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FHA Loan Submission Form
AGENT:
E-MAIL:
FAX:
BORROWER(S) INFORMATION
Borrower: Name
Credit Scores
Co-Borrower: Name
Credit Scores
PROPERTY ADDRESS:
Address
City
Sate
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zipcode
Price/Property Value
LTV Needed
CLTV Needed
**New loan amount can not exceed lending limits specified for the subject property county.
New Loan Amount
Subordinating the 2nd?
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Yes
No
**Impounds are required on all FHA Loans
I understand
Purpose
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Purchase
R/T
Refi
Cash-Out
Property Type
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SFR
Condo
PUD
Units
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1
2
3
4
5 or more
Rural
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Yes
No
Acres
Occupancy
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1
2
3
4
5
6
7
8
9
10+
Document Type
Employment Type
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W2
Self-Employed
**Full Doc only of FHA Loans
Liquid Assets
Programs
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Fixed
ARM
Mortgage History (Late payments)
_ X 30
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0X30
1X30
2X30
3X30
4X30
5X30
6X30
7X30
8X30
9X30
10X30
11X30
12X30
_ X 60
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0X60
1X60
2X60
3X60
4X60
5X60
6X60
7X60
8X60
9X60
10X60
11X60
12X60
_ X 90
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0X90
1X90
2X90
3X90
4X90
5X90
6X90
7X90
8X90
9X90
10X90
11X90
12X90
_ X 120
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0X120
1X120
2X120
3X120
4X120
5X120
6X120
7X120
8X120
9X120
10X120
11X120
12X120
**If mortgage lates exist, include LOE
Bankruptcy
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Ch. 7
Ch. 13
Filing Date
Discharge Date
Judgment, Liens, or Collections ISSUE
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Yes
No
Explain (above)
Minimum Rebate Desired
-OR-
Target Rate
Choice of Lender
REFINANCE ONLY!
BORROWER'S EXISTING INFO:
1st Mortgage
Balance
Rate
Term
Payment
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I/O
PI
PITI
Payment :: Choose one
Loan Type
Pre-Payment Penalty Amount
Year Acquired the Property
2nd Mortgage
Loan Type
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HELOC
Fully Amortized
Was this a purchase money second?
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Yes
No
Withdrawn cash in the last 12 months?
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Yes
No
Balance
Rate
Pre-Payment Penalty Amount
Notes or Special Instructions
Retype the letters seen here before submitting.
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