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Application Form                   


Please review all form entries highlighted with an asterisk (*), and provide requested information in proper formatting. Thank you!

   Borrower and Co-Borrower Details
Borrower name: *   Co-Borrower name:*
Social Security #: * - -
(000-00-0000)		   Social Security #: * - -
(000-00-0000)
Date of Birth: * - -
(mm-dd-yy)		   Date of Birth: * - -
(mm-dd-yy)
Current Address: *   Current Address: *
Address (Continued): Address (Continued):
City: *     City: *
State: *     State: *
Zip: *   Zip: *
How Long? *
Please enter numericals only 		  How Long? *
Please enter numericals only
Email Id: *     Email Id: *
Home Telephone: ( ) -
Please enter numericals only 		  Cell Phone Number: ( ) -
Please enter numericals only

Is Borrower married to Co-Borrower?

  Employment Details
Borrower   Co-Borrower
Current Employer: Current Employer:
How Long? * How Long? *
  Hourly Wage: $ / hr   Hourly Wage: $ / hr
Hours worked /wk: Hours worked/wk:
  Salary: $     Salary: $  
Do you have 2 years
of employment in the
same line of work?		  Do you have 2 years
 of employment in the
 same line of work?
Additional Income? Additional Income?
Description: Description:
Amount of Add'l Income:     $   Amount of Add'l Income:   $  
     

  Bank Accounts
Bank name:     Approx. Balance: $
Bank name:     Approx. Balance: $
Other Assets: Type of account:    Approx. Balance:  
    401 K $   $
    IRA $   $
    Stocks/Bonds $   $
    Gift from Family Member $   $
    Existing Home Equity Loan $   $
Is Down Payment
coming from Sale
of Home?		 How much will
your down
payment be?		  

Have you had a bankruptcy in the last 7 years? Ch 7  Ch 13
Have you had a property foreclosure in the last 7 years?  
Are you obligated to pay alimony, child support or separate maintenance?   $ / Mo

Type of Property you will be purchasing: Primary Residence  2nd Home  Investment Property

My submission below certifies the above information is true and correct as of the date ofsubmission of this form. I also authorize Nova Home Loans to view my credit history via a preliminary credit report from an agency of their choosing. I understand a full application may be required of me on a Fannie Mae Form 1003. By providing the above information and authorizing a preliminary credit check, I am not obligated to obtain a loan.