HECM Pre-Application Worksheet - Getting StartedFollow this step-by-step worksheet to get startedAre you working with a Reverse Mortgage Loan Officer at Alpha Mortgage?*Are you working with a Reverse Mortgage Loan Officer at Alpha Mortgage?YesNoWho are you working with?*Who are you working with?Chance CaudillDale MaddocksEric Colburn, CRMPGreg Gianoplus, CRMPJamie FlemingJoe TurskyKristofer Erickson, CRMPSteve JensenOther Name & Date of Birth InformationFirst Name* Middle Name Last Name* How You Sign Your Name* Date of Birth* MM slash DD slash YYYY Please answer the following questionsImmigration Status*Select Immigration StatusU.S. CitizenLawful Permanent Resident AlienOtherMarital Status*Select Marital StatusMarriedUnmarriedIs this for a primary residence?*Is this for a primary residence?YesNoSex*Select SexMaleFemaleApplicant does not wish to provide this information used only for government monitoring purposesRace*Select RaceWhiteBlack or African AmericanAsianAmerican Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderApplicant does not wish to provide this information used only for government monitoring purposesEthnicity*Select EthnicityHispanic or LatinoNot Hispanic or LatinoApplicant does not wish to provide this information used only for government monitoring purposes Main Purpose of the Loan*Main Purpose of the LoanExtinguish Existing MortgageLine of Credit for ReservesAdditional Monthly IncomeBuy New Home – HECM For Purchase (H4P)Other Provide Full Two Year Residence History: Current Property Information*Current Property (Select One)OwnRentLive with family rent-freeOtherStreet Address* City* State*StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code* How long at current address?* If under two years, enter prior address information in the fields below. If over two years, leave blank.Prior Address InformationPrior Address Information (Select One)OwnRentLive with family rent-freeOtherPrevious Street Address Previous City Previous StateStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPrevious Zip Code Address of subject property (the collateral for loan) Subject Property Street Subject Property City Subject Property StateStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingSubject Property Zip Client Contact InformationMobile PhoneHome PhoneWork PhoneEmail Identification Information Contact your Alpha mortgage banker by phone with Social Security Number.Unexpired Primary Identification (Pick One)*Unexpired Primary Identification (Pick One)State issued driver’s licenseState Issued ID cardPassportMilitary issued ID cardU.S. Alien registration cardOPTIONAL - please upload legible photo of the front of your unexpired IDAccepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.Optional - please upload legible photo of the front of your unexpired ID Legal Questions - Please Answer Yes or No to eachApplicant cannot sign, is incapacitated*Applicant cannot sign, is incapacitatedYesNoApplicant is incompetent*Applicant is incompetentYesNoAre there outstanding judgmentsAre there outstanding judgmentsYesNoUnresolved bankruptcyUnresolved bankruptcyYesNoParty to a lawsuitParty to a lawsuitYesNoDefault on federal debtDefault on federal debtYesNoCo-maker/co-signer on a noteCo-maker/co-signer on a noteYesNo Alternative Contact (In case we can't reach you many years from now - must be someone other than Spouse or occupying Co-Borrower)Alternative Contact Name Alternative Contact Email Alternative Contact PhoneAlternative Contact Street Address Alternative Contact City Alternative Contact State Alternative Contact Zip Alternative Contact Relationship Transaction Related QuestionsPlanning to bring money to closing (pick one)?*Planning to bring money to closing (pick one)?YesNoDid you borrow the money?*Did you borrow the money?YesNoDo you plan to buy a financial product with the loan proceeds?*Do you plan to buy a financial product with the loan proceeds?YesNoDo you have an existing FHA insured loan?Do you have an existing FHA insured loan?YesNoNot Sure Enter Primary Applicant Income Info Only (see Step 19 for Co-Applicant Income)Do you have any current income?*Do you have any current income?YesNoHow much is it? (Enter Amount) Frequency of the income?Frequency of the income?WeeklyMonthlyOtherEnter the Source of the Income* For example Social Security, Employment, Pension, etc) Co-Applicant InformationIs there a Co-Applicant?*Is there a Co-Applicant?YesNo Co-Applicant Name & Date of Birth InformationCo-Applicant First Name* Co-Applicant Middle Name Co-Applicant Last Name* Co-Applicant How You Sign Your Name* Co-Applicant Date of Birth* MM slash DD slash YYYY Co-Applicant - Please answer the following questionsCo-Applicant Immigration Status*Select Immigration StatusU.S. CitizenLawful Permanent Resident AlienOtherCo-Applicant Marital Status*Select Marital StatusMarriedUnmarriedCo-Applicant - Is this for a primary residence?*Is this for a primary residence?YesNoCo-Applicant Sex*Select SexMaleFemaleApplicant does not wish to provide this information used only for government monitoring purposesCo-Applicant Race*Select RaceWhiteBlack or African AmericanAsianAmerican Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderApplicant does not wish to provide this information used only for government monitoring purposesCo-Applicant Ethnicity*Select EthnicityHispanic or LatinoNot Hispanic or LatinoApplicant does not wish to provide this information used only for government monitoring purposes Co-Applicant Current Address InformationSame as Applicant?*Same as Applicant?YesNoCo-Applicant Current Address Co-Applicant Current City Co-Applicant Current StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCo-Applicant Current Zip Code Enter years and months living at current address If under two years, enter prior address information in the fields below.Co-Applicant Previous Current Address Co-Applicant Previous City Co-Applicant Previous StateCo-Applicant Previous StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCo-Applicant Previous Zip Code Co-Applicant address of subject property. Is subject property same or different than current residence?*Is subject property same or different than current residence?Same as current address aboveDifferent than current address aboveCo-Applicant Subject Property Address Co-Applicant Subject Property State Co-Applicant Subject Property Zip Co-Applicant Contact InformationCo-Applicant Mobile PhoneCo-Applicant Home PhoneCo-Applicant Work PhoneCo-Applicant Email Address Co-Applicant Identification Information Contact your Alpha mortgage banker by phone with Social Security Number.Co-Applicant Unexpired Primary Identification (Pick One)*Unexpired Primary Identification (Pick One)State issued driver’s licenseState Issued ID cardPassportMilitary issued ID cardU.S. Alien registration cardOptional - please upload legible photo of the front of your unexpired IDAccepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.Optional - please upload legible photo of the front of your unexpired ID Co-Applicant Legal Questions - Please Answer Yes or No to eachCo-Applicant cannot sign, is incapacitated*Co-Applicant cannot sign, is incapacitatedYesNoCo-Applicant is incompetent*Co-Applicant is incompetentYesNoCo-Applicant Are there outstanding judgmentsAre there outstanding judgmentsYesNoCo-Applicant Unresolved bankruptcyUnresolved bankruptcyYesNoCo-Applicant Party to a lawsuitParty to a lawsuitYesNoCo-Applicant Default on federal debtDefault on federal debtYesNoCo-Applicant Co-maker/co-signer on a noteCo-maker/co-signer on a noteYesNo Co-Applicant Transaction Related QuestionsCo-Applicant Planning to bring money to closing (pick one)?*Planning to bring money to closing (pick one)?YesNoCo-Applicant Did you borrow the money?*Did you borrow the money?YesNoCo-Applicant Do you plan to buy a financial product with the loan proceeds?*Do you plan to buy a financial product with the loan proceeds?YesNoCo-Applicant Do you have an existing FHA insured loan?Do you have an existing FHA insured loan?YesNo Co-Applicant Income InformationCo-Applicant Do you have any current income?*Do you have any current income?YesNoHow much is it? (Enter Amount) Frequency of the income?Frequency of the income?WeeklyMonthlyOtherEnter the Source of the Income* For example Social Security, Employment, Pension, etc) Property Related InformationIs this loan for a property you already own?Is this loan for a property you already own?YesNoEnter estimated value of existing property or sales price if buying What is the first mortgage balance? Is there a 2nd mortgage or equity line on the property?Is there a 2nd mortgage or equity line on the property?YesNoEnter the balance of your second mortgage Was second mortgage or equity line taken out less than one year ago?Was second mortgage or equity line taken out less than one year ago?YesNoNot SureAre there any other mortgages or liens on the property?Are there any other mortgages or liens on the property?No, 1st mortgage onlyYes, 1st mortgage and 2nd loan or home equity credit lineHome equity credit line or loan only with a balance owedHome equity credit line only with ZERO balanceNo, home is free and clear, no mortgage liens on titleNot Applicable - purpose of this loan is to purchase a new home (H4P)Type of Property (Choose One)Type of Property (Choose One)Single Family DetachedTownhomeCondoManufacturedMulti-Family (2-4 units)Number of Living Units (Choose One)Number of Living Units (Choose One)Single Family HomeDuplex (2)Triplex (3)Quadraplex (4)OtherHow may people currently reside in the home? (Choose One)How may people currently reside in the home?OneTwoThreeFourFive +Enter Approximate Heated/Cooled Square Feet Is home currently under any renovations?Is home currently under any renovations (Choose One)YesNoDoes the property have a well for drinking water?Does the property have a well for drinking water?YesNoIs the well shared with neighbors?Is the well shared with neighbors?YesNoNot applicableWhere is the well located?Where is the well located?On the subject propertyOn neighboring propertyDoes the property have a septic system now in use?Does the property have a septic system now in use?YesNoIs the property in foreclosure?Is the property in foreclosure?YesNoSelect Form of OwnershipSelect Form of OwnershipFee Simple in your own name (most common)Life EstateLiving TrustLLC or CorpNot sureEnter approximate year the home was built Is there an HOA?Is there an HOA?YesNoHOA Name HOA Contact Name HOA Phone Number HOA Email Address Is there an HOA management company?Is there an HOA management company?YesNoAnnual HOA due amount Property Tax Information Enter approximate amount of annual property taxes Is property tax account current?Is property tax account current?YesNoProperty tax paid on time each of the last two years?Property tax paid on time each of the last two years?YesNo, but less than 30 days lateNo, more than 30 days lateNot sureProperty tax exempt or waived?Property tax exempt or waived?YesNoNot sureProperty tax deferred?Property tax deferred?YesNoNot sureProperty tax paid directly by homeowner?Property tax paid directly by homeowner?YesNoNot sureProperty tax is paid monthly through our existing mortgage payment:Property tax is paid monthly through our existing mortgage payment?YesNoNot SureI/we have already qualified for NC Homestead tax relief and/or some other programI/we have already qualified for NC Homestead tax relief and/or some other programYesNoNot Sure Hazard/Homeowner Insurance Information Annual Insurance Premium Hazard/Homeowner’s insurance is paid directly by Homeowner(s)Hazard/Homeowner’s insurance is paid directly by Homeowner(s)YesNo, it's included with monthly mortgage paymentNot sureInsurance has been in place for at least the last 12 months without lapseInsurance has been in place for at least the last 12 months without lapseYesNoNot sureName of Insurance Agent City or Town of Insurance Agent Insurance agent numberInsurance agent email Does your main hazard/homeowner’s insurance policy exclude wind and hail coverage?Does your main hazard/homeowner’s insurance policy exclude wind and hail coverage?YesNoNot sureI/we don’t have wind and hail coverageAnnual wind and hail insurance premium Flood Insurance Information Does the property have flood insurance?Does the property have flood insurance?YesNoNot sureIs flood insurance require because you're in a flood zone?Is flood insurance require because you're in a flood zone?YesNoNot sureNot in a flood zone but I/we choose to have flood insuranceNot in a flood zone but I/we choose to have flood insuranceYesNoEnter approximate cost of annual flood premium if applicable Real Estate Owned Information Do you own additional real estate?Do you own additional real estate?YesNoProperty #1 - Enter Address of Additional Property Property #1 - Occupant type for this propertyProperty #1 - Occupant type for this propertyRental PropertySecond HomeOtherProperty #1 - Monthly Mortgage Payment Property #1 - Does payment include property taxes and/or insurance?Property #1 - Does payment include property taxes and/or insurance?YesNoNot applicable, free & clear, no mortgage liens on titleDo you own additional properties other than the one you just listed?Do you own additional properties other than the one you just listed?YesNoList Additional Properties Asset Information Checking account bank or institution Checking account value Savings account bank or institution Savings account value IRA Value of IRA/s IRA ClassificationIRA ClassificationTaxableRothNot SureInvestment Accounts (Non IRAs) Value of Non-IRA investment accounts Additional Assest Counseling Information Already counseled?Already counseled?YesNo, but counseling is scheduledNo, but I have the list of approved counselorsNo, please send me the list of approved counselorsEnter date counseled Is counseling scheduled?Is counseling scheduled?YesNoWorking on getting an appointmentOptional - Please upload signed, legible copy of Counseling CertificateAccepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.Optional - Please upload signed, legible copy of Counseling Certificate Purpose of the loan Purpose of the loan in your own wordsCommentsThis field is for validation purposes and should be left unchanged. HECM Pre-Application Worksheet HECM Pre-Application Worksheet - Getting StartedFollow this step-by-step worksheet to get startedAre you working with a Reverse Mortgage Loan Officer at Alpha Mortgage?*Are you working with a Reverse Mortgage Loan Officer at Alpha Mortgage?YesNoWho are you working with?*Who are you working with?Chance CaudillDale MaddocksEric Colburn, CRMPGreg Gianoplus, CRMPJamie FlemingJoe TurskyKristofer Erickson, CRMPSteve JensenOther Name & Date of Birth InformationFirst Name* Middle Name Last Name* How You Sign Your Name* Date of Birth* MM slash DD slash YYYY Please answer the following questionsImmigration Status*Select Immigration StatusU.S. CitizenLawful Permanent Resident AlienOtherMarital Status*Select Marital StatusMarriedUnmarriedIs this for a primary residence?*Is this for a primary residence?YesNoSex*Select SexMaleFemaleApplicant does not wish to provide this information used only for government monitoring purposesRace*Select RaceWhiteBlack or African AmericanAsianAmerican Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderApplicant does not wish to provide this information used only for government monitoring purposesEthnicity*Select EthnicityHispanic or LatinoNot Hispanic or LatinoApplicant does not wish to provide this information used only for government monitoring purposes Main Purpose of the Loan*Main Purpose of the LoanExtinguish Existing MortgageLine of Credit for ReservesAdditional Monthly IncomeBuy New Home – HECM For Purchase (H4P)Other Provide Full Two Year Residence History: Current Property Information*Current Property (Select One)OwnRentLive with family rent-freeOtherStreet Address* City* State*StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code* How long at current address?* If under two years, enter prior address information in the fields below. If over two years, leave blank.Prior Address InformationPrior Address Information (Select One)OwnRentLive with family rent-freeOtherPrevious Street Address Previous City Previous StateStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPrevious Zip Code Address of subject property (the collateral for loan) Subject Property Street Subject Property City Subject Property StateStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingSubject Property Zip Client Contact InformationMobile PhoneHome PhoneWork PhoneEmail Identification Information Contact your Alpha mortgage banker by phone with Social Security Number.Unexpired Primary Identification (Pick One)*Unexpired Primary Identification (Pick One)State issued driver’s licenseState Issued ID cardPassportMilitary issued ID cardU.S. Alien registration cardOPTIONAL - please upload legible photo of the front of your unexpired IDAccepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.Optional - please upload legible photo of the front of your unexpired ID Legal Questions - Please Answer Yes or No to eachApplicant cannot sign, is incapacitated*Applicant cannot sign, is incapacitatedYesNoApplicant is incompetent*Applicant is incompetentYesNoAre there outstanding judgmentsAre there outstanding judgmentsYesNoUnresolved bankruptcyUnresolved bankruptcyYesNoParty to a lawsuitParty to a lawsuitYesNoDefault on federal debtDefault on federal debtYesNoCo-maker/co-signer on a noteCo-maker/co-signer on a noteYesNo Alternative Contact (In case we can't reach you many years from now - must be someone other than Spouse or occupying Co-Borrower)Alternative Contact Name Alternative Contact Email Alternative Contact PhoneAlternative Contact Street Address Alternative Contact City Alternative Contact State Alternative Contact Zip Alternative Contact Relationship Transaction Related QuestionsPlanning to bring money to closing (pick one)?*Planning to bring money to closing (pick one)?YesNoDid you borrow the money?*Did you borrow the money?YesNoDo you plan to buy a financial product with the loan proceeds?*Do you plan to buy a financial product with the loan proceeds?YesNoDo you have an existing FHA insured loan?Do you have an existing FHA insured loan?YesNoNot Sure Enter Primary Applicant Income Info Only (see Step 19 for Co-Applicant Income)Do you have any current income?*Do you have any current income?YesNoHow much is it? (Enter Amount) Frequency of the income?Frequency of the income?WeeklyMonthlyOtherEnter the Source of the Income* For example Social Security, Employment, Pension, etc) Co-Applicant InformationIs there a Co-Applicant?*Is there a Co-Applicant?YesNo Co-Applicant Name & Date of Birth InformationCo-Applicant First Name* Co-Applicant Middle Name Co-Applicant Last Name* Co-Applicant How You Sign Your Name* Co-Applicant Date of Birth* MM slash DD slash YYYY Co-Applicant - Please answer the following questionsCo-Applicant Immigration Status*Select Immigration StatusU.S. CitizenLawful Permanent Resident AlienOtherCo-Applicant Marital Status*Select Marital StatusMarriedUnmarriedCo-Applicant - Is this for a primary residence?*Is this for a primary residence?YesNoCo-Applicant Sex*Select SexMaleFemaleApplicant does not wish to provide this information used only for government monitoring purposesCo-Applicant Race*Select RaceWhiteBlack or African AmericanAsianAmerican Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderApplicant does not wish to provide this information used only for government monitoring purposesCo-Applicant Ethnicity*Select EthnicityHispanic or LatinoNot Hispanic or LatinoApplicant does not wish to provide this information used only for government monitoring purposes Co-Applicant Current Address InformationSame as Applicant?*Same as Applicant?YesNoCo-Applicant Current Address Co-Applicant Current City Co-Applicant Current StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCo-Applicant Current Zip Code Enter years and months living at current address If under two years, enter prior address information in the fields below.Co-Applicant Previous Current Address Co-Applicant Previous City Co-Applicant Previous StateCo-Applicant Previous StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCo-Applicant Previous Zip Code Co-Applicant address of subject property. Is subject property same or different than current residence?*Is subject property same or different than current residence?Same as current address aboveDifferent than current address aboveCo-Applicant Subject Property Address Co-Applicant Subject Property State Co-Applicant Subject Property Zip Co-Applicant Contact InformationCo-Applicant Mobile PhoneCo-Applicant Home PhoneCo-Applicant Work PhoneCo-Applicant Email Address Co-Applicant Identification Information Contact your Alpha mortgage banker by phone with Social Security Number.Co-Applicant Unexpired Primary Identification (Pick One)*Unexpired Primary Identification (Pick One)State issued driver’s licenseState Issued ID cardPassportMilitary issued ID cardU.S. Alien registration cardOptional - please upload legible photo of the front of your unexpired IDAccepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.Optional - please upload legible photo of the front of your unexpired ID Co-Applicant Legal Questions - Please Answer Yes or No to eachCo-Applicant cannot sign, is incapacitated*Co-Applicant cannot sign, is incapacitatedYesNoCo-Applicant is incompetent*Co-Applicant is incompetentYesNoCo-Applicant Are there outstanding judgmentsAre there outstanding judgmentsYesNoCo-Applicant Unresolved bankruptcyUnresolved bankruptcyYesNoCo-Applicant Party to a lawsuitParty to a lawsuitYesNoCo-Applicant Default on federal debtDefault on federal debtYesNoCo-Applicant Co-maker/co-signer on a noteCo-maker/co-signer on a noteYesNo Co-Applicant Transaction Related QuestionsCo-Applicant Planning to bring money to closing (pick one)?*Planning to bring money to closing (pick one)?YesNoCo-Applicant Did you borrow the money?*Did you borrow the money?YesNoCo-Applicant Do you plan to buy a financial product with the loan proceeds?*Do you plan to buy a financial product with the loan proceeds?YesNoCo-Applicant Do you have an existing FHA insured loan?Do you have an existing FHA insured loan?YesNo Co-Applicant Income InformationCo-Applicant Do you have any current income?*Do you have any current income?YesNoHow much is it? (Enter Amount) Frequency of the income?Frequency of the income?WeeklyMonthlyOtherEnter the Source of the Income* For example Social Security, Employment, Pension, etc) Property Related InformationIs this loan for a property you already own?Is this loan for a property you already own?YesNoEnter estimated value of existing property or sales price if buying What is the first mortgage balance? Is there a 2nd mortgage or equity line on the property?Is there a 2nd mortgage or equity line on the property?YesNoEnter the balance of your second mortgage Was second mortgage or equity line taken out less than one year ago?Was second mortgage or equity line taken out less than one year ago?YesNoNot SureAre there any other mortgages or liens on the property?Are there any other mortgages or liens on the property?No, 1st mortgage onlyYes, 1st mortgage and 2nd loan or home equity credit lineHome equity credit line or loan only with a balance owedHome equity credit line only with ZERO balanceNo, home is free and clear, no mortgage liens on titleNot Applicable - purpose of this loan is to purchase a new home (H4P)Type of Property (Choose One)Type of Property (Choose One)Single Family DetachedTownhomeCondoManufacturedMulti-Family (2-4 units)Number of Living Units (Choose One)Number of Living Units (Choose One)Single Family HomeDuplex (2)Triplex (3)Quadraplex (4)OtherHow may people currently reside in the home? (Choose One)How may people currently reside in the home?OneTwoThreeFourFive +Enter Approximate Heated/Cooled Square Feet Is home currently under any renovations?Is home currently under any renovations (Choose One)YesNoDoes the property have a well for drinking water?Does the property have a well for drinking water?YesNoIs the well shared with neighbors?Is the well shared with neighbors?YesNoNot applicableWhere is the well located?Where is the well located?On the subject propertyOn neighboring propertyDoes the property have a septic system now in use?Does the property have a septic system now in use?YesNoIs the property in foreclosure?Is the property in foreclosure?YesNoSelect Form of OwnershipSelect Form of OwnershipFee Simple in your own name (most common)Life EstateLiving TrustLLC or CorpNot sureEnter approximate year the home was built Is there an HOA?Is there an HOA?YesNoHOA Name HOA Contact Name HOA Phone Number HOA Email Address Is there an HOA management company?Is there an HOA management company?YesNoAnnual HOA due amount Property Tax Information Enter approximate amount of annual property taxes Is property tax account current?Is property tax account current?YesNoProperty tax paid on time each of the last two years?Property tax paid on time each of the last two years?YesNo, but less than 30 days lateNo, more than 30 days lateNot sureProperty tax exempt or waived?Property tax exempt or waived?YesNoNot sureProperty tax deferred?Property tax deferred?YesNoNot sureProperty tax paid directly by homeowner?Property tax paid directly by homeowner?YesNoNot sureProperty tax is paid monthly through our existing mortgage payment:Property tax is paid monthly through our existing mortgage payment?YesNoNot SureI/we have already qualified for NC Homestead tax relief and/or some other programI/we have already qualified for NC Homestead tax relief and/or some other programYesNoNot Sure Hazard/Homeowner Insurance Information Annual Insurance Premium Hazard/Homeowner’s insurance is paid directly by Homeowner(s)Hazard/Homeowner’s insurance is paid directly by Homeowner(s)YesNo, it's included with monthly mortgage paymentNot sureInsurance has been in place for at least the last 12 months without lapseInsurance has been in place for at least the last 12 months without lapseYesNoNot sureName of Insurance Agent City or Town of Insurance Agent Insurance agent numberInsurance agent email Does your main hazard/homeowner’s insurance policy exclude wind and hail coverage?Does your main hazard/homeowner’s insurance policy exclude wind and hail coverage?YesNoNot sureI/we don’t have wind and hail coverageAnnual wind and hail insurance premium Flood Insurance Information Does the property have flood insurance?Does the property have flood insurance?YesNoNot sureIs flood insurance require because you're in a flood zone?Is flood insurance require because you're in a flood zone?YesNoNot sureNot in a flood zone but I/we choose to have flood insuranceNot in a flood zone but I/we choose to have flood insuranceYesNoEnter approximate cost of annual flood premium if applicable Real Estate Owned Information Do you own additional real estate?Do you own additional real estate?YesNoProperty #1 - Enter Address of Additional Property Property #1 - Occupant type for this propertyProperty #1 - Occupant type for this propertyRental PropertySecond HomeOtherProperty #1 - Monthly Mortgage Payment Property #1 - Does payment include property taxes and/or insurance?Property #1 - Does payment include property taxes and/or insurance?YesNoNot applicable, free & clear, no mortgage liens on titleDo you own additional properties other than the one you just listed?Do you own additional properties other than the one you just listed?YesNoList Additional Properties Asset Information Checking account bank or institution Checking account value Savings account bank or institution Savings account value IRA Value of IRA/s IRA ClassificationIRA ClassificationTaxableRothNot SureInvestment Accounts (Non IRAs) Value of Non-IRA investment accounts Additional Assest Counseling Information Already counseled?Already counseled?YesNo, but counseling is scheduledNo, but I have the list of approved counselorsNo, please send me the list of approved counselorsEnter date counseled Is counseling scheduled?Is counseling scheduled?YesNoWorking on getting an appointmentOptional - Please upload signed, legible copy of Counseling CertificateAccepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.Optional - Please upload signed, legible copy of Counseling Certificate Purpose of the loan Purpose of the loan in your own wordsCommentsThis field is for validation purposes and should be left unchanged.
