Big Kahuna Mortgage

Big Kahuna Mortgage

Phone 206-226-8059
 Fax 425-821-5056

 

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Call us at
1-800-485-0770
 

 

 


License # 510-LO-21845

 

 

Access WEBMail 

Online Uniform Residential Loan Application (HUD 1003)
Print and Mail  - Note you may need this Get Adobe Acrobat!

This application is designed to be completed by the applicant(s) . Co-Borrower information must also be provided (and the appropriate box selected below) when:

the income or assets of a person other than the "Borrower" (including the Borrowers spouse) will be used as a basis for loan qualification or
the income or assets of the Borrowers spouse will not be used as a basis for loan qualification, but his or her liabilities must be considered because the Borrower resides in a community property state, or 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.

Email address:   

Person filling out this form:

I. TYPE OF MORTGAGE AND TERMS OF LOAN

Amount: $

II. PROPERTY INFORMATION AND PURPOSE OF LOAN

Property Address:

Street: City: St: Zipcode:
No. of Units: Year Built:
Purpose of Loan:
 Property will be:

Complete this line if this is a refinance loan.

Year
Acquired		 Original Cost Existing Liens Purpose of Refinance
$ $

III. BORROWER INFORMATION

Borrower Co-Borrower
Name (include Jr. or Sr. if applicable)
 Name (include Jr. or Sr. if applicable)
Social Sec. No.
 Home Phone
 Social Sec. No.
 Home Phone
Age
 Yrs. of School
 Age
 Yrs. of School
Marital Status

Married
Unmarried
Separated

 Dependents

No.
Ages

 Marital Status

Married
Unmarried
Separated

 Addl Dependents

No.
Ages
Present Address: Present Address:
Street
 City
 Street
 City
State
 Zip
 State
 Zip
Own Rent No. Yrs. Own Rent No. Yrs.
IF AT PRESENT ADDRESS LESS THAN TWO YEARS ...
Former Address: Former Address:
Street
 City
 Street
 City
State
 Zip
 State
 Zip
Own Rent No. Yrs. Own Rent No. Yrs.

IV. EMPLOYMENT INFORMATION

Borrower Co-Borrower
Name of Employer:
 Name of Employer:
Attn: Attn:
Address: Address:
City: City:
State: Zip: State: Zip:
Self-employed
Yes No		 Years on this job:
 Self-employed
Yes No		 Years on this job:
Yrs. in current profession: Yrs. in current profession:
Position/Title/Type of Bus:
 Position/Title/Type of Bus:
Business Phone: Business Phone:
IF EMPLOYED IN CURRENT POSITION FOR LESS THAN TWO YRS...
Name of Employer:
 Name of Employer:
Attn: Attn:
Address: Address:
City: City:
State: Zip: State: Zip:
Self-employed
Yes No		 From - To:
 Self-employed
Yes No		 From - To:
Monthly Income: $ Monthly Income: $
Position/Title/Type of Bus:
 Position/Title/Type of Bus:
Business Phone: Business Phone:

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Gross
Monthly
Income		 Borrower Co-Borrower
Base Empl,
Income*
Overtime
Bonuses
Commissions
Dividends/
Interest
Net Rental
Income
Other
*Self Employed Borrowers(s) may be required to provide additional documentation such as tax returns and financial statements.
Combined
Mthly Exp.
(Housing)		 Present Proposed
Rent
First
Mortgage
Other
Financing
Hazard
Insurance
Real Estate
Taxes
Mortgage
Insurance
Homeowner Assn. Dues
Other

VI. ASSETS AND LIABILITIES

ASSETS
Completed Jointly Not Jointly
Cash deposit held by: (for purchase only)

 Amount:
$
Checking/Savings Accounts
Name of Bank/S&L/Credit Union:

Address:

City:

State: Zip:
A/C No.:
Balance: 		Name of Bank/S&L/Credit Union:

Address:

City:

State: Zip:
A/C No.:
Balance:
Name of Bank/S&L/Credit Union:

Address:

City:

State: Zip:
A/C No.:
Balance: 		Name of Bank/S&L/Credit Union:

Address:

City:
State: Zip:
A/C No.:
Balance:
Name of Bank/S&L/Credit Union:

Address:

City:

State: Zip:
A/C No.:
Balance: 		Stocks and Bonds:
Company name/number & description:

Amount:

Company name/number & description:

Amount:

Company name/number & description:

Amount:
Vested Interest in Retirement Fund:
$

Automobiles:
Year & Make: Value: $
Year & Make: Value: $

Other Assets: (e.g. Furniture, Jewelry, Household Goods, Personal Property, etc.)
$
Liabilities
Enter only if this is a refinance loan (details of first mortgage on subject property):

First Mortgage Creditor:
Name
Loan Number
Address
City
State Zip Monthly pmt. Balance
Details of second mortgage on subject property (if any):

Second Mortgage Creditor:
Name
Loan Number
Address
City
State Zip Monthly pmt. Balance
All other monthly liabilities:
(Include credit card debt, auto loans, student loans, installment loans etc.) You may use an estimate; we will obtain details from your credit report.

Monthly pmt. Balance

OTHER REAL ESTATE OWNED (Enter total for all properties not including subject property)

Market Value
 Amt. of Liens
 Gross Income
 Mortgage Pmt
 Tax/Ins. Maint.
 Net Rental Inc

VIII. DECLARATIONS

Items Borrower Co-Borrower
a. Are there any outstanding judgements against you? Yes No Yes No
b. Have you been declared bankrupt within the last 7 years? Yes No Yes No
c. Have you had property foreclosed upon in the last 7 years? Yes No Yes No
d. Are you a party to a lawsuit? Yes No Yes No
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? Yes No Yes No
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? Yes No Yes No
g. Are you obligated to pay alimony child support or separate maintenance? Yes No Yes No
h. Is any part of the down payment borrowed? Yes No Yes No
i. Are you the co-maker or endorser on a note? Yes No Yes No
j. Are you a U.S. citizen? Yes No Yes No
k. Are you a permanent resident alien? Yes No Yes No
l. Do you intend to occupy the property as your primary residence? Yes No Yes No
m. Have you had an ownership interest in a property in the last 3 years? Yes No Yes No

If the answer to m above is "yes":

1. What type of property did you own? Principal residence
Second home
Investment Property		 Principal residence
Second home
Investment Property
2. How did you hold title to the home? Solely by yourself
Jointly with spouse
Jointly with another person		 Solely by yourself
Jointly with spouse
Jointly with another person

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 as 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 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 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 mV/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 I liability and/or criminal penalties including, but not limited to, fine or imprisonment or 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.

Check Box/Boxes Below:

Borrower (Agree's to above) Co-Borrower (Agree's to above)

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 furnish the above information, please check the box below. (Lender must review the above material to assure that the disclosure satisfy all requirements to which the Lender is subject under applicable state law for the particular type of loan applied for.)

This information is entirely optional.

Borrower Co-Borrower
I do not wish to furnish this information

Race/National Origin:

Sex: Female Male

I do not wish to furnish this information

Race/National Origin:

Sex: Female Male

Please use the following space to describe in more detail what you are seeking by filling out this form (refinance, purchase, qualify etc.):

Congratulations! You have now completed the on-line loan application. We appreciate the time you have spent - it will result in reduced processing time beyond this point.

When you have verified your information entered and are ready to submit it to us, please click on the submit button below.

Or use online Pre-Qualification form for simple feedback, will require HUD 1003 to expedite.

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