Credit Union Service Organization of Hawaii

CUSO of Hawaii, Inc.

Welcome to the CUSO of Hawaii's Online application. The goal of this application is to collect the least amount of information from you that will allow us to determine the borrowers qualifications for a mortgage. Once you fill out the application and click the submit button, we will begin processing your request. We will do our best to contact you within one business day.

* = Required

1) Program Information

Program:

Target Rate *

Doc Type

Purpose* Purchase Refinance

2) Borrower Information

Borrower:

First Name*	M.I.	Last Name*	Title
Birth Date*		Race	Marital Status*
US Citizen?*		Social Security #* - -

Co-Borrower:

First Name*	M.I.	Last Name*	Title
Birth Date*	Sex	Race	Marital Status*
US Citizen?*		Social Security #* - -

Home Phone:

( ) -

Work Phone: ( ) -

E-Mail Address:

Contact Notes:

Current Address:

City:

State: * Zip: *

Do you?

Own Rent *

How Many Years? *

Monthly Rent?

Loan will be for a

Owner Occupied Property Investment Property Second Home *

3) Subject Property Information

Subject Address:

City:

State:

Zip:

Property Type:

Property Value:

Number of Units:

Year Built:

Classification:

5) Income Information

Income 1:

Borrower
CoBorrower

Income Type*

Years on Job*

Gross Monthly Income*

Income 2:

Borrower
CoBorrower

Income Type

Years on Job

Gross Monthly Income

Income 3:

Borrower
CoBorrower

Income Type

Years on Job

Gross Monthly Income

Income Notes:

6) Asset Information

Liquid Assets:

***

Real Estate Net Proceeds:

***

Gifts:

***

Stocks & Bonds:

***

Retirement:

***

7) Notes

Tell us about the kind of loan they are interested in.

Tell us a little about their credit history.

Title/Escrow, Appraisal and Closing Information.

Type of Credit Report Authorization obtained?
Verbal Written None

Each applicant specifically acknowledges and agrees that:
1) the loan requested by this application will be secured by a first or second mortgage or deed of trust on the property described herein;
2) all statements made in this application are made for the purpose of obtaining the loan indicated herein
3) occupancy of the property will be as indicated above
4) verification or reverification of any information contained in the application may be made at any time by the Lender, its agents, successors and assignees, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan is not approved
5) the Lender, its agents, successors and assignees will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing
6) ownership of the loan may be transferred to successor or assignee of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assignee of the Lender prior notice to me
7) the Lender, its agents, successors and assignees make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property.

Certification
I/We certify that the information provided in this application is true and correct as of the date submitted to Credit Union Service Organization of Hawaii and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 10001, et seq. a liability for monetary damages to the Lender, its agents, successors and assignees, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.

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