4.5. HRSR 09-08-2020 - Laserfiche WebLink

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Use this continuation sheet if you need more space to complete the Residential Loan Application. The Bank of Elk River Continuation Sheet/Residential Loan Application Borrower: ErinT Cunningham Co -Borrower: VI. ASSETS AND LIABILITIES LOAN #: 1012000110 Agency Case Number: Lender Case Number: 1012000110 Assets Gash or Market Value Borrower (B), Co -Borrower (C), Joint (J) Liabilities Monthly Payment & Months Left to Pay Unpaid Balance Name and address of Bank, S&L, or Credit Union Name and address of Company (B) CAP1IMNRDS $ Payment/Months 27.00 23 $ 600.00 Acct. No. $ Acct. No. 600430******8224 Name and address of Bank, S&L, or Credit Union Name and address of Company (B) $ Payment/Months 0.00 0 $ 52.00 Acct. No. $ Acct. No. 302235* Name and address of Bank, S&L, or Credit Union Name and address of Company $ Payment/Months $ Acct. No. Is Acct. No. Name and address of Bank, S&L, or Credit Union Name and address of Company $ Payment/Months $ Acct. No. $ Acct. No. Name and address of Bank, S&L, or Credit Union Name and address of Company $ Payment/Months $ Acct. No. Is Acct. No. Name and address of Bank, S&L, or Credit Union Name and address of Company $ Payment/Months $ Acct. No. $ Acct. No. Name and address of Bank, S&L, or Credit Union Name and address of Company $ Payment/Months $ Acct. No. Is Acct. No. INde fully understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code, Section 1001, et seq. Borrower's Signature: Date Co -Borrower's Signature: Date ;OWUfined Dy: VS -r 6g ai"Am 7/22/2020 112:19:22 PD Uniform Residential Loan Application % Fannie Mae Form 1003 7105 (rev.6109) Freddie Mac Form 65 7105 (rev.6109) Ellie Mae, Inc. Page 5 of 5 GURLA LAL_S 0817 GURA49S (POD) 07/22/2020 11:25 AM PST