GLEN ROCK SAVINGS BANK
(Loan Department)
250 Lincoln Avenue
Hawthorne, NJ 07506
973-636-5888
Dear Borrower(s):
Thank you for applying to Glen Rock Savings Bank for your Mortgage Loan and becoming another of our
Valued Customers.
NOTICE: If you are applying for "JOINT CREDIT" each applicant must sign the disclosure on the top
of the application.
Included in your Application Package:
1. First Mortgage Loan application
2. Borrower's Blanket Signature Authorization (All borrowers must sign and date form)
3. Borrower Information Form (All sections must be completed)
4. Privacy Policy
5. Shopping for Your Home Loan - HUD's Settlement Cost Booklet
Please provide all required information:
1. Loan Amount, Term and Purpose of the Loan
2. All sections of the application must be complete
3. Be sure to sign and date the loan application
Requirements for a Purchase:
1. We must have a copy of the Executed Contract(s) - (By the Sellers & Purchasers)
You are required to have a Termite Certification completed prior to closing
2.
Requirements for a Refinance:
Please provide a copy of your current Deed
1
If a Multi-Family please provide a copy of the Rental Lease(s)
2.
Please provide a copy of the current Declaration's Page of your Homeowner's Insurance Policy
3.
Origination Fee Information
This fee should be submitted to the bank no later than 10 Business Days along with your "Initial
Disclosures." The "Initial Disclosures" will be provided after application review.
Origination Fee for a Single Family is: $500.00 -
Multi-Family: $650.00
The Application Package can be dropped off or mailed to the above location. All of the above items
must be submitted with the application in order to process your loan. Any items or information that is
missing will delay the processing of your loan.
If you require any assistance or an appointment, please contact our Loan Department and speak with:
Dawn T. Dalenberg, Senior Vice President/Lending Manager NMLS#699611, or any of our processors:
Janice Ferriola NMLS#699824, Nora Hicswa NMLS#699825 or Lina Guarin NMLS#699823.
Cover Ltr First Mtg Revised 03/23/15
Glen Rock Savings Bank
(Loan Department)
250 Lincoln Avenue
Hawthorne, New Jersey 07506
973-636-5888
Dear Borrower:
In order to complete your mortgage application the following information will also be required. In order
expedite the processing of your application, you can submit the information with your application,
otherwise it must be returned with your initial disclosures.
YOU MUST PROVIDE COPIES OF THE REQUIRED ITEMS LISTED BELOW;
PLEASE CHECK OFF AS YOU SUBMIT
1. Two current Pay Stubs for each applicant
a. Indicate your pay schedule below:
Monthly
Bi-Weekly
Weekly
2.
3.
4.
5.
6.
Bi-Monthly
Last Two years of your W-2's
If Self-Employed LAST TWO YEARS of your signed Income Tax Returns
If Retired, copy of Annual Social Security Letter
Copy of Pension Letter, if applicable
Photo Copy of Drivers Licenses for all applicants
Two Current Statements for the items listed below:
1. Savings Accounts
2. Checking Accounts
3. Stock Statements and or 401K Statements
If you should require assistance, or an appointment, please contact: Dawn T. Dalenberg, Senior Vice
President/Lending Manager, or any of our processors: Janice Ferriola, Nora Hicswa or Lina Guarin.
PLEASE RETURN THIS CHECKLIST WITH YOUR DOCUMENTATION
Mortgage Required Info Request 01 08 15
Uniform Residential Loan Application
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 mus al so be provided (and the appropriate box checked) when ❑ the income or assets of a person other than the Borrower (including the Borrower's spouse) will be used as a basis for loan
qualification or U 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.
If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below):
11(Co-Borrower
Borrower
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage
Applied for:
I
Conventional
VA
Lender Case Number
Agency Case Number
I Other (explain):
USDA/Rural Housing Service
FHA
No. of Months
Interest Rate
Amount
Amortization Type:
Fixed Rate
Other (explain):
GPM
ARM (type):
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject Property Address (street, city, state & ZIP)
No. of Units
Legal Description of Subject Property (attach description if necessary)
Year Built
Purpose of Loan
I
Purchase
Construction
Refinance
Construction-Pennanent
I
n
Property
,t
will be:
Other (explain):
I
Primary Residence
FI Secondary Residence
Investment
Complete this line if construction or construction-permanent loan.
$
Total (a + b)
(b) Cost of Improvements
(a) Present Value of Lot
Amount Existing Liens
Year Lot Acquired Original Cost
$
$
Complete this line if this is a refinance loan.
Year Acquired
Describe Improvements
Purpose of Refinance
Amount Existing Liens
Original Cost
7
made
to be made
Cost: $
Manner 'n which Title will be held
Title will be held in what Name(s)
Estate will be held in:
Fee Simple
Source of Down Payment, Settlement Charges, and/or Subordinate Financing (explain)
Leasehold (show
expiration date)
— Married
Separated
I I
DOB (mm/dd/yyyy)
Yrs.'School
Dependents (not listed by Co-Borrower)
Unmarried (include single,
divorced , w id
di
idow
w ed)
I
no
Lj
Preset t Address (street, city, state, ZIP)
-
Co-Borrower's Name (include Jr. or Sr. if applicable)
Home Phone (incl. area code)
Social Security Number
Co Borrower
III. BORROWER INFORMATION
Borrower
Borrower's Name (include Jr. or Sr. if applicable)
Own
Lj
Separated
ages
No. Yrs.
Rent
— Married
1 1
Unmarried (include single,
divorced,
widowed)
no
If residing at present address for less than two years, complete the following:
I
I Own
I_I
Rent
No. Yrs.
Former Address (street, city, state, ZIP)
I Self Employed
I
Yrs. on this job
Rent
No. Yrs.
I I Own I I
Rent
No. Yrs.
Name & Address of Employer
-
I Self Employed
I
Yrs. on this job
Yrs. employed in this line of
Yrs. employed in this line of
work/profession
work/profession
Business Phone (incl. area code)
Position/Title/Type of Business
I ages
Lj
Own
Co Borrower
IV. EMPLOYMENT INFORMATION
Borrower
Name & Address of Employer
Dependents (not listed by Borrower)
Lj
Present Address (street, city, state, ZIP)
Yrs. School
Mailing Address, if different from Present Address
Mailing Address, if different from Present Address
Former Address (street, city, state, ZIP)
DOB (mm/dd/yyyy)
Home Phone (incl. area code)
Social Security Number
Business Phone (incl. area code)
Position/Title/Type of Business
If employed in current position for less than two years or if current y employed in more than one position, complete the following:
Name & Address of Employer
I
I Self Employed
Dates (from - to)
Name & Address of Employer
I
I Self Employed
Monthly Income
Monthly Income
$
$
Position/Title/Type of Business
Name & Address of Employer
Business PI one (incl. area code)
I
I Self Employed
Dates (from - to)
Name & Address of Employer
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev. 6/09)
MULTISTATE
ITEM 1136L1 (100609)
I
I Self Employed
Dates (from - to)
Monthly Income
$
Business PI one (incl. area code)
Business Phone (incl. area code)
Position/Title/Type of Business
Monthly Income
Position/Title/Type of Business
Dates (from - to)
$
Position/Title/Type of Business
Business Phone (incl. area code)
Fannie Mae Form 1003 7/05 (rev. 6/09)
GreatDocs•
(Page 1 of 4)
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Combined Monthly
Gross
Monthly Income
Co-Borrower
Borrower
Base Dupl. Income*
$
$
Rent
$
Overtime
First Mortgage (P&I)
Bonuses
Other Financing (P&p
Commissions
Hazard Insurance
Dividends/Interest
Real Estate Taxes
Net Rental Income
Mortgage Insurance
Other (before completing,
see the notice in "describe
other income," below)
Homeowner Assn. Dues
Proposed
Present
Housing Expense
Total
$
$
Other:
$
Total
$
$
$
Total
* Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower (B)
Describe Other Income
or Co-Borrower (C) does not choose to have it considered for repaying this loan.
Monthly Amount
B/C
VI. ASSETS AND LIABILITIES
This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are sufficiently joined so that the Statement
can be meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules are required. If the Co-Borrower section was completed about a non-applicant spouse or
other person, this Statement and supporting schedules must be completed about that spouse or other person also.
ASSETS
Cash or
Market Value
Description
Completed n Jointly
Not Jointly
Liabilities and Pledged Assets. List the creditor's name, address, and account number for all outstanding debts, including
automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use continuation
sheet, if necessary. Indicate by ( 0 ) those liabilities, which will be satisfied upon sale of real estate owned or upon refinancing
Cash deposit toward purchase held by:
$
of the subject property.
Monthly Payment &
List checking and savings accounts below
Name and address of Bank, S&L, or Credit Union
Acct no.
$
Name and address of Bank, S&L, or Credit Union
Acct, no.
Name and address of Company
$ Payment/Months
$
Acct. no.
Name and address of Company
$ Payment/Months
$
Acct. no.
$
Name and address of Bank, S&L, or Credit Union
Name and address of Company
Acct. no.
Acct. no.
$
Name and address of Bank, S&L, or Credit Union
Acct. no
$
Stocks & Bonds (Company name/number
$
Name and address of Company
$ Payment/Months
$
$ Payment/Months
$
Acct. no.
Name and address of Company
& description)
Life insurance net cash value
Unpaid Balance
Months Left to Pay
LIABILITIES
$ Payment/Months
$
$
Face amount: $
Subtotal Liquid Assets
$
Real estate owned (enter market value
$
Acct. no.
Name and address of Company
$ Payment/Months
$
from schedule of real estate owned)
Vested interest in retirement fund
$
Net worth of business(es) owned (attach
$
financial statement)
Acct. no.
Automobiles owned (make
$
Name and address of Company
S Payment/Months
$
and year)
Acct. no.
Other Assets (itemize)
$
Alimony/Child Support/Separate Maintenance
$
Payments Owed to:
Total Assets a.
$
Job-Related Expense (child care, union dues, etc.)
$
Total Monthly Payments
$
Net Worth
(a minus b)
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev. 6/09)
MULTISTATE
ITEM 1138L2 (100609)
,
I
$
Total Liabilities b.
Fannie
$
Mae Form 1003 7/05 (rev. 6/09)
GreatDocs ®
(Page 2 of 4)
VI. ASSETS AND LIABILITIES (cont'd)
Schedule of Real Estate Owned (If additional properties are owned, use continuation sheet.)
Property Address (enter S if sold, PS if pending sale
or R if rental being held for income)
Type of
Property
V
Present
Market Value
$
Totals
Amount of
Mortgages & Liens
Gross Rental
Income
Insurance,
Maintenance,
Taxes & Misc.
Mortgage
Payments
Net Rental Income
$
$
$
$
$
$
$
$
$
$
List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account nu mber(s):
Alternate Name
Creditor Name
VII. DETAILS OF TRANSACTION
Account Number
VIII. DECLARATIONS
a. Purchase price
Borrower Co-Borrower
If you answer "Yes" to any questions a through i, please use continuation sheet for explanation. Yes
a.
Are there any outstanding judgments against you?
b.
Alterations, improvements, repairs
b.
Have you been declared bankrupt within the past 7 years?
c.
Land (if acquired separately)
c.
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
d.
Refinance (incl. debts to be paid off)
d.
Are you a party to a lawsuit?
e.
Estimated oreoaid items
e.
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer
No
Yes No
of title in lieu of foreclosure, or judgment?
f Estimated closing costs
(This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured
g. PMI, MEP, Funding Fee
(mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "Yes," provide details, including date, name
It Discount (if Borrower will pay)
and address of Lender, FHA or VA case number, if any, and reasons for the action.)
i.
Total costs (add items a through 11)
j.
Subordinate financing
k.
Borrower's closing costs paid by Seller
f.
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage,
financial obligation, bond, or loan guarantee?
g
I. Other Credits (explain)
Are you obligated to pay alimony, child support, or separate maintenance?
Is any part of the down payment borrowed?
in. Loan amount (exclude PMI, MIP, Funding Fee
financed)
i.
Are you a co-maker or endorser on a note?
j.
Are you a U.S. citizen?
k.
Are you a permanent resident alien?
I. Do you intend to occupy the property as your primary residence?
If "Yes," complete question in below.
n.
PMI MIP, Funding Fee financed
o.
Loan amount (add m & n)
p.
Cash from/to Borrower (subtract j, k, I & o
(I) What type of property did you own—principal residence (PR), second some (SH), or
from i)
investment property (FP)?
m. Have you had an ownership interest in a property in the last three years?
(2) How did you hold title to the home—by yourself (S), jointly with your spouse (SP), or jointly
with another person (0)?
IX. ACKNOWLEDGEMENT AND AGREEMENT
Each of the undersigned specifically represents to Lender and to Lender's actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknowledges that: (1) the
information provided in this application is true and correct as of the date net 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, and/or in criminal penalties including, but
not limited to, fine or iinprisonment or both under the provisions of Title 18, United States Code, Sec. 1001, et 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) die property 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 assibms 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 (11) my transmission of this
application as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal 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 if 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 servicers, successors and assigns, may verify or reverify any information contained in this application or obtain
any information or data relating to One Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.
Borrower's Signature
Date
Co-Borrower's Signature
Date
X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES
The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's 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 information, or on whether
you choose to furnish it. If 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 for.)
BORROWER
I do not wish to famish this information
CO-BORROWER
I do not wish to furnish this information
Ethnicity:
Hispanic or Latino
Ethnicity:
Hispanic or Latino
Race:
Sex:
Not Hispanic or Latino
Ainericai Indian or Alaska Native _ Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Female
Male
Race:
Not Hispanic or Latino
American Indian or Alaska Native
Asian
— Black or African American
Native Hawaiian or Other Pacific Islander
Sex:
Female
White
Male
To be Completed by Loan Originator:
This information was provided
In a face-to-face interview
In a telephone interview
By the applicant and submitted by fax or mail
Loan Originator's Signature
By the applicant and submitted via e-mail or the Internet
Date
X
Loan Originator's Name (print or type)
Loan Originator Identifier
Loan Originator's Phone Number (including area code
Loan Origination Company's Name
Loan Origination Company Identifier
Loan Origination Company's Address
Uniform Residential Loan Application
Freddie Mac Form 65 7/05 (rev. 6/09)
MULTISTATE
ITEM 1138L3 (100609)
Fannie Mae Form 1003 7/05 (rev. 6/09)
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(Page 3 of 4)
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GLEN ROCK SAVINGS BANK
250 Lincoln Avenue
Hawthorne, NJ 07506
973-636-5888
PLEASE COMPLETE EVERY SECTION OF OUR BORROWER INFORMATION FORM
ADDITIONAL BORROWER CONTACT NUMBERS:
Cell Phone #:
Email Address:
YOUR ATTORNEY INFORMATION:
Name:
Firm Address
Telephone #
INFORMATION FOR PURCHASE ONLY:
The Seller's Attorney holding the Goodfaith Deposit:
Name:
Firm Address
Telephone #
Seller's Name:
Telephone #:
Realtor's Name:
Telephone #:
IF CURRENTLY RENTING - LANDLORD'S INFORMATION:
Name:
Address:
Telephone #
May we contact your Landlord?
Yes:
INFORMATION FOR APPRAISER TO ACCESS THE PREMISES
Contact Name:
Telephone #
Best Time to Contact:
BLOCK:
LOT:
Annual Real Estate Taxes:
$
Glen rock savings information sht (2015)
No:
BORROWER'S BLANKET SIGNATURE AUTHORIZATION
Glen Rock Savings Bank
250 Lincoln Avenue
Hawthorne, NJ 07506
I Hereby authorize Glen Rock Savings Bank
1.
2.
("Lender") it's agents or assigns, to verify my past and present employment earnings records,
bank accounts, stock holdings and any other assets needed to process my loan application.
It is understood a photocopy of this form will also serve as authorization.
The information the lender obtains is to be used in the processing of my Mortgage Loan
Application. This information may also be obtained in conjunction with a quality control review
of the file after the loan has closed.
Date:
Borrower:
Social Security Number
Date:
Co-Borrower:
Social Security Number
BORROWER BLANKET SIGNATURE AUTHORIZATION
Glen
Rock
Savings Bank
Rev 9/12
Privacy Policy
WHAT DOES GLEN ROCK SAVINGS BANK
DO WITH YOUR PERSONAL INFORMATION?
FACTS
Why?
,
-
Financial companies choose how they share your personal information. Federal law gives consumers
the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share
and protect your personal information. Please read this notice carefully to understand what we do.
The types of personal information we collect and share depend on the product or service you have
with us. This information can include:
1..
t
*tttie0
•
•
•
Social Security Number and Account Balances
Transaction History and Checking Account Information
Credit History and Payment History
When you are no longer our customer, we continue to share your information as described in this
notice
1
L
12
t'
All financial companies need to share customers' personal information to run their everyday business.
In the section below, we list the reasons financial companies can share their customers' personal
information; the reasons Glen Rock Savings Bank chooses to share; and whether you can limit this
sharing.
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For our everyday business purposessuch as to process your transactions, maintain your
account(s), respond to court orders and legal
investigations, or report to credit bureaus
Yes
NO
For our marketing purposesto offer our products and services to you
Yes
No
For joint marketing with other financial companies
No
We Don't Share
For our affiliates' everyday business purposes —
information about your transactions and experiences
No
We Don't Share
For our affiliates' everyday business purposes information about your creditworthiness
No
We Don't Share
For nonaffiliates to market to you
No
We Don't Share
Call 201-652-8776 or go to www.glenrockonline.com
Page 2
Who we are
Who is providing this notice?
--
,.--
7.4.
..
Glen Rock Savings Bank
il
:-
.
How does Glen Rock Savings Bank protect my
personal information?
'4,
' .
.;:,
To protect your personal information from unauthorized
access and use, we use security measures that comply
with federal law. These measures include computer
safeguards and secured files and buildings.
We collect your personal information, for example, when
you
How does Glen Rock Savings Bank collect my
personal information?
•
•
•
•
•
Open an account
Apply for a loan
Make deposits to or withdrawals from your
account
Provide employment information
Give us your contact information
We also collect your personal information from others,
such as credit bureaus, or other companies.
Federal law gives you the right to limit only
•
Why can't I limit all sharing?
•
•
Sharing for affiliates' everyday business
purposes information about your creditworthiness
Affiliates from using your information to market to
you
Sharing for non affiliates to market to you
State laws and individual companies may give you
additional rights to limit sharing.
Definitions
Affiliates
Companies related by common ownership or control.
They can be financial and non financial companies.
•
Glen Rock Savings Bank has no affiliates
Companies not related by common ownership or control.
They can be financial and nonfinancial companies.
Nonaffiliates
•
Joint Marketing
Glen Rock Savings Bank does not share with
nonaffilates so that they can market to you
A formal agreement between nonaffiliated financial
companies that together market financial products or
services to you.
•
Glen Rock Savings Bank doesn't jointly market.
"ITISMr- %
Other Important Information
•
You can contact Glen Rock Savings Bank at 201 -652-8776, 201-652-3682 or 973-636-5888