First State Bank

Mortgage Application

First State Bank - Lynnville, Iowa

If you would rather print and write your application, please click here to open the PDF (fillable with a computer or laptop).

* Indicates a required field
Important Applicant Information
I. Type of Mortgage and Terms of Loan
II. Property Information and Purpose of Loan
III. Borrower Information
IV. Employment Information
V. Monthly Income and Combined Housing Expense Information
VI. Assets and Liabilities
VII. Details of Transaction
VIII. Declarations
IX. Acknowledgement and Agreement
X. Information for Government Monitoring Purposes

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 when:

1. The income or assets of a person other than the Borrower (including the Borrower’s spouse) will be used as a basis for loan


2. 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 state, 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.

Of the above statements, select the statement that applies to you:

 Print your name.
Draw your signature.
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