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The Bank of Elk River
<br />LOAN #: 1012000110
<br />VI. ASSETS AND LIABILITIES (corl I
<br />Acct. no. Is
<br />Name and address of Company (B)
<br />KIA MTR FIN
<br />$ Payment/Months
<br />285.00
<br />28
<br />$
<br />7,994.00
<br />Name and address of Bank, S&L, or Credit Union
<br />Acct. no. 1914402786
<br />Acct. no.
<br />$
<br />Name and address of Company (B)
<br />CAPITAL ONE
<br />11013W BROAD ST
<br />GLEN ALLEN, VA 23060
<br />$ Payment/Months
<br />159.00
<br />27
<br />$
<br />4,235.00
<br />Stocks & Bonds (Company name/number
<br />& description)
<br />$
<br />Acct. no. 517805"" '
<br />Name and address of Company (B)
<br />CREDITONEBNK
<br />POB 98872
<br />LAS VEGAS, NV 89193
<br />$ Payment/Months
<br />52.00
<br />20
<br />$
<br />1,036.00
<br />Life insurance net cash value
<br />Face amount: $
<br />$
<br />Subtotal Liquid Assets
<br />$
<br />Real estate owned (enter market value
<br />from schedule of real estate owned)
<br />$
<br />Acct. no. 444796---5661
<br />Name and address of Company
<br />'See Sch Of Liabilities
<br />$ Payment/Months
<br />27.00
<br />$
<br />652.00
<br />Vested interest in retirement fund
<br />$
<br />Net worth of business(es) owned (attach
<br />financial statement)
<br />$
<br />Automobiles owned (make and year)
<br />$
<br />Acct. no.
<br />Alimony/Child Support/Separate Maintenance
<br />Payments Owed to:
<br />$
<br />Totals
<br />Other Assets (itemize)
<br />$
<br />Job -Related Expense (child care, union dues, etc.)
<br />$
<br />Total Monthly Payments
<br />$ 820.00
<br />Total Assets a.
<br />$
<br />Net Worth
<br />(a minus b)
<br />$ (151,231.00)
<br />Total Liabilities b.
<br />$ 151,231.00
<br />SCheoUl of Real Estate owned Ilt additional nrnnortIP.S are nwnen. uSP. contlnuatlnn Sr1P.P.t.l
<br />Property Address (enter S if sold, PS if pending sale or
<br />R if rental being held for income)
<br />Type of
<br />Property
<br />Present
<br />Market Value
<br />Amount of
<br />Mortgages & Dens
<br />Grass
<br />Rental Income
<br />Mortgage
<br />Payments
<br />Insurance,
<br />Maintenance,
<br />Taxes & Misc.
<br />Net
<br />Rental Income
<br />1420 5th St NW
<br />Elk River, MN 55330
<br />SFR
<br />$
<br />$ 129,268.00
<br />$
<br />$ 1,132.00
<br />$ 0.00
<br />$
<br />e. Estimated prepaid items 2,041.80
<br />f. Estimated closing costs 4,748.75
<br />g. PMI, MIP, Funding Fee
<br />It. Discount (if Borrower will pay)
<br />i. Total costs (add items a through h) 121,707.55
<br />j. Subordinate financing
<br />k. Borrower's closing costs paid by Seller
<br />Uniform Residential Loan Application
<br />Freddie Mac Form 65 7105 (rev.6109)
<br />Ellie Mae, Inc.
<br />Fannie Mae Form 1003 7105(rev.6/09)
<br />Page 3 of 5
<br />Erin Cunningham K&y
<br />G
<br />GURLAO S (POD)
<br />Totals
<br />$
<br />$ 129,268.00
<br />$
<br />$ 1,132.00
<br />$
<br />$
<br />List any additional names under which credit has previously been received and indicate appropriate creditor names) and account number(s):
<br />Alternate Name Creditor Name Account Number
<br />07/22/2020 11:25 AM PST
<br />VII. DETAILS OFTRANSACTION
<br />VIII. DECLARATIONS
<br />a. Purchase Price $
<br />If you answer"Yes"to any questions a through i, please use Borrower
<br />continuation sheet for explanation.
<br />Yes No
<br />a. Are there any outstanding judgments against you? 0 0
<br />b. Have you been declared bankrupt within the past 7 years? 0 0
<br />c. Have you had property foreclosed upon or given title or deed in lieu thereof 0 0
<br />in the last 7 years?
<br />d. Are you a party to a lawsuit? 0 0
<br />e. Have you directly or indirectly been obligated on any loan which resulted in 0 0
<br />foreclosure, transfer of title in lieu of foreclosure, or judgment?
<br />(This would include such loans as home mortgage loans, SBA loans, home improvement loans,
<br />educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond,
<br />or loan guarantee. If 'Yes;' provide details, including date, name and address of Lender, FHA or
<br />VA case number, if any, and reasons for the action.)
<br />Co -Borrower
<br />Yes No
<br />0 0
<br />0 0
<br />0 0
<br />0 0
<br />0 0
<br />b. Alterations, improvements, repairs
<br />c. Land (if acquired separately)
<br />d. Refinance (incl. debts to be paid off) 114,917.00
<br />e. Estimated prepaid items 2,041.80
<br />f. Estimated closing costs 4,748.75
<br />g. PMI, MIP, Funding Fee
<br />It. Discount (if Borrower will pay)
<br />i. Total costs (add items a through h) 121,707.55
<br />j. Subordinate financing
<br />k. Borrower's closing costs paid by Seller
<br />Uniform Residential Loan Application
<br />Freddie Mac Form 65 7105 (rev.6109)
<br />Ellie Mae, Inc.
<br />Fannie Mae Form 1003 7105(rev.6/09)
<br />Page 3 of 5
<br />Erin Cunningham K&y
<br />G
<br />GURLAO S (POD)
<br />07/22/2020 11:25 AM PST
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