Fidelity & Trust Mortgage – Fixed or Adjustable Rate Conventional, FHA or VA Loans

Capital Mortgage Finance
Columbia
6310 Stevens Forest Road
Columbia, Maryland 21046

Office: (410) 381-2626
Toll Free: (888) 281-0004
Fax: (410) 381-6321
Map & Directions

Capital Mortgage Finance
Westminster
56 W. Main Street Suite B-5
Westminster, Maryland 21158

Office: (410) 871-2387
Toll Free: (877) 871-2387
Fax: (410) 871-2804
Map & Directions

To print a copy of this application to be faxed or mailed in please CLICK HERE.
In Print dialog box, be sure to choose “Shrink oversized pages to paper size.”

Online Application

Please complete as much of this on-line mortgage application as possible, but don't worry if you need help on some items. After you select the "Submit" button, we'll contact you for any missing info or questions, and begin your loan application process right away!

Uniform Residential Loan Application (FNMA 1003)

This application is designed to be completed by the applicant(s). Co-Borrower information must also be provided (and the appropriate box selected below) when:

the income or assets of a person other than the "Borrower" (including the Borrowers spouse) will be used as a basis for loan qualification or
the income or assets of the Borrowers spouse will not be used as a basis for loan qualification, but his or her liabilities must be considered because the Borrower resides in a community property state, or the security property is located in a community property state, or the Borrower is relying on other property located in a community property state as a basis for repayment of the loan.

The name of the person completing this form is :

Your e-mail address is :

I. TYPE OF MORTGAGE AND TERMS OF LOAN

Amount: $ No. of Months: Amortization Type:

II. PROPERTY INFORMATION AND PURPOSE OF LOAN

Property Address:

Street:

City:

ST.:

ZIP:

No. of Units:	Year Built:
Purpose of Loan:	Property will be:

Complete this line if this is a refinance loan.

Year Acquired	Original Cost	Existing Liens	Purpose of Refinance
	$	$

III. BORROWER INFORMATION

Borrower		Co-Borrower
Name (include Jr. or Sr. if applicable)		Name (include Jr. or Sr. if applicable)
Social Sec. No.	Home Phone	Social Sec. No.	Home Phone
Age	Yrs. of School	Age	Yrs. of School
Marital Status Married Unmarried Separated	Dependents No. Ages	Marital Status Married Unmarried Separated	Addl. Dependents No. Ages
Present Address:		Present Address:
Street	City	Street	City
State	Zip	State	Zip
Own Rent	No. Yrs.	Own Rent	No. Yrs.
*IF AT PRESENT ADDRESS LESS THAN TWO YEARS ...*
Former Address:		Former Address:
Street	City	Street	City
State	Zip	State	Zip
Own Rent	No. Yrs.	Own Rent	No. Yrs.

IV. EMPLOYMENT INFORMATION

Borrower		Co-Borrower
Name of Employer:		Name of Employer:
Attn.:		Attn.:
Address:		Address:
City:		City:
State:	Zip:	State:	Zip:
Self-employed Yes No	Years on this job:	Self-employed Yes No	Years on this job:
Yrs. in current profession:		Yrs. in current profession:
Position/Title/Type of Bus:		Position/Title/Type of Bus:
Business Phone:		Business Phone:
*IF EMPLOYED IN CURRENT POSITION FOR LESS THAN TWO YEARS...*
Name of Employer:		Name of Employer:
Attn.:		Attn.:
Address:		Address:
City:		City:
State:	Zip:	State:	Zip:
Self-employed Yes No	From - To:	Self-employed Yes No	From - To:
Monthly Income:	$	Monthly Income:	$
Position/Title/Type of Bus:		Position/Title/Type of Bus:
Business Phone:		Business Phone:

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Gross Monthly Income	Borrower	Co-Borrower
Base Empl, Income*
Overtime
Bonuses
Commissions
Dividends/ Interest
Net Rental Income
Other
*Self Employed Borrowers(s) may be required to provide additional documentation such as tax returns and financial statements. Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower(B) or Co-Borrower(C) does not choose to have it considered for repaying this loan.

Combined Mthly Exp. (Housing)	Present	Proposed
Rent
First Mortgage
Other Financing
Hazard Insurance
Real Estate Taxes
Mortgage Insurance
Homeowner Assn. Dues
Other

VI. ASSETS AND LIABILITIES

ASSETS
Completed	Jointly Not Jointly
Cash deposit held by: (for purchase only)	Amount: $
Checking/Savings Accounts
Name of Bank/S&L/Credit Union: Address: City: State: Zip: A/C No.: Balance:	Name of Bank/S&L/Credit Union: Address: City: State: Zip: A/C No.: Balance:
Name of Bank/S&L/Credit Union: Address: City: State: Zip: A/C No.: Balance:	Name of Bank/S&L/Credit Union: Address: City: State: Zip: A/C No.: Balance:
Name of Bank/S&L/Credit Union: Address: City: State: Zip: A/C No.: Balance:	Stocks and Bonds: Company name/number & description: Amount: Company name/number & description: Amount: Company name/number & description: Amount:
Vested Interest in Retirement Fund: $ Automobiles: Year & Make: Value: $ Year & Make: Value: $	Other Assets: (e.g. Furniture, Jewelry, Household Goods, Personal Property, etc.) $

Liabilities

Enter only if this is a refinance loan (details of first mortgage on subject property):

First Mortgage Creditor:
Name
Loan Number
Address
City
State Zip Monthly pmt. Balance

Details of second mortgage on subject property (if any):

Second Mortgage Creditor:
Name
Loan Number
Address
City
State Zip Monthly pmt. Balance

All other monthly liabilities:
(Include credit card debt, auto loans, student loans, installment loans etc.) You may use an estimate; we will obtain details from your credit report.

Monthly pmt. Balance

OTHER REAL ESTATE OWNED (Enter total for all properties not including subject property)

Market Value

Amt. of Liens

Gross Income

Mortgage Pmt

Tax/Ins. Maint.

Net Rental Inc

VIII. DECLARATIONS

Items	Borrower	Co-Borrower
a. Are there any outstanding judgments against you?	Yes No	Yes No
b. Have you been declared bankrupt within the last 7 years?	Yes No	Yes No
c. Have you had property foreclosed upon in the last 7 years?	Yes No	Yes No
d. Are you a party to a lawsuit?	Yes No	Yes No
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?	Yes No	Yes No
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?	Yes No	Yes No
g. Are you obligated to pay alimony child support or separate maintenance?	Yes No	Yes No
h. Is any part of the down payment borrowed?	Yes No	Yes No
i. Are you the co-maker or endorser on a note?	Yes No	Yes No
j. Are you a U.S. citizen?	Yes No	Yes No
k. Are you a permanent resident alien?	Yes No	Yes No
l. Do you intend to occupy the property as your primary residence?	Yes No	Yes No
m. Have you had an ownership interest in a property in the last 3 years?	Yes No	Yes No

If the answer to m above is "yes":

IX. ACKNOWLEDGMENT AND AGREEMENT

The undersigned specifically acknowledge(s) and agree(s) that: (1) the loan requested by this application will be secured by a first mortgage or deed of trust on the property described herein: (2) the property will not be used for any illegal or prohibited purpose or use: (3) all statements made in this application are made for the purpose of obtaining the loan indicated herein: (4) occupation of the property will be as indicated above: (5) verification or re-verification of any information contained in this application may be made at any time by the Lender, its agents, successors and assigns, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan is not approved: (6) the Lender, its agents, successors and assigns will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein have changed prior to closing: (7) in the event my/our payments on the loan indicated in this application become delinquent, the Lender, its agents, successors and assigns, may, in addition to all their other rights and remedies, report my/our name(s) and account information to a credit reporting agency: (8) ownership of the loan may be transferred to an agent, successor or assign of the Lender with prior notice to me: (9) the Lender, its agents, successors and assigns make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property.

Certification: I/We certify that the information provided in this application is true and correct as of the date set forth opposite my/our signature (acknowledgment indicated below) on this application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of title 18, United States Code, Section 1001, et seq. and liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we made on this application.

Borrower's Acknowledgment Co-Borrowers Acknowledgment

X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES

This information is entirely optional.

Borrower

Co-Borrower

I do not wish to furnish this information

Race/National Origin:

Sex: Female Male

I do not wish to furnish this information

Race/National Origin:

Sex: Female Male

Any additional information to help us in process your loan request? (preferred loan programs, special requirements regarding your purchase, refinance, pre-qualification, etc.):

Congratulations, you've finished! Click on the Submit button and a loan officer will contact you shortly. Thanks for letting Fidelity & Trust Mortgage Co. earn your business!

Capital Mortgage Finance Corp. is an Equal Housing Lender
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