NATIONAL NOTE BUYERS exists to help and inform all who need to know about mortgage notes and trust deeds, both residential and commercial.  We help individuals or companies create, sell, understand notes.  We are investors and do not lend money but purchase cash flows. We are determined not only to make great deals on  mortgages and trust deed notes which you are selling or buying, but strive to be a good neighbor. We shape our business decisions to improve the quality of life in the communities where we do business. 
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1003 Residential Loan Application

 

UNIFORM 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 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 MORTGAGE AND TERMS OF LOAN
Mortgage    V.A.   Conventional Other: Agency Case No.              Lender Case No.
applied for  FHA  FmHA                                                                   
____________________________________________________________________________________
Loan Amount                            Interest Rate:                           No. of months     Amortization Fixed rate ARM (Type):
$%Type: GPM  Other (explain):
                                                                                                                                                                        
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
 Subject Property Address (street, city, state, ZIP)                                                                                     |No. of Units
                                                                                                                                   
Legal Description of Subject Property (attach description if necessary)                                           |Year built
Purpose of Loan Purchase  Construction  Other (explain):Property will be:
                                                                                                                                                                  Investment
                                                                                                                                                           Primary Secondary
                                Refinance Construction-Permanent                                                    Residence   Residence
__________________________________________________________________________________
Complete this line if construction or construction-permanent loan.
Year Lot          |Original Cost        |Amount Existing     |(a) Present Value    |(b) Cost of           |Total (a + b)
                                                                Liens                       |of Lot                         Improvements
Acquired$          $  $  $    $
__________________________________________________________________________________
Complete this line if this is a refinance loan.
Year                  |Original Cost   |Amount Existing Liens   |Purpose of Refinance     Describe Improvements made
Acquired$$  to be made
                                                                                                                                                       Cost$
__________________________________________________________________________________
Title will be held in what Name(s)                                    Manner in which title will be held |Estate will be held in:
Fee SimpleLeasehold   
Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain)         (Show expiration date) 
            
           Borrower                                             III. BORROWER INFORMATION                                            Co-Borrower        
Borrower's Name (include Jr. or Sr. if applicable                |Co-Borrower's Name (include Jr. or Sr. if applicable 
              
Social Security Number |Home Phone (include area code)  Social Security Number |Home Phone (include area code)
             
Age                       Years School                      Age                       Years School
Married  Unmarried (include single, divorced               Married Unmarried (include single divorced  
Separated                           widowed)                                         Separated                           widowed)
Dependents (not listed by C0-Borrower)                                       Dependents (not listed by Borrower)
No. Ages                                No. Ages
Present Address (street, city, state,zip)Own Rent          Present Address (street, city, state,zip) Own Rent
                                                                       No. Years                                                                              No. Years
                                                                                                                                                                                                                                                                    
If residing at present address for less than two years, complete the following:
Former Address (street, city, state,zip)  Own Rent        Former Address (street, city, state,zip)   Own Rent
                                                                         No. Years                                                                              No. Years
                                    
 
Former Address (street, city, state,zip)  Own Rent          Former Address (street, city, state,zip)   Own Rent
                                                       No. Years                                                                              No. Years
                                      
            Borrower                                           IV. EMPLOYMENT INFORMATION                                        Co-Borrower  
If employed in current position for less than two years or if currently employed in more than on position, complete the following:
Name and Address of Employer      Self Employed                 Name and Address of Employer Self
                                                                                                                                                                                      Employed        
                                       
Years on this job                                                                         Years on this job
Years employed in this line of work/profession                 Years employed in this line of work/profession
Position/Title/Type of Business:                                                              Position/Title/Type of Business:
                    
Business Phone (including area code)                                                    Business Phone (including area code)
                    
 If employed in current position for less than two years or if currently employed in more than one position, 
complete the  following:
Name and Address of Employer      Self Employed                    Name and Address of Employer  Self
                                                                                                                                                                                        Employed        
                                       
Dates: fromto                                             Dates: from to
Monthly Income $                                                Monthly Income $
Position/Title/Type of Business:                                                               Position/Title/Type of Business:
                     
Business Phone (including area code)                                                     Business Phone (including area code)
                     
Name and Address of Employ      Self Employed                       Name and Address of Employer  Self
                                                                                                                                                                                     Employed        
                                       
Dates: fromto                                             Dates: from to
Monthly Income $                                                Monthly Income $
Position/Title/Type of Business:                                                             Position/Title/Type of Business:   
                      
Business Phone (including area code)                                                          Business Phone (including area code)
                    
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
GROSS MONTHLY INCOME                     BORROWER                      CO-BORROWER                        TOTAL
Base Employment Income*               $    $    $   
Overtime                                                 $    $    $
Bonuses                                                   $    $    $
Commissions                                         $    $    $
Dividends/Interest                                $    $    $
Net Rental Income                               $    $    $
Other (before completing,                           $    $    $
see the notice in "describe                              $    $    $
other income," below)                                    $    $    $
TOTAL                                           $    $    $
__________________________________________________________________________________
COMBINED
 MONTHLY HOUSING EXPENSE            PRESENT                                           PROPOSED
Rent                                                          $      $ 
First Mortgage (P&I)                           $      $
Other Financing (P&I)                         $      $
Hazard Insurance                                  $      $
Real Estate Taxes                                  $      $
Mortgage Insurance                              $      $
Homeowner Association Dues           $      $
Other                                                         $      $
TOTAL                                                      $      $
 
*Self Employed Borrower ( s ) may be required t provide additional documentation such as tax returns and 
financial statements.
 
Describe Other Income     Notice: Alimony, child support, or separate maintenance income need not be revealed 
if the Borrower ( B ) or Co-Borrower ( C ) does not choose to have it considered for repaying this loan.                    
                                                        
B/C                                                                                                                                                                Monthly Amount
$  
$
$  
$
VI. ASSETS AND LIABILITIES
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 that spouse also.         
                                                           COMPLETED Jointly    Not Jointly
__________________________________________________________________________________
                                    ASSETS                                                                                               CASH OR MARKET VALUE                     
Description
Cash deposit toward purchase held by:                                                                            $
 List checking and savings accounts below:  
Name and address of Bank, S&L, or Credit Union:
Account Number                          $
__________________________________________________________________________________
Name and address of Bank, S&L, or Credit Union:
Account Number                          $
__________________________________________________________________________________
Name and address of Bank, S&L, or Credit Union:
 
Account Number                          $
___________________________________________________________________________________
Name and address of Bank, S&L, or Credit Union:
 
Account Number                          $
____________________________________________________________________________________
Name and address of Bank, S&L, or Credit Union:
 
Account Number                          $
__________________________________________________________________________________
Stocks & Bonds (Company name/number & Description                                                $
        $
        $
        $
       $
__________________________________________________________________________________
Life insurance net cash value                                                                                                     $
Face amount                                                                                                                                   $ 
Subtotal Liquid Assets                                                                            $  
Real estate owned ( enter market value from schedule of real estate owned )             $
Vested interest in retirement fund                                                                                             $  
Net Worth of business(es) owned ( attach financial statement )                                      $
Automobiles owned ( make and year) :
          $
          $
          $
          $
Other Assets itemized:
          $
          $
          $
          $
 
Total Assets a.    $
___________________________________________________________________________________
Liabilities and Pledged Assets.  List the creditor's name address and account number for all outstanding debts, including
  automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc.  
Use continuation sheet if necessary indicate by (*) those liabilities which will be satisfied upon sale of real estate owned
  or upon refinancing. 
 
        LIABILITIES                                                          Monthly Payment and                                        Unpaid Balance        
                                                                                           Months left to pay                
Name and address of Company
  $Payt.Mos.            $
       
    
  Account Number
 
Name and address of Company
  $Payt.Mos.             $
       
    
  Account Number
 
Name and address of Company
  $Payt.Mos.             $
       
    
  Account Number
 
Name and address of Company
  $Payt.Mos.             $
       
    
  Account Number
 
Name and address of Company
  $Payt.Mos.             $
       
    
  Account Number
 
Name and address of Company
  $Payt.Mos.             $
       
    
  Account Number
 
Name and address of Company
  $Payt.Mos.              $
       
    
  Account Number
 
Alimony/Child Support/Separate Maintenance Payments:
Owed to:       $
 
Job Related Expense ( child care, union dues, etc.
    $
    $
    $
    $
 
TOTAL MONTHLY PAYMENTS                                $
 
Net Worth ( a-b ) $ Total Liabilities  b.    $  
 
. ASSETS AND LIABILITIES (cont.)
Schedule of Real Estate Owned (if additional properties are owned, use continuation sheet)
Property Address (enter S if sold, PS if                       Type of         Present                  Amount of        
pending sale or R if rental being held for income)  Property    Market Value      Mortgages & Liens    
      $ $  
      $ $  
      $ $  
      $ $  
      $ $  
        TOTAL $ $  
        
                                    Gross                                 Mortgage                         Insurance                               Net            
                            Rental Income                        Payment                          Maintenance,               Rental Income      
                                                                                                                            Taxes & Misc.
                    $    $    $   $
                    $    $    $   $
                    $    $    $   $
                    $    $    $   $
                    $    $    $   $
 TOTALS   $    $    $   $
______________________________________________________________________________
List any additional names under which credit has previously been received and indicate appropriate creditor
  name (s) and account numbers (s):
   Alternate Name                                                Creditor Name                                                   Account Number
      
      
      
      
                VII. DETAILS OF TRANSACTION                                                                               VIII. DECLARATIONS    

             

a. Purchase price                                        $
b. Alterations, improvements, repairs  $
c. Land (if acquired separately)              $ 
d. Refinance (incl. debts to be paid off  $
e. Estimated prepaid items                      $
f. Estimated closing costs                        $
g. PMI, MIP, Funding Fee                        $
h. Discount (if Borrower will pay          $ 
i. Total costs (add items a through h    $
j. Subordinate financing                           $
k. Borrowers closing cost paid by
 Seller                                                            $
l. Other Credits (explain)                        $
  $
  $
  $
  $
  $
  $
  $
  $
  $
  $
  $
  $
  $
  $
m. Loan amount (exclude PMI, MIP,  $  
     Funding Fee financed)                         $
n. PMI, MIP, Funding Fee financed      $
o. Loan amount (add m & n)                   $
p. Cash from/to Borrower                        $
    (subtract j, k, l, & o from i)

 

 
If you answer "yes" to any      Borrower  Co-Borrower  
questions a through i, please     
use continuation sheet for           Yes   No |   Yes   No
explanation.
a. Are there any outstanding 
    judgments against you?                  
b. Have you be declared bankrupt within the past 
    7 years?                                                
c. Have you had property foreclosed upon or given up
    title or deed?                                        
d. Are you 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 
     (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.)                                            
f.  Are you presently delinquent or in default on any
     Federal debt or any other loan, mortgage, financial
     obligation bond, or loan guarantee?  If "yes" give 
     details as described in the   
     preceding question.                             
g.  Are you obligated to pay alimony, child support, or
     separate maintenance?                       
h.  Is any part of the down payment
      borrowed?                                             
i.   Are you a 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?   If "Yes," complete question m   
     below.                                                       
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)   

  

   
IX. ACKNOWLEDGEMENT 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 indicated above; (5) verification or reverification of any information contained in the application may be made at 
any time by the Lender, its agents, successors and assigns, either directly or through a credit reporting agency 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,
  its agents, successors and assigns will rely on the information contained in the application and I/we have 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,
  its agents, successors and other 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 its agents, successors and assigns make no representations or warranties, express or implied, to the Borrower (s)
  regarding the property, the condition of the property, or the value of the property.
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 any intentional or negligent misrepresentation (s)
 of the information contained in this application may result in civil liability and and/or criminal penalties including, but not limited
 to, fine or imprisonment of both under the provisions of Title 18, United States Code, Section 1001, et seq. and liability for monetary 
damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon
 any misrepresentation which I/we have made on this application.
 
Borrower's Signature                                                      Date                                  Co-Borrower's Signature                              Date
X     X      
 
 
X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES
The following information is requested by the 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 neither discriminate on the basis of this information, nor on
  whether you choose to furnish it.  However, if you choose not to furnish it, under Federal regulations this Lender is required to note race and
  sex on the basis of visual observation or surname.  If you do not wish to furnished the above information please check the box below.  (Lender
must review the above material to assure that the disclosure satisfy all requirement to which the Lender is subject under applicable state law
for the particular type of loan applied for.)
 
BORROWER                                                                                                      
                   I do not wish to furnish this information
Race/National   American Indian or Alaskan NativeAsian or Islander 
Origin:              Black, not of        Hispanic        White, not of
                               Hispanic origin                                     Hispanic origin
                         Other (specify)
Sex:                   Female                 Male
          
________________________________________________________________________________ 
                                
CO-BORROWER
                   I do not wish to furnish this information
Race/National   American Indian or Alaskan NativeAsian or Islander 
Origin:              Black, not of        Hispanic        White, not of
                               Hispanic origin                                     Hispanic origin
                         Other (specify)
Sex:                   Female                 Male
___________________________________________________________________________________
To be Completed by Interviewer         Interviewer's Name                                              Name and Address of Provider:         
This application was taken by:                    NATIONAL NOTEBUYERS
face-to-face interview                       Interviewer's Signature                                      P.O. Box 3492
                                                                             Springfield, Ma 01101
by mail                                                                                                                                    phone (413)-592-2751
                                                                       Interviewer's Phone Number                           fax (413)-594-5516
by telephone                                                 
                                                     Internet Address                                                 Internet Address: maxicash.com
by internet                                          
                                                                       E-Mail address                                              E-Mail address: richard@maxicash.com                                                                     
 
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