Application Form                 

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: *   (select a state below) Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories/Nunavut Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon   State: * (select a state below) Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories/Nunavut Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Zip: *   Zip: * How Long? * Years Months Please enter numericals only   How Long? * Years Months 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? Yes No   Employment Details Borrower   Co-Borrower Current Employer: Current Employer: How Long? * Years Months How Long? * Years Months   Hourly Wage: $ / hr   Hourly Wage: $ / hr Hours worked /wk: Hours worked/wk:   Salary: $   Monthly Annual   Salary: $   Monthly Annual Do you have 2 years of employment in the same line of work? Yes No  Do you have 2 years  of employment in the  same line of work? Yes No Additional Income? No Yes Additional Income? No Yes Description: Description: Amount of Add'l Income:     $   Monthly Annual Amount of Add'l Income:   $   Monthly Annual         Bank Accounts Bank name:   Checking Savings   Approx. Balance: $ Bank name:   Checking Savings   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? No Yes How much will your down payment be? $ %   Have you had a bankruptcy in the last 7 years? No Yes Ch 7  Ch 13 Have you had a property foreclosure in the last 7 years? No Yes   Are you obligated to pay alimony, child support or separate maintenance? No Yes   $ / 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.