Residential Mortgage Application

  • To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

  • You must be 18 years of age to apply for a loan and the property must be located in Minnesota, North Dakota or South Dakota.

  • This application is not to be used for a home equity line of credit.

  • For questions or more loan options, call the First Security Bank Residential Lending experts at your local branch.

  • INTERNET EXPLORER REQUIRED

    Mortgage Application

    APPLICANT #1 
    * indicates required fields
    FULL NAME (First Middle Last) SOCIAL SECURITY #

    *   *

    *
    WORK PHONE #                                                          HOME PHONE #   EMAIL ADDRESS
                                 *
    DATE OF BIRTH YEARS OF SCHOOL COMPLETED
    *
    MARITAL STATUS # OF DEPENDENTS         AGES
             
    HOME ADDRESS
    *  
    CITY                                                        STATE                                        ZIP
    * ,*   *
    YEARS AT PRESENT ADDRESS CURRENT RESIDENTIAL STATUS
     
    PRESENT EMPLOYER NAME SELF EMPLOYED                        PERCENT OF BUSINESS OWNED
                                             
    TYPE OF BUSINESS YEARS IN THIS TYPE OF WORK
    EMPLOYER ADDRESS
    CITY                                                    STATE                                 ZIP
    ,  
    POSITION/TITLE YEARS IN THIS POSITION
     
    PHONE NUMBER
    GROSS MONTHLY SALARY
    OTHER INCOME (alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)
    SOURCE MONTHLY AMOUNT
    If you answer "Yes" to any questions a through i, please provide an explanation.    
    a.  Are there any outstanding judgments against you?
         Explanation        
    b.  Have you been declared bankrupt within the past seven years?
         Explanation        
    c.  Have you had property foreclosed upon or given title or deed in lieu thereof in the last seven years?
         Explanation        
    d.  Are you a party to a lawsuit?
         Explanation        
    e.  Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?  (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond or loan guarantee.)  If "Yes," provide details, including date, name and address of Lender, FHA or VA case number (if any), and reasons for action.
         Explanation        
    f.  Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?  If "Yes," give details as described in the preceding question.
         Explanation        
    g.  Are you obligated to pay alimony, child support or separate maintenance?
         Explanation        
    h.  Is any part of the down payment borrowed?
         Explanation        
    i.  Are you a co-maker or endorser on a note?
         Explanation        
    j.  Citizenship?
    k.  Have you had an ownership interest in a property in the last three years?
    1) What type of property did you own-- principal residence, second home or investment property?
    2) How did you hold title to the home-- solely by yourself, jointly with your spouse  or jointly with another person?

     

    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 choose more than one designation. If you do not furnish ethnicity, race or sex, under Federal regulations the 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 indicate your choice by checking the box provided.

      I do not wish to furnish this information.
    l.  Ethnicity
    m.  Race
         Additional Race
         Additional Race
         Additional Race
    n.  Sex
    APPLICANT #2
    FULL NAME (First Middle Last) SOCIAL SECURITY #
     
    WORK PHONE #                                                      HOME PHONE #   EMAIL ADDRESS
                                   
    DATE OF BIRTH YEARS OF SCHOOL COMPLETED
    MARITAL STATUS # OF DEPENDENTS     AGES
       
    HOME ADDRESS
    CITY                                                STATE                                     ZIP
    ,
    YEARS AT PRESENT ADDRESS CURRENT RESIDENTIAL STATUS
         
    PRESENT EMPLOYER NAME SELF EMPLOYED                       PERCENT OF BUSINESS OWNED
                                    
    TYPE OF BUSINESS YEARS IN THIS TYPE OF WORK
    EMPLOYER ADDRESS
    CITY                                                    STATE                                  ZIP
    ,
    POSITION/TITLE YEARS IN THIS POSITION
     
    PHONE NUMBER
    GROSS MONTHLY SALARY
    OTHER INCOME (alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)
    SOURCE MONTHLY AMOUNT
    If you answer "Yes" to any questions a through i, please provide an explanation.
    a.  Are there any outstanding judgments against you?
         Explanation        
    b.  Have you been declared bankrupt within the past seven years?
         Explanation        
    c.  Have you had property foreclosed upon or given title or deed in lieu thereof in the last seven years?
         Explanation        
    d.  Are you a party to a lawsuit?
         Explanation        
    e.  Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?  (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond or loan guarantee.)  If "Yes," provide details, including date, name and address of Lender, FHA or VA case number (if any), and reasons for action.
         Explanation        
    f.  Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?  If "Yes," give details as described in the preceding question.
         Explanation        
    g.  Are you obligated to pay alimony, child support or separate maintenance?
         Explanation        
    h.  Is any part of the down payment borrowed?
         Explanation        
    i.  Are you a co-maker or endorser on a note?
         Explanation        
    j.  Citizenship?
    k.  Have you had an ownership interest in a property in the last three years?
    1) What type of property did you own-- principal residence, second home or investment property?
    2) How did you hold title to the home-- solely by yourself, jointly with your spouse  or jointly with another person?

     

    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 choose more than one designation. If you do not furnish ethnicity, race or sex, under Federal regulations the 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 indicate your choice by checking the box provided.
      I do not wish to furnish this information. 
    l.  Ethnicity
    m.  Race
         Additional Race
         Additional Race
         Additional Race
    n.  Sex
    LOAN/PROPERTY INFORMATION 
    PURPOSE OF LOAN
    PURCHASE PRICE OF PROPERTY                                  DOWN PAYMENT AVAILABLE
                                    
    LOAN AMOUNT REQUESTED
     PROPERTY ADDRESS (you wish to purchase)
     CITY                                                    STATE                                  ZIP
    ,
    PROPERTY USE                                                                    ESTIMATED VALUE OF THIS PROPERTY
                                      
     PRESENT MONTHLY HOUSING
     RENT
     
    FIRST MORTGAGE
    ASSETS

    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 spouse or other person, this Statement and supporting schedules must be completed about that spouse or other person also.

    ACCOUNT TYPE
    INSTITUTION (include banks, credit unions, S&Ls, etc.)
    ADDRESS
    CITY                                                    STATE                                  ZIP
    ,  
    ACCOUNT # BALANCE
    ACCOUNT TYPE
    INSTITUTION (include banks, credit unions, S&Ls, etc.)
    ADDRESS
    CITY                                                    STATE                                  ZIP
    ACCOUNT # BALANCE
    OTHER ASSETS
    CASH VALUE STOCKS, BONDS, SECURITIES COMPANY
    GIFT
    CASH VALUE OF LIFE INSURANCE (if source of down payment)
    RETIREMENT FUNDS (vested)
    OTHER (if source of down payment) DESCRIPTION
    REAL ESTATE OWNED
    ADDRESS #1
    CITY                                                    STATE                                  ZIP
    ,
    PROPERTY TYPE
    PRESENT MARKET VALUE GROSS RENTAL INCOME
    ADDRESS #2
    CITY                                                    STATE                                  ZIP
    ,
    PROPERTY TYPE
    PRESENT MARKET VALUE GROSS RENTAL INCOME

    I/We have applied for credit from the Lender. As part of the application process, the Lender and any potential investor or insurer of this loan may verify the information contained in my/our credit application and in other documents required in connection with this loan.                                                       

    I/We authorize you to provide to the Lender and to any potential investor or insurer of this loan, any and all information and documentation requested.  Such information may include, but is not limited to:  employment and income history, bank, money market and similar account balances; credit history; and copies of income tax returns.  The source of the information may come from, but is not limited to:  credit bureaus; banks and other depository institutions; current and former employers; federal or state records including State Employment Security Agency (SESA) records; or other sources as required.

    This authorization to access employment and income history from federal or state records including SESA records, for this transaction continues in effect for one (1) year unless limited by state law, in which case the authorization continues in effect for the maximum period, not to exceed one (1) year, allowed by law.

    Certification:  I/We certify that the information provided in this application is true and correct as of the date submitted by clicking "Submit Application" below. I/we 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 1001, et seq. and liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentations which I/We have made on this application.