be utilized to order credit, verify employment, assets and any other item necessary to process the mortgage loan. This authorization will remain in effect for sixty days..