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Loan Application

Owner Rewards Program

The Affiliate Lender Service provides members with competitive loan pricing as well as supreme customer service within the lending industry. Members receive bonus credits to use with their membership for using the Affiliate Lender.

Key Benefits

Bonus Credit Earnings for use of the Affiliate Lender
Competitive Loan rates and/or programs

Capabilities

The Affiliate Lender is a full service Lender providing a wide range of loan programs.

About The Borrower

First Name MI Last Name

Married Unmarried Separated # of Dependents

Social Security # Yrs of School

Date of Birth (Month, Day, and 4-dgit Year.
Only use numbers EXAMPLE: 02141965)

Daytime Phone Evening Phone

Email Address

Current Residence (Two Year History Required)

Do you

If Renting, Amount of Monthly Rental Payment

Current Address City

State Zip Time at Address

If less than two years, please complete previous address information

Previous Address #1

Did You

Previous Address #1 City

State Zip Time at Previous Address #1

Previous Address #2

Did you Previous Address #2

City State Zip

Time at previous Address #2

Employment (Two Year History Required)

Is Borrower Employed? Is Borrower Self-Employed?

If Self-Employed, What Percentage of Business Owned? %

Current Employer Employer Phone

Position/Title Employer Address

City State Zip

Time in Profession Time With Employer

If less than two years, please complete previous employer information.

Previous Employer #1

Previous Employer #1 Employer Phone

Start Date End Date

Previous Employer #2

Previous Employer #2 Employer Phone

Start Date End Date

Real Estate Owned

No Real Estate Is Owned. Skip To Financial Info.

Current Residence:

Total Mortgage Balance $
(include 2^nd and 3^rd Mortgages)

Market Value                                           Total Monthly Mortgage Payment
Of Property $     (include 2^nd and 3^rd Mortgages) $

Property Address City

State Zip Property Type

Property Status

Additional Properties Information:

NOTE: If more than three properties are owned by Borrower(s), please list information below.

Financial Information

Income:

Annual Base Income $ Overtime $

Bonuses $ Commissions $

Dividends/Interest $ Rental Income $

Other $   Total Annual Income $
Notice: Alimony, Child Support, or separate maintenance income are not required
               to be revealed if the Borrower or Co-Borrower does not chose to have it
               considered for repaying this loan.

Debts:

Auto Payments $ Revolving (Credit Cards) $

Other Loans- $ Alimony/Child Support $
(Exclude Mortgage/Home Equity)

Other monthly Debts $ Total Debts $

Liquid Assets:

Checking/Savings $ Gift Funds $

401K/IRA $ Stocks/Bonds $

Net Proceeds From Other liquid Assets $

Sale of Property $ Total Liquid Assets: $

Comments:

Is There A Co-Borrower? If So, Please Complete The Section Below.

There is no Co-Borrower, Skip To Declarations

About The Co-Borrower

First Name     MI     Last Name

Married       Unmarried        Separated                  # of Dependents

Social Security #       Yrs of School

Date of Birth (Month, Day, and 4-dgit Year.
Only use numbers EXAMPLE: 02141965)

Daytime Phone         Evening Phone

Email Address

Current Residence (Two Year History Required)

Do you

If Renting, Amount of Monthly Rental Payment

Current Address     City

State     Zip Time at Address

If less than two years, please complete previous address information

Previous Address #1

Did You

Previous Address #1     City

State     Zip    Time at Previous Address #1

Previous Address #2

Did you     Previous Address #2

City     State     Zip

Time at previous Address #2

Employment (Two Year History Required)

Is Co-Borrower Employed?     Is Co-Borrower Self-Employed?

If Self-Employed, What Percentage of Business Owned? %

Current Employer     Employer Phone

Position/Title    Employer Address

City     State    Zip

Time in Profession     Time With Employer

If less than two years, please complete previous employer information.

Previous Employer #1

Previous Employer #1     Employer Phone

Start Date    End Date

Previous Employer #2

Previous Employer #2     Employer Phone

Start Date    End Date

Real Estate Owned

No Real Estate Is Owned. Skip To Financial Info

Current Residence:

Total Mortgage Balance $
(include 2^nd and 3^rd Mortgages)

Market Value                                           Total Monthly Mortgage Payment
Of Property $     (include 2^nd and 3^rd Mortgages) $


Property Address     City

State     Zip    Property Type

Property Status

Additional Properties Information:

NOTE: If more than three properties are owned by Co-Borrower(s), please list information below.

Financial Information

Income:

Annual Base Income $    Overtime $

Bonuses $    Commissions $

Dividends/Interest $    Rental Income $

Other $   Total Annual Income $
Notice: Alimony, Child Support, or separate maintenance income are not required
to be revealed if the Borrower or Co-Borrower does not chose to have it
considered for repaying this loan.

Debts:

Auto Payments $    Revolving (Credit Cards) $

Other Loans- $     Alimony/Child Support $
(Exclude Mortgage/Home Equity)

Other monthly Debts $    Total Debts $

Liquid Assets:

Checking/Savings $    Gift Funds $

401K/IRA $    Stocks/Bonds $

Net Proceeds From Other liquid Assets $

Sale of Property $    Total Liquid Assets: $

Comments:

Borrower Declarations

Below are 15 questions, some of which pertaining to your credit history. Please answer these questions as accurately as possible and with detail, if needed. If "yes" is answered to questions 1-9, please explain below in the comment box.

1. Are there any outstanding judgments against the borrower(s)?

2. Has the borrower(s) been declared bankrupt within the past seven years?

3. Has the borrower(s) had property foreclosed upon or
given title or deed in lieu thereof in the last seven years?

4. Is the borrower(s) party to a lawsuit?

5. Has the borrower(s) been directly or indirectly obligated on any loan which
resulted in foreclosure, transfer of title in lieu of foreclosure or judgment?
(This would include such loans as home mortgage loans, SBA loans, home improvement
loans, educational loans, manufactured (mobile) home loans, any mortgage, financial
obligation, bond, or loan guarantee. If "yes", provide details, including date, name
and address of Lender, FHA or VA case number, if any, and reason for the action.)

6. Is the borrower(s) presently delinquent or in default on any Federal debt or any
other loan, mortgage, financial obligation, bond or loan guarantee?

7. Is the borrower(s) obligated to pay alimony,
child support, or separate maintenance?

8. Is any part of the down payment borrowed?

9. Is the borrower(s) a co-maker or endorser on a note?

10. Is the borrower(s) a U.S. Citizen?

11. Is the borrower(s) a permanent resident alien?

12. Does the borrower(s) intend to occupy
the property as their primary residence?

13. Has borrower had an ownership interest
in a property in the last three years?
If yes, complete A & B below

A. What type of property did borrower(s) own?
B How did borrower(s) hold title to the home?

Comments or additional detail information.

Co-Borrower Declarations

No Co-Borrower? Skip To Government Monitoring Section

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. The Borrower(s) is NOT REQUIRED to furnish this information, but is encouraged to do so. The law provides that a Lender may neither discriminate on the basis of this information, nor on whether the borrower(s) chose to furnish it. However, if the borrower(s) chooses not to furnish it, under Federal regulations, you are required to note race and sex on the basis of visual observation or surname.

This information was taken via an online loan application

Borrower

Does borrower wish to furnish
this information?

Race/National Origin

Sex

Comments

Co-Borrower No Co-Borrower, Skip To End

Does co-borrower wish to furnish
this information?

Race/National Origin

Sex

Comments

Almost Done!

PROMO CODE:

(If You do not have a promo code, just leave empty.)

Select the SUBMIT button below to send your completed Loan Application to the RENT2HOME.NET Affiliate Lender for processing. Once your application has been received and reviewed, a RENT2HOME.NET loan specialist will get in contact with you using the contact information that you provided above.