EFTA01279969.pdf

Uniform Residential Loan Application
This application Is designed to be completed by the applicants) with the Lenders 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 0 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 0 the income or assets of the Borrowers 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 appacable law and Borrower resides in a community properly state. the security properly 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.
It this is an application for joint credit. Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below):
Itiontsver Doihonorer
I. TYPE OF MORTGAGE AND TERMS OF LOAN
n
Agency Case Number Lender Case Number
Medan. n VA M Conventional Other (explain):
Applied for: I- 1
FHA LJ USDAlkiral Housing Service 420361321
Amount Interest Rale F No. of Months Amortization nn. Fixed Rate Other (explain):
Type:
$320,000.00 3.000 180 I GPM I ARM (type):
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
&Odd Property Address hums city. Iota a ZIP) 435 3 Tryon St Onit 700, Charlotte, NC 28202
No. 01 Unite 1
Legal Description S Salad Property (attach closcriptico it nosey) I You Eta 2002
Purpose of Loann purchase Construction I=I Other (explain): Property will be:
a Primary rt Secondary
Refinance Q Construction-Permanent Residence uu Residence El Investment
Complete this line II construction or constructbn-pennanent loan.
Year Lot Acquired I Original Cost I Amount Existing Liens (a) Present Value of Lot (b) Cost of Improvements Total (a • b)
I
$ $ $ II $
this line II this Is s refinance loon. Describe Improvements Omade O to be made
Year Acquired Original Cost Amount Existing Liens Purpose of Refinance
2004 IS 810, 000.00 $316,017.71 I Rate and Term Cost:
Title voll be held in what Name(s) Manner in which Title will be held Estate will be held in:
Ittdpsrier Terra, LLC, A Florida Limited Liability Company El Fee &no,
O
Title held thru living trust. Leasehold tallow
=pinion date)
Source of Down Payment. Settlement Charges. and/or Subordinale Rnancing (explain)
Borrower Ill. BORROWER INFORMATION Co-Borrower
Borrower's Name tinctude Jr. or Sr. it applicable) Co•Borrower's Name (i dude Jr. or Sr. if applicable)
rt irri umber Home Phone Onct. area code) DOEIrmmickeYfryyl Yrs. Sera° Social Security Number Home Phone (inch. area code) D08(mmrdoyyyy) Yrs. School
fl Married = Udmolauots, ]Wcehodle. s tool% no. eV,ges"( by - Marled Unmarried andurla Wald °run, :4:e. kmebdy ika"""
O widowed) 0 I EJ domed. widowedl
Saprracd Sapermo I
Present Address isimet or gait ZF) = Own ITS Rent 3/0 No. Yrs. Present Address tweet city. suite. ZIP) = Own = Rent No. Yrs.
Mailing Address. if different from Present Address Mailing Address if different From Present Address
If residing at present address for less than two years, complete the follow ng:
Former Address tarot city. gala ZIPI O Own El Rex No. Yrs. Former Address (street. Sly. sate. ZIP) O Den U Riot No. Yrs.
420361321 420361321
Uniform %Mende Loan Application Application Date: 10/2/2014 Fannie MM Fowl IOU 7105 (Recife,
Fannie Manfred:lie Mac Freddie Ms Ran 6 7,136 (Rev. 6/09
VHF( Op WAP221N (0907(0
Wolters mews Financial Se tars Page I 045
CONFIDENTIAL19470104=211
EFTA_0014 I 5 14
EFTA01279969

Borrower IV. BAPLOYDAENT INFORMATION Co•Borrower
Name 6 ACYJONS 01 EmpSayer [ii Sell &npioyed Yrs on thS230 Nome a AddfeiS 01 &von. E so bogeyed VII on Iris Sib
Scio Warms Corporation 11/9
Yrs. employed in this line of Yrs. employed inihis lira of
workeprolession worleprolesseco
/
PositiontTitleType at airless Business Atone encl. wee code) Pesdionlitleaypegl Business Suoness Mare lied. areacode)
MOO Car Driver
If amnInvad In eurraM neffillien far lawn than Iwo vans nr II eurranthr sine In mem than aria enaftlan. ennwaltda the SOW her
Name 6 Address of Employer Sell Employed Dates (from • to) Name & Addrcr.s of Employer Sell Employed Dates dram . to)
Mondly Income Monthly Income
5 S
PositionanletType of Business Business Phone (incl. area code) PositionfTillatType of Business Sponges chore hind. areacode)
Name S AddreSS 01 EtnplOyer C Sell Employed Dates (from - MO Name 3 Address 01 Cm: Oyer C Sell Bogeyed Dates Mom - tO)
Monthly Income Monthly income
5 5
PositionTriletType of Business Business rtionatind. Wei code) Position/Title/Type col Business eusMeas Phone tiro cocto
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Gross Monthly Income Borrower Cacwower Total HCoSm Sbiicned Motility Present Proposed
SWIM*
Base Ern pI . Income' $ —6„ 361.83 5 $ —6 361.83 Rent 5 8,500.00 7/ 7////// 7/A
Overtime Rest Mortgage (Rig $ 2,209.86
&MGM Other Financing (Pail)
Commissions Hazard Insurance 243.50
Dividends/Interest Real Estate Taxes 543.73
Net Rental Income Mortgage Insurance
a tethre rat?. t t Homeowner Assn. Dues 400.00
other Income.' Weal 30,276.00 30,276.00 Other:
Total I S 23,914.17 $ 5 23.914.17 Total $ 8,500.00 $ 3,397.09
' Sell Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statement&
S.0 Describe Other Income Notice: Alimony. child support, or separate maintenance income need not be revealed II the Monthly
Borrower (B) or Co-Borrower (C) does not choose to have It considered for repaying this loan. Amount
Rislaticonsh $30,276.00 $ 30 276.00
C
420361321 420361321
Uniioan Residential Lean Application Application Date: 1022014 Fannie Mae Form 1003 7105 (211v. 6/0601
Fannie Maarraldie Mac Freddie Ms Form 65 7t6 (Rey. 6/09
YMP YMP221N (0907).0
Wolters tower Financial Senritee Page 2 04 5
CONFIDENTIAL
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VL ASSETS AND LIABILMES
This Statement and any applicable supponino schedules maybe ccoommpplleetteedd witty by both merned and unmamed Co-Borrowers resets and liabilities art
sunicientiy pained sot hat the statement can bre meaningtuay and le presented on a combined basis: otherwise. separate statements edules are required. it
the Co-Borrower section was completed about a non-appbcant spouse or other person. this Statement and supporting schedules must be completed about that spouse
or other person also.
Completed I Jointly Not Jointly
ASSETS ash Cr MOM Vika WNW= and Pledged Meets. List the creditor's name. addraw and account number for all ousslandng cldsls.
Description includIng automobile loam revolving clwrge accounts. real estate loans. alimony. chld support, stock pledges. etc.
Lk* conl elusion sheet. it necessary. 'Scale by (' ) those habil-lies which will be satisfied upon sale of red estate
Cash deposit toward purchase held by: s owned or upon refinancing or the Sub)0C1 Pr OPenY•
Monthly Payment & Byerdrnel
LIABILITIES Months Len to Pay
list checking and savings accounts below Name and address of Company $ Payment/Months $
Name and address of Bank. S&L. or Credit Union CHASE 25.00 104.00
Fifth Third Thr 9/30 5
0 Aeal• 00.438135.100
Ikt.i. no. Name and address of Company $ Payment/Months $
3 17, 204.55 CCO MOAT CRP 3,163.00 316,017.71
Name and address of Bank. SAL. or Credit Union *
Fifth Third thr 9/30
nom no.2930022453112
Name and address of Company S Payment/Months S
S 9,127.57
Name and address of Bank. SAL. or Credit Union
Mel. no.
Name and address of Company $ Payment/Months $
Name and address of Bank. SAL. or Credit Union
WI nO.
Name and address of Company $ Payment/Months $
Acct. no.
S
ihrelstzipirilOs (Company name/number
Fifth Third Private Bank - S 515,751.96 Acct. no.
CREO Global Capital -Blue 3,108,560.00 Name and address of Company $ Payment/Months $
Morgan Stanley FAO Blue Chip 506, 946.00
the insurance net cash value S
Face amount: $
Subtotal Uquld Assets S 4,157,590.08 Acct. no.
Real estate owned (enter market value $ 620,000 Name and address of Company $ Payment/Months $
from schedule of real estate owned)
Vested interest in retirement fund S
N (a e tt t a w ch o r f t i h na o n f c b ia u l s s in ta e t s e s m ie e s n ) t o ) wned S 399,960.20
Automobiles owned (make and year)
$ O Al w im e o d n t y o f : C hild Suppoil)Sepsate lAwnlenance Payments $
Job-Related Ex P<IltS clad cat. tales duos. etc.;
Other Assets (itemize) $ $ ../
Total Monthly Payments S ac. on
Total Assets a. $ sia-n—ss0.28_ttlienin W es o i o lh i $1S 4,861,428.57 Total Whales b. $ 316,121.71
ehedldle W Real Estate Owned (It additional p opernes are owned. use continuation sheet.)
oflont ryeitrilrbeesaAjt iedr pojilirt:Id..e7 if pending sate. pa&
agony Maittsinilue MonAgrargleutkliens RentTigtome Wylinaies it.x'Sst iicl.. Renttic e
435 S Tryon Street #700
Charlotte, NC 28202 Cond $ 620,000 $ 316,018 S S 3,163 $ $
435 S Tryon St Unit 700
Charlotte, NC 28202
Totals S 620,000 $ 316,018 $ $ 3,163 $ $
List any additions names under which wadi Ms previously been received and Indicate appropriste crater names) and account numbed.):
Alternate Name Creditor Name Account Number
420361321 420361321
UnitoaniimidOntial Loan Application Forage Mae Form 1003 7/05 (Mov. 6/091
Fannie Maffei:IdleMac Application Date:10/2/2014 Freddie Ms Fos, 65 7A36 (Rev. 6/09
VMP VMP221N 40907).0
Wolters lavas nnencia Santee Page 3 01 5
CONFIDENTIAL
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VI. DETAILS OF TRANSACTION VIII. DECLARATIONS
If you answer Yes to any questions a through i, please Borrower Ca-Borrower
a. Purchase price use continuation sheet for explanation. Yes No Yes No
b. Alterations. improvements. repairs a Are there Wry outstanding judgments against you?
O
c. Land Of acquired separately) b. Hoye you been declared bankrupt within Ihepast 7 years? M C
C Ito you had properly foreclosed upon or given Mk or deed in Neu thereof n
C. Refinance (incl. debts to be paid off) 316,017.71 the last 7 yews?
0 LI
e. Estimated prepaid items 586.67 d. Are yo.i a party teat'ssue?
I. Estimated closing costs 9,386.66 e. Have you directly or indirectly been Obletiled on any lea) when resulted
foreclosure. Pander of title n lieu Se loreclosure, or judgment? (This wouC
g. PMI. MIP. Funding Fee include Such learn ea home mortgage loans. SBA NIPS. home iinprOveinent
lose. educsicnal loans. manulactured (mebilel home loans. any mortgage.
h. Discount Of Borrower will pay) tnanclf Wlgelkn bond or ICe n guarantee. if 'Yid' provide details.
including date name and address of tends. FHA or VA case number. it any. 0 0
I. Total coats (add items a through h) $325,993.06 and 108008 for the action.)
Subordinate financing I. Araenyonunprezoetly clelingtAmils otird inn .d efault on any Federal debt or any other
k. Borrowers closing costs paid by Seller 'Sows asng?oitci4iortg bond. leen guarantee' II -Yes: gee 0 0
0 0
I. Other Credits (explain) g. Are you obligated to pay :lemony, child support. or separate mareenance? 0
00
Application Fee Paid 400.00 h. IS any pan or the down payment borrowed?
0 00
Borrower POC 6,524.79 i. Are you acomidus or endorser on a note?
0 0
Are you a U.S. Cillien? - 0
M Loan amount 0 0
Conclude KAI MIP Fundino Fee financed' 320, 000 .00 k. Are you a permanent resident alien?
L Do you Intend to weepy the properly a your primary teddence? 6 'Yes.* 0 0
n. PMI. MIP. Funding Fee financed complrteetreerion m below.
0 0
o. Loan amount (add m 8 n) 320, 000 .00 in. Hoye you had an car naship interest in a properly in 'halal three years? III 0
II) properly &I you own:: pnnopal reactance CORI, sword
p. ( C s a u s b h tr a fr c o t m j. / t k o . B 1 o 8 r r o o l w ro er m I) -6931.73 12) hh H oo o mm w ee d (( i SS d KK y rr o .. o u Dr r h i o rN ld e I 3 d I m le a to ll t r h e e cl e h a o n m ,/ e W • - I ? s olely by yourscd IS). Jointly with PR
'frt.' UP Cte,CIW. Of petty w eh scan Fors:n(0i?
IX. ACKNOWLEDGEMENT AND AGREBABB
Each of the undersigned specilically represents o Lender and to Lenders actual or potential agents, brokers, processors, attorneys, insurers. servicers, successors
and assigns and agrees and acknowledges that: (I) the information provided in this application is true and correct as of the date set forth opposite my signature and
that any intentional or negligent misrepresentation of this information contained in this application may result in civil liability. including monetary damages. to any
person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application. andror in criminal penalties including, but not limited
to. fine or imprisonment or both under the provisions of Title 18. United States Code. Sec. 1001. N seq.: (2) the loan requested pursuant to this application (the
'Loan') will be secured by a mortgage or deed of trust on the property described in this application: (3) the property will not be used for any Illegal or prohibited
purpose or use: (4) all statements made in this application are made for the purpose of obtaining a residential mortgage loan: (5) the properly will be occupied as
indicated in this application: (6) the Lender. its servicers. successors or assigns may retain the original and/or an electronic record of this application. whether or not
the Loan is approved: (7) the Lender and its agents. brokers. insurers. servicers. successors, and assigns may continuously rely on the information contained in the
application. and I am obligated to amend and/or supplement the information provided in this application if any of the material facts that I have represented herein
should change prior to closing of the Loan: (8) in the event that my payments on the Loan become delinquent, the Lender, its servicers. successors or assigns may. in
addition to any other rights and remedies that it may have relating to such delinquency. report my name and account information to one or more consumer reporting
agencies: (9) ownership of the Loan and/or administration of the Loan account may be transferred with such notice as may be required by law: (10) neither Lender nor
its agents. brokers. insurers. servicers. successors or assigns has made any representation or warranty. express or implied, to me regarding the property or the
condition or value of the property: and (I I) my transmission of this application as an 'electronic record' containing my 'electronic signature: as those terms are
defined in applicable lederal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my
signature. shall be as effective. enforceable and valid as it a paper version of this application were delivered containing my original written signature.
Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan. Its service's. successors and assigns. may verily or reverify any
information contained in this application or obtain any information or data relating to the Loan. for any legitimate business purpose through any source. Including a
source named in this application or a consumer reporting agency.
Borrowers Signature Date Co-Borrowers Signature Date
X 12/9/2014 X 12/9/2014
X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES
L
The following inlormation is requested by the Federal Government for certain types of loans related to a awe/sing in order to monitor the lenders compliance with
equal credit opportunity. fair housing and home mortgage disclosure laws. You are not required to furnish this information. but are encouraged to do so. The law
provides that a lender may not discriminate either on the basis of this inlormation, or on whether you choose to lumish it. II you furnish the information. please
provide both ethnicity and race. For race. you may check more than one designation. If you do not furnish ethnicity. race. or sex. under Federal regulations. this lender
is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the
information. please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject
under applicable state law for the particular type of loan applied tor.)
BORROWER I-1 I do not wish to math this iN onnation CO-BORROWER I do not wish to furnish this information
Ethnicity: EthnicEy:
Race:
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0 Not Honoree or
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Alaska Native C AVM African American
C Native Hawai or I— I Native Hawaiian or
COO. Pattie iWanINO n®W h.i.ter . I- I We Peolic Wander While
: - Female X. Female IM mere
To be Completed by Loan Originator:
This inlormation was provided: LK_I In a face.to.lace interview By the applicant and submitted by fax or mail
In a telephone interview C By the applicant and submitted via email or the Internet
Loan Originator's Signature Date
X 12/10/2014
Loan Originator's Name (print or type) Loan Originator Identifier Loan Originator's Phone Number (Including area code)
Joann Brown 414603 :;.9) 573-1982
Loan Origination Company s Name Loan Origination Company Identifier n Origination Company's Address
Fifth Third Mortgage Company 5001 Kingsley DR, MD: 1MOCBO,
134100 Cincinnati, OH 45227
Application Date: 10/2/2014
420361321 420361321
Uniform Raildertial Lean Application Fannie Mee Form 1003 7005 (FIN. 6/091
Fannie Masrreddie Mac Freddie Ms Form 65 7,05 (Rev. 6/09
WO lb VMO221N (0907).0
Wane Bitterer Financial Senn.* Pege4 04 5
CONFIDENTIAL
SDNY_GM_00030904
EFTA_OO1:11517
EFTA01279972

CONTINUATION SHEET: RESIDENTIAL LOAN APPUCATION
gency Case Number.
Use this continuation sheet if ITOWM.
you need more space 10
complete the Residential Loan
Application. Mark B for • rrower: Lender Case Number:
Borrower or C for Co-Borrower.
triNe fully understand that it is a Federal crime punishable by fine or imprisonment. or both. to knowingly make any lake statements concerning any of the above facts
as applicable under the provisions of Title 18. United States Code. Section 1001. el seq.
Borrowers Signature: Date Co•Borrowers Signature: Dale
X 12/9/2014 X 12/9/2014
420361321 420361321
Uniform %Menial LON Applleatuon Fannie Mae Form 1003 7105 (few. 6/051
Fannie Manfred:lie Mac Freeklie Ms Fern 65 7,05 (Rev. 6109
VMP VMP22m(0907i.0
Wollete Mime/ FltlellCial SOMOOS Pae5 04 5
CONFIDENTIAL
SDNY_GM_00030905
EFTA_0014I518
EFTA01279973