Mortgage Loan Application

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Page 1

Hidden Fields


Confirm Eligibility
The following three statements will determine your eligibility to apply for a Center for Rural Affairs mortgage. All three must be true to continue. If you have questions, please contact us.



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Page 3

Loan Request


CFRA offers mortgage loans up to $100,000
Detail How the Amount Will be Used. Enter 0 if N/A








Please select one.

Property Information









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Additional Financing Sources



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Page 5

Monthly Income and Expense Information


All fields must contain a number. Enter 0s for items that are not applicable or unknown. Base numbers on monthly NET (after-tax) income. Do not include decimals, commas or special characters.













All fields must contain a number. Enter 0s for items that are not applicable or unknown. Base numbers on monthly expenses. Do not include decimals, commas or special characters.











Page 5

Monthly Income and Expense Information

If you indicated there will not be a Co-Borrower on this application, you can skip ahead to the next page.

All fields must contain a number. Enter 0s for items that are not applicable or unknown. Base numbers on monthly NET (after-tax) income. Do not include decimals, commas or special characters.













All fields must contain a number. Enter 0s for items that are not applicable or unknown. Base numbers on monthly expenses. Do not include decimals, commas or special characters.











Page 7

Acknowledgement and Agreement

Each of the undersigned specifically represents to Lender and to Lender's actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknowledges that: (1) the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of this information contained in this application may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Sec. 1001, et seq.; (2) the loan requested pursuant to this application (the "Loan") will be secured by a mortgage or deed of trust on the property described in this application; (3) the property will not be used for any illegal or prohibited purpose or use; (4) all statements made in this application are made for the purpose of obtaining a residential mortgage loan; (5) the property will be occupied as indicated in this application; (6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application, whether or not the Loan is approved; (7) the Lender and its agents, brokers, insurers, servicers, successors, and assigns may continuously rely on the information contained in the application, and I am obligated to amend and/or supplement the information provided in this application if any of the material facts that I have represented should change prior to closing of the Loan; (8) in the event that my payments on the Loan become delinquent, the Lender, its servicers, successors or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (9) ownership of the Loan and/or administration of the Loan account may be transferred with such notice as may be required by law; (10) neither Lender nor its agents, brokers, insurers, servicers, successors or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of the property; and (11) my transmission of this application as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature.
 
Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or reverify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application, and hereby authorizes the lender to perform a credit check, which may include obtaining consumer and/or commercial credit reports and to exchange information about credit experience with other creditors from time to time, as authorized by law. The release of all information by Lender in any manner, is hereby authorized whether such information is of record or not and I hereby release all persons, agencies, firms, companies, etc., from any damages resulting from such information.
 
Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion, Lower Tier Covered Transactions
 
This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 13 CFR Part 145. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211). Copies of the regulations may be obtained by contacting the person to which this proposal is submitted.
 
1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below.
 
2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.
 
3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
 
4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations (13CFR Part 145).
 
5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated.
 
6. The prospective lower tier participant further agrees by submitting this proposal that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.
 
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not deas it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the ineligibility of its principals. Each participant may, but is not required to, check the Nonprocurement List.
 
8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
 
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.
 
(1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for disbarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.
 
(2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.




Page 8

Landlord Reference & Required Documents

Landlord Reference. If you have recently been renting your primary residence, providing a landlord reference from someone who is not a family member may help your application. 








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The following documents constitute a complete loan package. If you do not have all the documents ready at this time, that's ok. Just submit as many as you can. Providing as much documentation as you can now will expedite your application review. All documents will be required before underwriting can occur. 
Valid driver license or government-issued ID for each applicant


Paystubs: Two most recent available, from all jobs of each borrower. You may attach more than one file at a time.


Proof of any other verifiable source of income. You may attach more than one file at a time.


Personal bank statements: Three most recent months available, ALL pages (even if blank) for ALL accounts you have open. You may attach more than one file at a time.


Personal Financial Statement | Download a sample here


Personal Tax Returns: Two most recent years available. You may attach more than one file at a time.


Proof of liquid funds available for down payment, if applicable. You may attach more than one file at a time.


Recent property tax assessment for the property. Assessment must be from this year or the previous calendar year.

Current property appraisal if available. Note: CFRA does not require an appraisal for all mortgage loans.