Lon C. Hill Building
502 E. Tyler
Harlingen, Texas 78550
(956) 216-5180


Date:
 
Borrower's Name:
 
Mailing Address:
Address, City, and State
 
Home/Cell #:
 
E-Mail Address:
 
Including yourself, how many people will occupy the home?
 
Comments Heading
Please include the following information:
name(s) of other household members,
relationship to borrower,
age,
and employment status (full-time, part-time, student, unemployed)
 
Are you a Veteran of the United States military?

 
What is the estimated monthly gross income (before deductions) for each person in your household?
Salary/Wage
 
Salary/Wage
 
Child Support
 
Social Security
 
Total Monthly Income
 
Lender's Name and Phone Number
If you have a lender, please enter the name and phone number of your lender.
 
Is your credit:





 
Are you presently delinquent or in default on any Federal debt (including income taxes) or any other loan, mortgage, finanical obligation, bond, or loan guarantee?

 
Have you ever declared bankruptcy?

 
Are you a U.S. Citizen or Permanent Resident Alien?

 
Are you currently delinquent on property taxes (city/school/county)?

 
Comments Heading
If you answered "Yes" to any of the above questions, please provide details, including date, name, and address or Lender, FHA, or VA case number, if any, and reasons for the action.
 
Co-Borrower's Name:
 
Zipcode
 
Work #:
 
Disability
 
Retirement
 
TANF
 
Other
 
Annual Income
 
Have you attended an approved 8-hour Homebuyer Education Course?

 
Are you currently behind on child support or alimony?

 
Have you lost property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

 
Have you had ownership interest in a property in the last 3 years?

 
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?
This would include such loans such as home mortgage loans, SBA loans, home improvement loans, education loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee.)

 

Copyright © City of Harlingen, Texas  2016. All rights reserved.

powered by ezTaskTitanium TM