This is a light version of Form 1003. It will give us a general idea about your finances before we get started with your application process. Please fill as much information as possible.

Name

Borrower

Co-Borrower

Mortgage Applied for:

FHA

USDA/Rental Housing Service

Conventional

Other

Amortization:

Fixed Rate

GPM

Other (explain)

ARM (type)

Subject Property Address (street, city, state & ZIP)

Purpose of Loan

Purchase

Construction

Refinance

Construction-Payment

Other (explain)

Property will be:

Primary Residence

Secondary Residence

Investment

Source of Down Payment, Settlement Charges, and/or Subordinate Financing (explain)

EMPOLYMENT INFORMATION

Borrower Home Phone Number

Borrower Name & Address of employer

Self Employed

Position, Title, Type of Business

Yrs. On this Job

Yrs. Employed in this line of work/profession

Dates (from-to)

Monthly Income

Co-Borrower Home Phone Number

Co-Borrower Name & Address of employer

Self Employed

Position, Title, Type of Business

Yrs. On this Job

Yrs. Employed in this line of work/profession

Dates (from-to)

Monthly Income

MONTHLY INCOME AND COMBINED HOUSING INFORMATION

html__fld_4106398

<div contenteditable="false" style="width: inherit;"><table border="1" cellpadding="1" cellspacing="1" style="width:inherit">
	<thead contenteditable="false">
		<tr>
			<th scope="col" >Gross Monthly Income</th>
			<th scope="col">Borrower</th>
			<th scope="col">Co-Borrower</th>
			<th scope="col">Total</th>
			<th scope="col">Combined Monthly Housing Expense</th>
			<th scope="col">Present</th>
			<th scope="col">Propose</th>
		</tr>
	</thead>
	<tbody  contenteditable="true">
		<tr>
			<td contenteditable="false">Base Impl. Income*</td>
			<td></td>
			<td> </td>
			<td> </td>
			<td contenteditable="false">Rent</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>
			<td contenteditable="false">Overtime</td>
			<td> </td>
			<td> </td>
			<td> </td>
			<td contenteditable="false">First Mortgage (P&I)</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>
			<td contenteditable="false">Bounses</td>
			<td> </td>
			<td> </td>
			<td> </td>
			<td contenteditable="false">Other Finances (P&I)</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>
			<td contenteditable="false">Commisions</td>
			<td> </td>
			<td> </td>
			<td> </td>
			<td contenteditable="false">Real Estate Taxes</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>
			<td contenteditable="false">Dividents/Interests</td>
			<td> </td>
			<td> </td>
			<td> </td>
			<td contenteditable="false">Mortgage Insurance</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>
			<td contenteditable="false">Net rental Income</td>
			<td> </td>
			<td> </td>
			<td> </td>
			<td contenteditable="false">HOA Dues</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>
			<td contenteditable="false">Other</td>
			<td> </td>
			<td> </td>
			<td> </td>
			<td contenteditable="false">Hazard Income</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>
			<td contenteditable="false"><strong>Total</strong></td>
			<td> </td>
			<td> </td>
			<td> </td>
			<td> </td>
			<td> </td>
			<td> </td>
		</tr>
	</tbody>
</table>

html__fld_410639811

html__fld_4106398112

<th scope="col">Combined Monthly Housing Expense</th>
			<th scope="col">Present</th>
			<th scope="col">Propose</th>
		</tr>
	</thead>
	<tbody  contenteditable="true">
		<tr>
	
			<td contenteditable="false">Rent</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>

<td contenteditable="false">First Mortgage (P&I)</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>

<td contenteditable="false">Other Finances (P&I)</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>

<td contenteditable="false">Real Estate Taxes</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>

<td contenteditable="false">Mortgage Insurance</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>

<td contenteditable="false">Hazard insurance</td>
			<td> </td>
			<td> </td>
		</tr>
		<tr>
			<td contenteditable="false"><strong>Total</strong></td>

Describe other income with Monthly amount

Notice: Alimony, child support, or separate maintenance Income need not be revealed if the Borrower or Co-Borrower does not cboose to have it considered for repaying this loan.

Describe other income with Monthly amount

ASSETS AND LIABILITIES

LIABILTIES

MONTHLY PAYMENTS & MONTHS LEFT TO PAY

UNPAID BALANCE

Do you have more liabilities?

ASSETS

Description or name of asset

Total value

Do you have more assets?

Alternatively you may download and fill out this from and then fax it to us.

Form 1003 Download