MORTGAGE APPLICATION FOR BIC U.S.
PASTORS
(primary residence only)
Lender: Brethren in Christ Foundation, Inc. Contact: John H. Burns
Lender NMLSR ID: 1655882 Contact NMLSR ID: N/A
If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit.
______________________________________________ _________________________________________________
Borrower Signature Co-Borrower Signature
How much do you hope to borrow? ___________________________ Desired Term of Loan _______________________
GENERAL INFORMATION
1. In a separate document, please supply a brief narrative about your current situation. Be sure to include the reasons
this loan is needed and what you will do with the funds. Please introduce yourselves to us and explain any special
circumstances.
2. Subject Property Address (if known) _________________________________________________________________
3. Purpose of Loan: Purchase ______ Refinance ______ Construction ______ Renovation ______
4. Is this a pre-approval only, without a specific property in mind? Yes _________ No _________
5. Title will be held in what Name(s) ___________________________________________________________________
6. How much is the down payment? ________________ Source of funds _____________________________________
COMPLETE THIS SECTION IF THIS IS A REFINANCE LOAN
Year Acquired __________ Original Cost ___________ Amount of Existing Liens ___________
Purpose of Refinance ________________________________________________________________________________
Describe any Improvements. Are they already made or to be made? _________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
COMPLETE THIS SECTION IF THIS IS A CONSTRUCTION LOAN
Year Lot Acquired __________ Original Cost ___________ Amount of Existing Liens ___________
(a) Present value of lot _______________ (b) Cost of Improvements ______________ Total (a+b) _______________
BORROWER INFORMATION
BORROWER CO-BORROWER
NAME
PHONE
DATE OF BIRTH
EMAIL
YEARS OF SCHOOL
DEPENDENTS
(# and ages)
PRESENT ADDRESS
(own or rent?, # years there)
MAILING ADDRESS, if
different from above
IF RESIDING AT PRESENT ADDRESS LESS THAN 2 YEARS, COMPLETE THE FOLLOWING
FORMER ADDRESS
(own or rent?, # years there)
EMPLOYMENT INFORMATION
BORROWER CO-BORROWER
NAME & ADDRESS OF
EMPLOYER
POSITION/TITLE/TYPE
OF BUSINESS
BUSINESS PHONE
# YRS. ON THIS JOB, #
YRS. IN PROFESSION
IF EMPLOYED IN ABOVE POSITION LESS THAN TWO YEARS, OR IF EMPLOYED IN MORE THAN ONE POSITION,
COMPLETE THE FOLLOWING:
NAME & ADDRESS OF
EMPLOYER
POSITION/TITLE/TYPE
OF BUSINESS
BUSINESS PHONE
DATES OF
EMPLOYMENT
NAME & ADDRESS OF
EMPLOYER
POSITION/TITLE/TYPE
OF BUSINESS
BUSINESS PHONE
DATES OF
EMPLOYMENT
MONTHLY INCOME INFORMATION
Note: In addition to the information below, please submit copies of W-2 or 1099 for the last two pay periods, as well as
the last two years of income tax returns. Also, the budgeting worksheet must be completed, showing both current and
proposed budgets.
GROSS MONTHLY INCOME BORROWER CO-BORROWER TOTAL
BASE EMPLOYMENT INCOME
OVERTIME
BONUSES
COMMISSIONS
DIVIDENDS/INTEREST
NET RENTAL INCOME
OTHER*
TOTAL
*Explain “Other” income here. Alimony, child support or separate maintenance income need not be revealed if
Borrower or Co-Borrower does not choose to have it considered for repaying this loan. __________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
ASSETS & LIABILITIES
This statement and any applicable supporting schedules may be completed jointly by 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.
Completed: _______ Jointly ______Not Jointly
ASSETS
TYPE OF ASSET OR NAME OF BANK, S&L, CREDIT UNION, UNPAID
ACCOUNT NUMBER
ACCOUNT STOCK, INSURER, ETC. BALANCE, $
CASH --- ---
LIST ALL CHECKING AND SAVINGS ACCOUNTS BELOW:
STOCKS & BONDS
(with description)
Face value of insurance:
LIFE INSURANCE
(net cash value)
Make & Year:
AUTOMOBILE
---
(owned)
Make & Year:
AUTOMOBILE
---
(owned)
OTHER ASSETS
TOTAL ASSETS --- ---
Comments _________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
LIABILITIES – List the creditor’s name, addess and account number for all debts, including car loans, student loans,
personal loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. If any of these
liabilities will be satisfied upon sale of real estate owned or upon refinancing of the subject property, indicate same by
use of an asterisk (*). Use a separate sheet of paper if more space is needed.
MONTHLY # MONTHS
TYPE OF LIABILITY NAME & ADDRESS OF COMPANY AMOUNT, $
PAYMENT REMAINING
ALIMONY/CHILD
SUPPORT/OTHER
MAINTENANCE
PAYMENTS
UNREIMBURSED
JOB RELATED
EXPENSES
OTHER LIABILITIES
TOTAL LIABILITIES --- ---
Comments _________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
SCHEDULE OF REAL ESTATE OWNED
CURRENT AMOUNT OF GROSS NET
TYPE OF MORTGAGE OTHER
PROPERTY ADDRESS MARKET MORTGAGES RENTAL RENTAL
PROPERTY PAYMENTS EXPENSES
VALUE & LIENS INCOME INCOME
DECLARATIONS
Borrower and Co-Borrower must each answer “yes” or “no” to each question.
If you answer “Yes” to any question in gray, please use another sheet of paper to CO-
BORROWER
explain. BORROWER
YES NO YES NO
Are there any outstanding judgments against you?
Have you been declared bankrupt within the past 7 years?
Have you had property foreclosed upon or given title or deed in lieu thereof in the
past 7 years?
Are you party to a lawsuit?
Have you directly or indirectly been obligated on any loan of which resulted in
foreclosure, transfer of title in lieu of foreclosure, or judgment?
Are you presently delinquent or in default on any Federal debt or any other loan,
mortgage, financial obligation, bond or loan guarantee?
Are you obligated to pay alimony, child support, or separate maintenance?
Is any part of the down payment borrowed?
Are you a co-maker or endorser on a note?
Are you a U.S. citizen?
Are you a permanent resident alien?
Do you intend to occupy the property as your primary residence?
Have you had an ownership interest in a property in the last three years?
If you have had an ownership interest, what type of property did you own – principal
PR SH IP --
residence (PR), second home (SH), or investment property (IP)? Circle your answer.
If you have had an ownership interest, how did you hold title to the home – by
S JS JO --
yourself (S), jointly w/ spouse (JS), or jointly w/ another person (JO)? Circle answer.
ACKNOWLEDGEMENT AND AGREEMENT
Each of the undersigned specifically represents to Lender and agrees and acknowledges that:
1. The information provided in this application is true and correct as of the date set forth opposite my
signature;
2. The loan requested pursuant to this application will be secured by a mortgage or deed of trust on the
property described in this application;
3. The property will not be used for any illegal or prohibited purpose or use;
4. All statements made in this application are made for the purpose of obtaining a residential mortgage
Loan;
5. The property will be occupied as indicated in this application;
6. The Lender may retain the original and/or an electronic record of this application, whether or not the
Loan is approved;
7. The Lender may continuously rely on the information contained in the application, and I am obligated
to amend and/or supplement the information provided in this application if any of the material facts
that I have represented should change prior to closing of the Loan;
8. In the event that my payments on the Loan become delinquent, the Lender may, in addition to any
other rights and remedies that it may have relating to such delinquency, report my name and account
information to one or more consumer reporting agencies;
9. Ownership of the Loan and/or administration of the Loan account may be transferred with such
notice as may be required by law;
10. Lender has not made any representation or warranty, express or implied, to me regarding the
property or the condition or value of the property; and
11. My transmission of this application as an “electronic record” containing my “electronic signature,” as
those terms are defined in applicable federal and/or state laws, or my facsimile transmission of this
application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a
paper version of this application were delivered containing my original written signature.
Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may
verify or reverify any information contained in this application or obtain any information or date relating to the Loan,
for any legitimate business purpose through any source, including a source named in this application or a consumer
reporting agency.
Authorized Signatures:
_________________________________________ ____________________________________________
Borrower Co-Borrower
___________________________________________ _____________________________________________
Date Date
Please return the completed application and supporting documents to:
Brethren in Christ Foundation, Inc.
431 Grantham Road
Mechanicsburg, PA 17055
[email protected] Phone: (717) 796-4788
Fax: (717) 697-7714
