Residential Loan Application

First National Bank and Trust
Uniform Residential Loan Application
Loan Information
This application is designed to be completed by the applicant(s) with the Lender's assistance. Applicants should complete this form as "Borrower" or "Co-Borrower", as applicable. Co-Borrower information must also be provided (and the appropriate box checked) when:

the income or assets of a person other than the Borrower (including the Borrower's spouse) will be used as a basis for loan qualification
or

the income or assets of the Borrower's spouse or other person who has community property rights pursuant to state law will not be used as a basis for loan qualification, but his or her liabilities must be considered because the spouse or other person has community property rights pursuant to applicable law and Borrower resides in a community property rights state, the security property is located in a community property state, or the Borrower is relying on other propery located in a community property state as a basis for repayment of the loan.

If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit.
Borrower
Co-Borrower

Type of Mortgage and Terms of Loan
Mortgage applied for




If Other, Explain?

Loan Amount
Interest Rate %
Number of Months
Amortization Type



If Other, Explain?
If ARM, Type?