Zip

A. Will you occupy the property as your primary residence? *

Yes
No
In order to proceed, you must select an option.

B. Do you have a family relationship or business affiliation with the seller of the property? *

Yes
No
In order to proceed, you must select an option.

C. Are you borrowing any money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining any money from another party, such as seller or realtor, that you have not disclosed on this loan application? *

Yes
No

D-1. Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application? *

Yes
No

D-2. Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan that is not disclosed on this application? *

Yes
No

E. Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g., the Property Assessed Clean Energy Program)? *

Yes
No

F. Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application? *

Yes
No

G. Are there any outstanding judgments against you? *

Yes
No

H. Are you currently delinquent or in default on any federal debt? *

Yes
No

I. Are you party to a lawsuit in which you potentially have any personal financial liability? *

Yes
No

J. Have you conveyed title to any property in lieu of foreclosure in the past 7 years? *

Yes
No

K. Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due? *

Yes
No

L. Have you had property foreclosed upon in the last 7 years? *

Yes
No

M. Have you declared bankruptcy within the past 7 years? *

Yes
No

Page Name

Mortgage Company

Declarations Information 01