4.5. HRSR 09-08-2020 - Laserfiche WebLink

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The Bank of Elk River LOAN #: 1012000110 Borrower IV. EMPLOYMENT INFORMATION Co -Borrower Name & Address of Employer 0 Self Employed Dates (from—to) Name & Address of Employer 0 Self Employed Dates (from—to) Monthly Income Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Position/Title/Type of Business Business Phone (incl. area code) Name & Address of Employer 0 Self Employed Dates (from—to) Name & Address of Employer 0 Self Employed Dates (from—to) Monthly Income Monthly Income Position/Title/Type of Business Business Phone (incl. area code) Position/Title/Type of Business Business Phone (incl. area code) V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION Gross Combined Monthly Monthly Income Borrower Co -Borrower Total Housing Expense Present Proposed Base Empl. Income* $ 8,333.33 $ $ 8,333.33 Rent $ Overtime First Mortgage (P&I) 1,064.00 $ 838.62 Bonuses Other Financing (P&I) 68.00 68.00 Commissions Hazard Insurance 137.62 Dividends/Interest Real Estate Taxes 185.00 Net Rental Income Mortgage Insurance Other tbeiore completing, Homeowner Assn. Dues see the notice in "describe other income;' below) Other: 1 0.00 Total Is 8,333.331$ Is 8,333.33 1 Total Is 1,132.001$ 1,229.24 " Self Employed Borrower($) may be required to provide additional documentation such as tax returns and financial statements. Describe Other Income Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower (B) or Co -Borrower (C) does not choose to have it considered for repaying this loan. This Statement and any applicable supporting schedules maybe 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. lithe 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. Completed 0 Jointly 0 Not Jointly ASSETS Cash or Liabilities and Pledged Assets. List the creditor's name, address, and account numberior all outstanding Description Market Value debts, including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use continuation sheet, if necessary. Indicate by(*) those liabilities, which will be satisfied upon sale of real estate owned or upon refinancing of the subject property. Cash deposit toward purchase held by: $ Borrower (B), Co -Borrower (C), Joint (J) Monthly Payment & LIABILITIES Months Left to Pay Unpaid Balance List checking and savings accounts below Name and address of Company (B) M &T BANK $ Payment/Months *1,064.00 $ "114,917.00 Name and address of Bank, S&L, or Credit Union 309 POB 767-8 BUFFALO, NY 1424D Acct. no. 7380103480893 Acct. no. $ Name and address of Company (B) BK OF ELK $ Payment/Months 68.00 $ 14,351.00 Name and address of Bank, 5&L, or Credit Union 0 630 MAIN STREET ELK RIVER, MN 55330 Acct. no. 163952831 Acct. no. Is Name and address of Company (B) BARCLAYSBK $ Payment/Months 229.00 $ 8,046.00 Name and address of Bank, S&L, or Credit Union 36 1007 ORANGE STREET SUITE 1541 PO BOX 26182 WILMINGTON, DE 19801 Acct. no. 000301..**. Uniform Residential Loan Application Erin Cunningham % Fannie Mae Form 1003 7105 (rev.6109) Freddie Mac Form 65 7105 (rev.6109) Page 2 of 5 wj GURLA09 S 0320 Ellie Mae, Inc. GURLA09S (POD) 07/22/2020 11:25 AM PST