Application


IMPORTANT: After you submit your application, you must provide copy of your W2(s) for the previous year + latest paystub (and any other income as disability, child support as proof of income, for each people living in the house) - Otherwise, your application can't be process. You can fax this to 727-490-2938
Please note: * required field

I.- HOME PRICE

(if you dont know the pruchase price leave this field blank)

II.-PROPERTY INFORMATION AND PURPOSE OF THE LOAN

III.-BORROWER INFORMATION

IV.-EMPLOYMENT

If you have less than 2 years in your current employment OR you have two jobs, complete the folloing information:
Employer/Name Start Date End Date $ Hr/Wage # Hrs/Week
Employer/Name Start Date End Date $ Hr/Wage # Hrs/Week

V.- CURRENT MONTHLY INCOME

MONTHLY Base Gross Income *
Overtime
Bonuses
Commission
Dividend
Profit Net Rent
(property owned)
Other-Child Support-SSI
MONTHLY Base Gross Income
Overtime
Bonuses
Commission
Dividend
Profit Net Rent
(property owned)
Other-Child Support-SSI

VI.- ASSETS

# Bank Name Amount Account #
1 *
2
3
4
Insurance Name Life Value
# Stocks Name Amount
1
2
3
# Type Value
1
2
3
# Name Value
1
2
3

VIII.- DECLARATIONS

# Question Yes/No
a Are there any outstanding judgements 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 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. FL IA or VA case number, if any. and reasons for the action.) *
f Are you presently delinquent or in delimit on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? *
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? *
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 by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
# Question Yes/No
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 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. Fl IA or VA case number, if any. and reasons for the action.)
f Are you presently delinquent or in delimit on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
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?
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— by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?

X.- INFORMATION FOR GOVERMENT FOR MONITORING PURPOSES

I do not wish to furnish this information

Hispanic or Latino Not Hispanic or Latino

American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
I do not wish to furnish this information

Hispanic or Latino Not Hispanic or Latino

American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

DOWN PAYMENT ASSISTANCE PROGRAM

Besides the Borrower and Co-Borrower, who else live in the house:

# Name SS# DOB Relation
1
2
3
4
Before you can click the Submit button you must click the I'm not a robot checkbox