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Boxes) Years at Address Country (if not USA) City, State, ZIP Code Marital Status: Married Unmarried Separated Marital Status: Married Unmarried Separated Registered Domestic Partner (RDP) or its equivalent under the Registered Domestic Partner (RDP) or its equivalent under the applicable State Law applicable State Law Occupation of Years in Occupation Primary Source of Income Occupation of Years in Occupation Primary Source of Income When applicable, check the appropriate box below: The income or assets of a person other than the Applicant (including the Applicant’s spouse or RDP) will be used as a basis for loan qualification, in which case information about that person’s income or assets must be provided or The income or assets of the Applicant’s spouse or RDP will not be used as a basis for loan qualification, but the Applicant resides in a community property state, the security property is located in a community property state, or Applicant is relying on other property located in a community property state as a basis for repayment of the loan, in which case Lender may request information about the Applicant’s spouse or RDP, as appropriate.. Cash in Other Institutions Cash Value of IRAs/Pension Accounts/401Ks Marketable Securities Owned Receivables Cash Value of IRAs/Pension Accounts/401Ks Marketable Securities Owned Receivables Cash Surrender Value of Life Insurance Real Estate Owned from Schedule of Real Estate Personal Property (including autos, RVs, etc.) Cash Surrender Value of Life Insurance Real Estate Owned from Schedule of Real Estate Personal Property (including autos, RVs, etc.) Other Assets: Other Assets: Total Assets Applicant’s Liabilities Revolving Credit/Installment Credit Obligations Real Estate Debt from Schedule of Real Estate Loans on Life Insurance Other Loan Committments Other: Total Assets Amount Amount Revolving Credit/Installment Credit Obligations Real Estate Debt from Schedule of Real Estate Loans on Life Insurance Other Loan Commit