KINGsLAND Properties and Vision Mortgage Company, Ltd.
Mortgage Company, Ltd.
 
  No Doc Application Please print this form, complete it, submit it to Henry M. Peņa, your Vision Mortgage Company loan officer.  
 
Mortgage Applied For: NOTICE: S.C. Law requires that the lender shall ascertain your preference of legal counsel and insurance agent to represent you. Use continuation sheet for this purpose.
Amount:

$ ___________

Interest Rate:

______%

Number of Months: Monthly Pmt
Principal & Interest
$ ________
Amortization Type:
Fixed Rate
ARM
Escrow/Impounds (to be collected monthly)
$_______ Taxes
$ ______ Hazard Insurance
Property Street Address, City State, Zip: Property will be owner occupied as a:
Primary Residence
Second Home
Number of Units:
Legal Description: (attach description if necessary) County:

Year Built:

Purpose:
Purchase
Rate/Term Refinance
Equity Refinance
Title Will be Held in What Name(s):
Manner in Which Title Will Be Held:
This application is designed to be completed by the Borrower(s) with the lender's assistance. The Co-Borrower section and all other Co-Borrower questions must be completed and the appropriate box(es) must be checked if _____ another person will be jointly obligated with the Borrower on the loan, or _____ the Borrower is married and resides, or the property is located, in a community property state.
 
 
BORROWER
Name, (Jr./Sr.)
Date of Birth
Present Address
City, State, Zip
Number of Years _______ Own Rent
Former Address
City, State, Zip
Number of Years _______ Owned Rented
Married . . Separated . . Unmarried
Dependents (not listed by Co-Borrower)
Number _____ Ages _________________
Social Security Number
Daytime Phone ( ____) ______________
Evening Phone ( ____) ______________
 
CO-BORROWER
Name, (Jr./Sr.)
Date of Birth
Present Address
City, State, Zip
Number of Years _______ Own Rent
Former Address
City, State, Zip
Number of Years _______ Owned Rented
Married . . Separated . . Unmarried
Dependents (not listed by Co-Borrower)
Number _____ Ages _________________
Social Security Number
Daytime Phone ( ____) ______________
Evening Phone ( ____) ______________
 
 
 
These Questions Apply to Both Borrower and Co-Borrower
If a "yes" answer is given to a question in this column, please explain on a attached sheet. Borrower
Yes or No
Co-Borrower
Yes or No
Are there any outstanding judgments against you?    
Have you been declared bankrupt in the past 7 years?    
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?    
Are you a U.S. citizen?    
If not a citizen, are you a resident alien?    
If not a citizen, are you a non-resident alien?    
 
 
List Credit References (including current mortgage lender or landlord, if any)
B = Borrower; C = Co-Borrower
Creditor's Name and Address
Account number Purpose Highest Balance Date Paid
         
         
         
         
         
         
 
  List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s):
____________________________________________________________________________
 
  Equal Credit Opportunity Notice: You are hereby provided the following "Equal Credit Opportunity" notices as required by Section 4112.021 of the Ohio Revised Code. "The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual request. The Ohio Civil Rights Commission administers compliance with this law."
Agreement: The undersigned applied for the loan indicated in this application to be secured by a first mortgage or deed of trust on the property described herein and represents that the undersigned has sufficient financial resources to make the down payment required by Lender and will not incur any additional debt other than the loan herein applied for in order to purchase the related property. For such reason, for a period of 270 days after the closing date of this loan, provided the loan is approved and funded by the Lender, the undersigned will covenant to not encumber the property to be acquired (or refinanced) with any subordinate lien or security interest in order to secure repayment of any other indebtedness of the undersigned, and represents that the property will be owner occupied and not be used for any illegal or prohibited purpose, that all sources of funds to be used to purchase the property and to make the loan payment and any improvements to the property are lawful and do not involve any direct or indirect illegal activities, and that all statements made in this application are true and made for the purpose of obtaining the loan. Verification may be obtained from any source named in the application. The original or a copy of this application will be retained by the Lender, even if the loan is not granted. The undersigned specifically acknowledge(s) and agree(s) that: (1) verification or re-verification 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; (2) 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; (3) 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. I/We fully understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code, Section 1001, et.seq. The undersigned will occupy the property as indicated above.
   
Borrower _______________________________ Date _____________
   
Co-Borrower ____________________________ Date _____________

Information for Government Monitoring Purposes: The following information is requested by the Federal Government for certain types of loans related to a dwelling, or 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 the 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 disclosures satisfy all requirements 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 Origin:
American Indian, Alaskan Native
Asian, Pacific Islander
Black, nor of Hispanic origin
Hispanic
White, not of Hispanic origin
Other (specify ) ___
Sex: Female . . Male
Co-Borrower
I do not wish to furnish this information.
Race/National Origin:
American Indian, Alaskan Native
Asian, Pacific Islander
Black, nor of Hispanic origin
Hispanic
White, not of Hispanic origin
Other (specify ) ___
Sex: Female . . Male
 

Henry Pena, Loan Officer
Vision Mortgage Company, Ltd.
7800 I.H. 10 West, Suite 112
San Antonio, Texas 78230
(210) 348-0077 or (210) 823-5626
 
www.visionmortgageco.com
or 
www.kingsland.henrypena.com 
The location of page breaks may vary depending on your printer; this will be acceptable as long as the application is complete. If you encounter any problems printing, we will be glad to forward you an original application. Simply call or write to us at our office or e-mail us with the request.

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