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| If you answer "yes" to any questions a through i, please use continuation sheet for explanation. |
Borrower |
Co-Borrower |
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No |
Yes |
No |
| a. Are there any outstanding judgements against you? |
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| b. Have you been declared bankrupt within th epast 7 years? |
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| c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? |
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| d. Are you a party to a lawsuit? |
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| e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "Yes," provide details, including date, name and address of Lender, FHA or VA case number, if any, and reasons for the action.) |
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| f. Are you presently delinquint or in default on any Federal debt of any other loan, mortgage, financial obligation bond, or loan guarantee? If "Yes," give details as described in the preceding question.? |
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| g. Are you obligated to pay alimony, child support, or separate maintenance? |
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| h. Is any part of the down payment borrowed? |
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| i. Are you co-maker or endorser on a note? |
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| j. Are you a U. S. citizen? |
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| k. Are you a permanent resident alien? |
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l. Do you intend to occupy the property as your primary residence?
If "yes," complete questions m below. |
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| m. Have you had an ownership interest in a property in the last three years? |
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| (1) What type of property did you own: principal residence (PR), second home (SH), or investment property (IP)? |
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| (2) How did you hold title to the home: solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)? |
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