FAIR OAKS MORTGAGE COMPANY

Enter information about the loan purpose and type.
Loan Purpose Purchase Refinance  Loan Type Fixed ARM 

Enter information about the loan amount and terms.
Loan Term  Amount $ 
Rate  Loan Points 

Enter information about the property to be financed.
Subject Property Street Address 
City    State    ZIP 
Property Type  Occupancy 

Borrower Information
Borrower Name
CoBorrower Name
Home Telephone  Home Telephone 
 S.S.#
Age 
 S.S.# 
 Age 
Home Street Address 

City    State 
ZIP 		 Home Street Address 

 City    State 
ZIP

Complete the section below if you are Refinancing
Complete the section below if you are Purchasing
 Original Cost 

 Year Purchased 

Current Value
 Purchase Price 

Down Payment 

Borrower Employment Information
Co Borrower Employment Information
Borrower Employer Name
Co Borrower Employer Name
Employer Street Address

City    State 
ZIP 		 Employer Street Address
City    State 
ZIP 
Indicate the nature of borrower's income:

Salaried or hourly employee
Salaried/commissioned employee
Commission only employee/contractor
Self employed
Other 

 Indicate the nature of co borrower's income:

Salaried or hourly employee
Salaried/commissioned employee
Commission only employee/contractor
Self employed
Other 
 Mo. Income 
 Mo. OT/Bonus 
Mo. Income 
 Mo. OT/Bonus 
Email Address 
Office Tel 
Email Address 
Office Tel 
 Years on Job 
 Job Title 
Years on Job 
Job Title 

Assets - Indicate your liquid asset accounts, such as savings, checking, mutual fund, etc.
Account Name (i.e. Bank of America)
 Account Type
(i.e. Savings)
 Account Balance 
Account Name 
 Account Type
 Account Balance 
Account Name 
 Account Type
 Account Balance 
Account Name 
 Account Type
 Account Balance 

Liabilities - Indicate your monthly obligations, such as a mortgage, auto, Visa®, etc.
Creditor Name (i.e. CitiBank)
 Account Type (i.e. Mortgage)
 Loan Balance 
Creditor Name 
 Account Type
 Loan Balance 
Creditor Name 
 Account Type
 Loan Balance 
Creditor Name 
 Account Type
 Loan Balance 
The Housing Financial Discrimination Act of 1977

It is illegal to discriminate in the provision of or in the availability of financial assistance because of the consideration of:

Trends, characteristics or conditions in the neighborhood or geographic area surrounding housing accommodation, unless the financial institution can demonstrate in the particular case that such consideration is required to avoid an unsafe and unsound business practice, or,

Race, color, religion, sex, marital status, national origin or ancestry.

It is illegal to consider the racial, ethnic, religious or national origin composition of a neighborhood or geographic area surrounding a housing accommodation or whether or not such composition is undergoing change, or is expected to undergo change, in appraising a housing accommodation or in determining whether or not, or under what terms and conditions, to provide financial assistance.

These provisions govern financial assistance for the purchase, construction, rehabilitation or refinancing of one-to-four unit family residences occupied by the owner and for the purpose of home improvement of any one-to-four unit family residence. 

The Federal Equal Credit Opportunity Act (ECOA) prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided that the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The Federal Agency which administers compliance with this law is the Federal Trade Commission, D.C.
Use the space below for additional information/explanation



 

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