Cove Financial Mortgage Alternative Program Application Applicant (s) Applicant #1 First Name * Middle Initial Last Name * Social Security Number * Date of Birth * Email Address * Applicant #2 First Name Middle Initial Last Name Social Security Number Date of Birth Email Address Current Street Address * City * State * Zip * Home Phone Number * Applicant #1 Cell Phone Number Applicant #2 Cell Phone Number Current Rent or Mortgage Payment (monthly) * Years at Location * At this location do you? * Rent Own Marital Status? * Married Divorced Single Do you have dependents? * No Yes Age of Children (even if grown) Dependent #1 Dependent #2 Dependent #3 Dependent #4 Dependent #5 Highest level of Education Attained Applicant #1 Applicant #2 Graduate Degree College Degree Associate Degree Some College High School Degree Some High School Property to be purchased Property Address of Proposed Purchase (If known) Street Address City State Zip Realtor Name (if known) Realtor Phone Number Realtor Email Address Would you like a referral to a Realtor? Yes No Requested Purchase Price (in dollars) * Employment & Income information Employment Applicant #1 Applicant #2 Current Employer Current Employer Address Current Job Title Work Phone Number Years on Job Years in Profession If less than 2 years, previous Employer Years on Job (previous employer) Applicant #1 Self-employed? * Yes No Applicant #2 Self-employed? * Yes No Household Income Applicant #1 Applicant #2 Monthly Income (Wages) Monthly Income (Commissions/Overtime) Monthly Income (Investments) Monthly Income (Rental Income) Monthly Income (Child Support/Alimony) Monthly Income (Other) Monthly Income Total All Sources Description of Source of Income Cash/Investment/Assets information Cash, Bank & Brokerage Applicant #1 Applicant #2 Name of Bank Type of Account Amount Name of Bank #2 Type of Account Amount Name of Brokerage Account (if none, type N/A) Amount of Marketable Securities Real Estate Owned (if none, type N/A) Amount Name of Business Owned (if applicable) Net worth of Business (if applicable) Automobile Owned (Make) * Year / Model * Market Value * Automobile Owned (Make) Year / Model Market Value Total ALL Assets * What is your Estimated Credit Score? * Liabilities * Applicant #1 Applicant #2 Liability #1 Type Amount Liability #2 Type Amount Liability #3 Type Amount Liability #4 Type Amount Total All Liabilities Total Net Worth * Personal Reference Section (References should be known for at least 3 years) Name * Address * City * State * Zip * Phone Number * Name * Address * City * State * Zip * Phone Number * Landlord Reference (Name) * Phone Number * Applicant and Co-Applicant Please Declare the Following: * Applicant Co-Applicant Yes No Yes No Are there any outstanding judgements against you? Have you been declared bankrupt in the past 7 years? Have you had a property foreclosed on or given title or deed in lieu thereof in the past 7 years? Are you presently delinquent on any obligation? Have you ever had an auto repossessed or given title in lieu thereof in the past 7 years? Are you a party to a lawsuit? Are you a co-maker or endorser of a note or lease? Is any portion of your earnest money deposit borrowed? Are you a U.S. Citizen? Are you a permanent resident alien? Do you currently have any unpaid Federal, State or Local tax obligations? Are you obligated to pay Alimony, Child Support or separate maintenance? Applicant hereby authorizes verification of any and all information set forth on this application, including release of information by any bank, savings and loan, employer (present and former), landlord, and/or other lender. All such information hereon, and released as authorized above, will be kept confidential. APPLICANT REPRESENTS THAT THE INFORMATION SET FORTH ON THIS APPLICATION IS TRUE AND COMPLETE. Material misrepresentation on this Application will constitute default under the lease or Rental Agreement between parties. This Application must be signed before it can be processed by Management. Signature (Please re-type your name for signature) * by: ________________________________ Print Name: __________________________ Date: ____________________ Co-Applicant Signature (Please re-type your name for signature) by: ________________________________ Print Name: __________________________ Date: ____________________ Powered byFormSite.com