Manufactured Home Only (Chattel) Application • Midwest Specialty Mortgage

Application Disclosures

Credit Authorization

During your mortgage loan application process, this institution performs a Credit Check that requires us to obtain and confirm information regarding our personal and financial background. The Credit Check includes, but is not limited to, your marital status, number of dependents, current and past employers, current deposit accounts, current and past consumer credit accounts, and your mortgage and/or rental history..

We (all borrowers) Authorize Credit Checks

Agreed

Patriot Act Agreement

In accordance with Federal regulations set forth in the USA Patriot Act, this institution is required to verify the identity of any person applying for a mortgage loan to the extent reasonable and practicable, and maintain records of the information used to verify their identity. During your mortgage loan application process, we will require your name, current and past home addresses, date of birth, and other identifying information about you.

We (All Borrowers) agree to Patriot Act Terms

Agreed

Authorization to receive electronic disclosures

In order to successfully process your mortgage loan application, you must agree to receive certain disclosures from this institution in electronic form rather than paper form. You must also agree to the terms of the eDisclosure Agreement, which include software and hardware requirements and you responsibility to maintain and provide a valid email address. Certain disclosures may be provided to you in paper form as necessary once your mortgage loan application is received.

We (All Borrowers) Agree to receive electronic disclosures

Agreed

Consent and Privacy Acknowledgement

By submitting this application or providing my contact information, I expressly authorize and consent to be contacted by Midwest Specialty Mortgage LLC, its affiliates, and mortgage lending partners via phone calls, text messages (SMS/MMS), and emails, including contact made using automated dialing systems or prerecorded messages, regarding my mortgage inquiry, application status, rates, offers, and related services. I understand that message and data rates may apply, that my consent is not a condition of purchasing any goods or services, and that I may revoke my consent at any time by replying STOP to any text message, using the unsubscribe link in emails, or contacting the company directly. I acknowledge that I have read, understand, and agree to the Privacy Policy.

We (All Borrowers) Agree to Privacy Acknowledgement

Agreed

Borrower Information

Name

First

Last

Social Security Number

Date of Birth

Phone

Email

Current Address

Address Line 1

Address Line 2

City

State

Zip Code

Time in Address (e.g., Years and Months)

Previous Address (if less than two years on current)

Address Line 1

Address Line 2

City

State

Zip Code

Employment and Income

Employer Name

Employee Address

Address Line 1

Address Line 2

City

State

Zip Code

Job Title

Lenght of Employment (Years, Months)

Salary (Gross Monthly Income)

Self-Employed /1099 (Gross Monthly Income)

Overtime / Bonus (Gross Monthly Income)

Retirement/Social Security (Gross Monthly Income)

Disability/Pension (Gross Monthly Income)

Total Gross Monthly Income

Borrower Credit Score

Do you have a Co-Borrower

Yes
No

Have you picked a Home and Community?

Yes
No

Co-Borrower Information

Co-Borrower Name

First

Last

Co-Borrower Social Security Number

Co-Borrower Date of Birth

Co-Borrower Phone

Co-Borrower Email

Co-Borrower Address

Address Line 1

Address Line 2

City

State

Zip Code

Time at address (e.g., Years and Months)

Co-Borrower Previous Address (if current less than two years)

Address Line 1

Address Line 2

City

State

Zip Code

Co-Borrower Employment and Income (Don not complete if you dont have a co-borrower)

Co-Borrower Employers Name

Co-Borrower Employment Address

Address Line 1

Address Line 2

City

State

Zip Code

Co-Borrower Title

Co-Borrower Lenght of Employment (e.g., Years and Months)

Co-Borrower Salary (Gross Monthly Income)

Self-Employed / 1099 (Gross Monthly Income)

Co-Borrower Overtime Bonus (Gross Monthly Income)

Co-Borrower Retirement / Social Security (Gross Monthly Income)

Co-Borrower Disability /Pension (Gross Monthly Income)

Co-Borrower Total Gross Monthly Income

Co-Borrower Credit Score

Community Information (do not complete if you dont have a Community or house chosen)

Community Name

Address of Property

Address Line 1

Address Line 2

City

State

Zip Code

Monthly Lot Rent

Manufacture Home Information

Manufacturer of Home

Model Name and Number

Year Built

Serial/VIN/HUD Label Number

Home Size (e.g., Single, Doublewide)

Number of Bedrooms

Number of Bathrooms

If you have not selected a property - Provide General Location

What state is the property or desired property located? (We are licensed in Illinois, Indiana and Iowa)

Security Income) Serial/VIN/HUD

Which County?

Which City

Loan Information

When you expect to compete the transaction ?

Purpose of Loan

How much you wish to spend or refinance? (e.g., Purchase Price, Payoff)

Down Payment Amount

Trade-In Value

Desired Loan Amount