Description
I. Type of Mortgage and Terms of Loan
Amount$ Account Number with Catholic Federal Non-Members, check here:
II. Property Information and Purpose of Loan
Purpose of Loan Property will be:
III. Borrower Information
BorrowerCo-Borrower
Borrower's Name (include Jr. or Sr. if applicable)
Social Security Number Home Phone (incl. area code) DOB (mm/dd/yy) Yrs. School

(include single, divorced, widowed)
 Dependents (not listed by Co-Borrower)no. ages
Present Address (street, city, state, ZIP)
Mailing Address, if different from Present Address
Borrower's Name (include Jr. or Sr. if applicable)
Social Security Number Home Phone (incl. area code) DOB (mm/dd/yy) Yrs. School

(include single, divorced, widowed)
 Dependents (not listed by Co-Borrower)no. ages
Present Address (street, city, state, ZIP)
Mailing Address, if different from Present Address
If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP) No. Yrs. Former Address (street, city, state, ZIP) No. Yrs.
IV. Employment Information
BorrowerCo-Borrower
Name & Address of Employer Yrs. on this job
Yrs. employed in this line of work/profession
Position/Title/Type of Business Business Phone (incl. area code)
Name & Address of Employer Yrs. on this job
Yrs. employed in this line of work/profession
Position/Title/Type of Business Business Phone (incl. area code)
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Name & Address of Employer Dates (from - to)
Monthly Income $
Position/Title/Type of Business Business Phone (incl. area code)
Name & Address of Employer Dates (from - to)
Monthly Income $
Position/Title/Type of Business Business Phone (incl. area code)
Name & Address of Employer Dates (from - to)
Monthly Income $
Position/Title/Type of Business Business Phone (incl. area code)
Name & Address of Employer Dates (from - to)
Monthly Income $
Position/Title/Type of Business Business Phone (incl. area code)
V. Monthly Income Information
Gross Monthly IncomeBorrowerCo-Borrower
Base Empl. Income* $ $
Overtime $ $
Bonuses $ $
Commissions $ $
Dividends/Interest $ $
Net Rental Income $ $
Other (before completing, see the notice in "describe other income," below) $ $

* Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
Describe Other IncomeNotice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower (B) or Co-Borrower (C) does not choose to have it considered for repaying this loan.
B C Monthly Amount $
B C Monthly Amount $
B C Monthly Amount $
B C Monthly Amount $
B C Monthly Amount $
VI. Liabilities

This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules are required. If the Co-Borrower section was completed about a non-applicant spouse or other person, this Statement and supporting schedules must be completed about that spouse or other person also.

Completed

* Indicate those liabilities which will be satisfied upon sale of real estate owned or upon refinancing of the subject property.

LIABILITIESMonthly Payment & Months Left to PayUnpaid Balance*
Name and address of Company
Payment $
Months
 $
Name and address of Company
Payment $
Months
 $
Name and address of Company
Payment $
Months
 $
Name and address of Company
Payment $
Months
 $
Name and address of Company
Payment $
Months
 $
Name and address of Company
Payment $
Months
 $
VII. Declarations
 BorrowerCo-Borrower
 YesNoYesNo
a. Are there any outstanding judgments against you?
b. Have you been declared bankrupt within the past 7 years?
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
d. Are you a party to a lawsuit?
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer, or 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 reasons for the action.)
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If "Yes," give details as described in the preceding question.
g. Are you obligated to pay alimony, child support, or separate maintenance?
h. Is any part of the down payment borrowed?
i. Are you a co-maker or endorser on a note?
j. Are you a U.S. citizen?
k. Are you a permanent resident alien?
l. Do you intend to occupy the property as your primary residence?
If "Yes," complete question m below.
m. Have you had an ownership interest in a property in the last three years?
   (1) What type of property did you own -- principal residence (PR), second home (SH), or investment property (IP)?
   (2) How did you hold title to the home -- solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
Explanations
VIII. 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 not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the 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.)

BorrowerCo-Borrower
Ethnicity: Ethnicity:
Race:




 Race:




Sex: Sex:
Additional Information and Submit

Please list any other information or comments you would like to notify the credit union about.

Upon receipt of your application, required disclosures will be sent to you at the address that you provided to us on your application.