Cove Financial Mortgage Alternative Program Application

Applicant (s)

Applicant #1 First Name *

Middle Initial

Last Name *

Social Security Number *

Date of Birth *

Email Address *

Applicant #2 First Name

Middle Initial

Last Name

Social Security Number

Date of Birth

Email Address

Current Street Address *

City *

State *

Zip *

Home Phone Number *

Applicant #1 Cell Phone Number

Applicant #2 Cell Phone Number

Current Rent or Mortgage Payment (monthly) *

Years at Location *

At this location do you? *

Rent

Own

Marital Status? *

Married

Divorced

Single

Do you have dependents? *

No

Yes

Age of Children (even if grown)

Dependent #1
Dependent #2
Dependent #3
Dependent #4
Dependent #5

Highest level of Education Attained

	Applicant #1	Applicant #2
Graduate Degree	Applicant #1	Applicant #2
College Degree	Applicant #1	Applicant #2
Associate Degree	Applicant #1	Applicant #2
Some College	Applicant #1	Applicant #2
High School Degree	Applicant #1	Applicant #2
Some High School	Applicant #1	Applicant #2

Property to be purchased

Property Address of Proposed Purchase (If known)

Street Address

City

State

Zip

Realtor Name (if known)

Realtor Phone Number

Realtor Email Address

Would you like a referral to a Realtor?

Yes

No

Requested Purchase Price (in dollars) *

Employment & Income information

Employment

	Applicant #1	Applicant #2
Current Employer	Applicant #1	Applicant #2
Current Employer Address	Applicant #1	Applicant #2
Current Job Title	Applicant #1	Applicant #2
Work Phone Number	Applicant #1	Applicant #2
Years on Job	Applicant #1	Applicant #2
Years in Profession	Applicant #1	Applicant #2
If less than 2 years, previous Employer	Applicant #1	Applicant #2
Years on Job (previous employer)	Applicant #1	Applicant #2

Applicant #1 Self-employed? *

Yes

No

Applicant #2 Self-employed? *

Yes

No

Household Income

	Applicant #1	Applicant #2
Monthly Income (Wages)	Applicant #1	Applicant #2
Monthly Income (Commissions/Overtime)	Applicant #1	Applicant #2
Monthly Income (Investments)	Applicant #1	Applicant #2
Monthly Income (Rental Income)	Applicant #1	Applicant #2
Monthly Income (Child Support/Alimony)	Applicant #1	Applicant #2
Monthly Income (Other)	Applicant #1	Applicant #2
Monthly Income Total All Sources	Applicant #1	Applicant #2

Description of Source of Income

Cash/Investment/Assets information

Cash, Bank & Brokerage

	Applicant #1	Applicant #2
Name of Bank	Applicant #1	Applicant #2
Type of Account	Applicant #1	Applicant #2
Amount	Applicant #1	Applicant #2
Name of Bank #2	Applicant #1	Applicant #2
Type of Account	Applicant #1	Applicant #2
Amount	Applicant #1	Applicant #2
Name of Brokerage Account (if none, type N/A)	Applicant #1	Applicant #2
Amount of Marketable Securities	Applicant #1	Applicant #2
Real Estate Owned (if none, type N/A)	Applicant #1	Applicant #2
Amount	Applicant #1	Applicant #2
Name of Business Owned (if applicable)	Applicant #1	Applicant #2
Net worth of Business (if applicable)	Applicant #1	Applicant #2

Automobile Owned (Make) *

Year / Model *

Market Value *

Automobile Owned (Make)

Year / Model

Market Value

Total ALL Assets *

What is your Estimated Credit Score? *

Liabilities *

	Applicant #1	Applicant #2
Liability #1	Applicant #1	Applicant #2
Type	Applicant #1	Applicant #2
Amount	Applicant #1	Applicant #2
Liability #2	Applicant #1	Applicant #2
Type	Applicant #1	Applicant #2
Amount	Applicant #1	Applicant #2
Liability #3	Applicant #1	Applicant #2
Type	Applicant #1	Applicant #2
Amount	Applicant #1	Applicant #2
Liability #4	Applicant #1	Applicant #2
Type	Applicant #1	Applicant #2
Amount	Applicant #1	Applicant #2
Total All Liabilities	Applicant #1	Applicant #2

Total Net Worth *

Personal Reference Section

(References should be known for at least 3 years)

Name *

Address *

City *

State *

Zip *

Phone Number *

Name *

Address *

City *

State *

Zip *

Phone Number *

Landlord Reference (Name) *

Phone Number *

Applicant and Co-Applicant

Please Declare the Following: *

	Applicant		Co-Applicant
	Yes	No	Yes	No
Are there any outstanding judgements against you?	Yes	No	Yes	No
Have you been declared bankrupt in the past 7 years?	Yes	No	Yes	No
Have you had a property foreclosed on or given title or deed in lieu thereof in the past 7 years?	Yes	No	Yes	No
Are you presently delinquent on any obligation?	Yes	No	Yes	No
Have you ever had an auto repossessed or given title in lieu thereof in the past 7 years?	Yes	No	Yes	No
Are you a party to a lawsuit?	Yes	No	Yes	No
Are you a co-maker or endorser of a note or lease?	Yes	No	Yes	No
Is any portion of your earnest money deposit borrowed?	Yes	No	Yes	No
Are you a U.S. Citizen?	Yes	No	Yes	No
Are you a permanent resident alien?	Yes	No	Yes	No
Do you currently have any unpaid Federal, State or Local tax obligations?	Yes	No	Yes	No
Are you obligated to pay Alimony, Child Support or separate maintenance?	Yes	No	Yes	No

Applicant hereby authorizes verification of any and all information set forth on this application, including release of information by

any bank, savings and loan, employer (present and former), landlord, and/or other lender. All such information hereon, and

released as authorized above, will be kept confidential. APPLICANT REPRESENTS THAT THE INFORMATION SET FORTH ON

THIS APPLICATION IS TRUE AND COMPLETE. Material misrepresentation on this Application will constitute default under the

lease or Rental Agreement between parties. This Application must be signed before it can be processed by Management.

Signature (Please re-type your name for signature) *

by: ________________________________

Print Name: __________________________

Date: ____________________

Co-Applicant Signature (Please re-type your name for signature)

by: ________________________________

Print Name: __________________________

Date: ____________________