The following items are required to process your mortgage request: Please provide these items as quickly as possible to avoid delays.

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1 The following items are required to process your mortgage request: credit report fee will be due upon ordering of an appraisal Current pay stub(s) for one month Most current Investment and/or Retirement Account Statement(s) Bankruptcy, Divorce, Child Support, and/or VA documents (if applicable) Purchase agreement for sale & purchase Copy of your driver s license Please provide these items as quickly as possible to avoid delays. Thank You

2 Uniform Residential Loan Application This application is designed to be completed by the applicant(s) w ith the Lender' s assistance. Applicants should complete this form as " " or "," as applicable. information must also be provided (and t he appropriate box checked) w hen the income or assets of a person other than the (including the ' s spouse) w ill be used as a basis for loan qualification or the income or assets of the ' s spouse or other person w ho has community property rights pursuant to state law w ill not be used as a basis for loan qualification, but his or her liabilities must be considered because t he spouse or other person has community property rights pursuant to applicable law and resides in a community property state, t he security property is located in a community property state, or t he is relying on other property located in a community property state as a basis for repayment of the loan. If this is an application for joint credit, and each agree that w e intend to apply for joint credit (sign below ): I. TYPE OF M ORTGAGE AND TERM S OF LOAN M ortgage Agency Case Number VA Conventional Other (explain): Applied for: FHA USDA /Rural Housing Service A mount Interest Rate No. of Months Amortization Fixed Rat e Other (explain): Type: % GPM A RM (type): Subject Property Address (street, city, state & ZIP) II. PROPERTY INFORM ATION AND PURPOSE OF LOAN Lender Case Number No. of Units Legal Description of Subject Property (attach description if necessary) Year Built Purpose of Loan Purchase Refinance Construction Construction-Permanent Other (explain): Property w ill be: Primary Residence Secondary Residence Complete this line if construction or construction-permanent loan. Year Lot Original Cost Amount Existing Liens (a) Present Value of Lot (b) Cost of Improvements Total (a + b) A cquired Complete this line if this is a refinance loan. Year Original Cost Amount Existing Liens Purpose of Refinance Describe A cquired Improvements made Investment to be made Title w ill be held in w hat Name(s) Cost: Manner in w hich Title w ill be held Estate w ill be held in: Source of Dow n Payment, Sett lement Charges, and/or Subordinate Financing (explain) Fee Simple Leasehold (show expiration date) ' s Name (include Jr. or Sr. if applicable) III. BORROW ER INFORM ATION ' s Name (include Jr. or Sr. if applicable) Social Security Number Home Phone (incl. area code) DOB Yrs. Social Security Number Home Phone (incl. area code) DOB Yrs. (m m /dd/yy yy) School (m m /dd/yy yy) School M arried Unmarried (include single, Dependents (not listed by ) M arried Unmarried (include single, Dependents (not listed by ) divorced, w idow ed) no. ages divorced, w idow ed) no. ages Separated Separated Present Address (street, city, state, ZIP) Ow n Rent No. Yrs. Present Address (street, city, state, ZIP) Ow n Rent No. Yrs. Mailing Address, if dif ferent f rom Present Address Mailing Address, if dif ferent f rom Present Address If residing at present address for less than tw o years, complete the follow ing: Former Address (street, city, state, ZIP) Former Address (street, city, state, ZIP) Ow n Rent No. Yrs. Ow n Rent No. Yrs. IV. EM PLOYM ENT INFORM ATION Yrs. on t his job Yrs. on t his job Yrs. employed in this line of w ork/prof ession Yrs. employed in this line of w ork/prof ession If employed in current position for less than tw o years or if currently employed in more than one position, complete the follow ing: Wolters Kluw er Financial Services Page 1 of 4

3 Gross Base Empl. Income* Overtime Bonuses Commissions Dividends/Interest Net Rental Income Other (before completing, see the notice in " describe other income," below ) V. M ONTHLY INCOM E AND COM BINED HOUSING E PENSE INFORM ATION Total Combined M onthly Housing Expense Rent First Mortgage (P& I) Other Financing (P& I) Hazard Insurance Real Estate Taxes Mortgage Insurance Homeow ner Assn. Dues Total Total * (s) 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 (B) B/C or Co-Borrower (C) does not choose to have it considered for repaying this loan. Other: Present Proposed Mont hly Amount V I. ASSETS AND LIABILITIES This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried s if their assets and liabilities are sufficiently joined so t hat t he Statement can be meaningf ully and fairly presented on a combined basis; ot herw ise, separate Statements and Schedules are required. If the section w as completed about a non-applicant spouse or other person, this Statement and supporting schedules must be complet ed about that spouse or other person also. Completed Jointly Not Jointly ASSETS Description Cash deposit tow ard purchase held by: List checking and savings accounts below Cash or M arket V alue Liabilities and Pledged Assets. List the creditor' s nam e, address, and account num ber for all outstanding 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, w hich w ill be satisfied upon sale of real estate ow ned or upon refinancing of the subject property. LIABILITIES M onthly Payment & M onths Left to Pay Unpaid Balance Payment/Months Payment/Months Payment/Months Payment/Months Stocks & Bonds (Company name/number & description) Payment/Months Payment/Months Life insurance net cash value Face amount: Subtotal Liquid Assets Real est at e ow ned (enter market value from schedule of real estate ow ned) Vested interest in ret irement fund Net w orth of business(es) ow ned (attach financial st at ement) Payment/Months Automobiles ow ned (make and year) Other Assets (it emize) Alimony/Child Support/Separat e Maintenance Payments Ow ed to: Job-Related Expense (child care, union dues, etc.) Total Assets a. Total M onthly Payments Net W orth (a minus b) Total Liabilities b. Wolters Kluw er Financial Services Page 2 of 4

4 V I. ASSETS AND LIABILITIES (cont' d) Schedule of Real Estate Ow ned (If additional properties are ow ned, use continuation sheet.) Property A ddress (enter S if sold, PS if pending sale Type of Present Amount of M ortgages or R if rental being held for income) Property M arket Value & Liens Gross Rental Income M ortgage Paym ents Insurance, M aintenance, Taxes & M isc. Net Rental Income Totals List any additional names under w hich credit has previously been received and indicate appropriate creditor name(s) and account number(s): Alternate Name Creditor Name Account Number a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. Purchase price V II. DETAILS OF TRANSACTION A lterations, improvements, repairs Land (if acquired separately) Refinance (incl. debts to be paid off) Estimated prepaid items Estimated closing costs PMI, MIP, Funding Fee Discount (if w ill pay) Total costs (add items a through h) Subordinate financing ' s closing cost s paid by Seller Other Credits (explain) Loan amount (exclude PMI, MIP, Funding Fee financed) PMI, MIP, Funding Fee financed Loan amount (add m & n) Cash from/to (subtract j, k, l & o from i) V III. DECLARATIONS If you answ er "Yes" to any questions a through i, please use continuation sheet for explanation. a. b. c. d. e. f. g. h. i. j. k. l. Are there any out standing judgments against you? Have you been declared bankrupt w ithin the past 7 years? Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? A re you a party to a law suit? Have you directly or indirectly been obligated on any loan w hich resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This w ould 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 guarant ee. If " Yes," provide details, including date, name, and address of Lender, FHA or VA case number, if any, and reasons for the action.) A re 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. Are you obligated to pay alimony, child support, or separate maintenance? Is any part of the dow n payment borrow ed? A re you a co-maker or endorser on a note? A re you a U.S. citizen? Are you a permanent resident alien? Do you intend to occupy the property as your primary residence? If " Yes," complete question m below. m. Have you had an ow nership int erest in a property in the last three years? (1) What type of property did you ow n - - principal residence (PR), second home (SH), or investment property (IP)? (2) How did you hold title to the home - - solely by yourself (S), jointly w ith your spouse (SP), or jointly w ith another person (O)? I. ACKNOW LEDGEM ENT AND AGREEM ENT Each of the undersigned specifically represents to Lender and to Lender' s actual or potential agents, brokers, processors, attorneys, insurers, servicers, successors and assigns and agrees and acknow ledges that: (1 ) the information provided in this application is true and correct as of the date set forth opposite my signature and that any intentional or negligent misrepresentation of this information contained in this application may result in civil liability, including monetary damages, to any person w ho may suffer any loss due to reliance upon any misrepresentation that I have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Sec. 1001, et seq.; (2 ) the loan requested pursuant to this application (the " Loan" ) w ill be secured by a m ortgage or deed of trust on the property described in this application; (3 ) the property w ill not be used for any illegal or prohibited purpose or use; (4 ) all statem ents m ade in this application are m ade for the purpose of obtaining a residential m ortgage loan; (5 ) the property w ill be occupied as indicated in this application; (6 ) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this application, w hether or not the Loan is approved; (7 ) the Lender and its agents, brokers, insurers, servicers, successors, and assigns may continuously rely on the information contained in the application, and I am obligated to amend and/or supplement the information provided in this application if any of the material facts that I have represented herein should change prior to closing of the Loan; (8 ) in the event that my payments on the Loan become delinquent, the Lender, its servicers, successors or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (9 ) ow nership of the Loan and/or administration of the Loan account may be transferred w ith such notice as may be required by law ; (10) neither Lender nor its agents, brokers, insurers, servicers, successors or assigns has made any representation or w arranty, express or implied, to me regarding the property or the condition or value of the property; and (11) my transmission of this application as an " electronic record" containing my " electronic signature," as those terms are defined in applicable federal and/or state law s (excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this application w ere delivered containing my original w ritten signature. Right to Receive Copy of Appraisal. I/W e have the right to a copy of the appraisal report used in connection w ith this application for credit. To obtain a copy, I/w e must send Lender a w ritten request at the mailing address Lender has provided. Lender must hear from me/us no later than 90 days after Lender notifies me/us about the action taken on this application, or I/w e w ithdraw this application. Acknow ledgement. Each of the undersigned hereby acknow ledges that any ow ner of the Loan, its servicers, successors and assigns, may verify or reverify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency. ' s Signat ure Date ' s Signature Date. INFORM ATION FOR GOV ERNM ENT M ONITORING PURPOSES The follow ing information is requested by the Federal Government for certain types of loans related to a dw elling in order to monitor the lender' s compliance w ith equal credit opportunity, fair housing and home mortgage disclosure law s. 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 w hether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this 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 w ish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to w hich the lender is subject under applicable state law for the particular type of loan applied for.) BORROW ER I do not w ish to furnish this inform ation Ethnicity: Hispanic or Latino Not Hispanic or Latino American Indian or Black or Race: Alaska Native Asian African American Native Haw aiian or Other Pacific Islander W hite Sex: Fem ale M ale To be Completed by Loan Originator: This information w as provided: In a face-to-face int erview Loan Originator' s Signature Loan Originator' s Name (print or type) In a telephone interview Loan Originator Identifier CO-BORROW ER Ethnicity: Race: Sex: I do not w ish to furnish this inform ation Hispanic or Latino American Indian or Alaska Native Native Haw aiian or Other Pacific Islander Fem ale By the applicant and submitted by fax or mail Not Hispanic or Latino Black or Asian African American W hite M ale By the applicant and submitted via or the Internet Date Yes No Yes No Loan Originator' s Phone Number (including area code) Loan Origination Company' s Name Loan Origination Company Identifier Loan Origination Company' s Address Wolters Kluw er Financial Services Page 3 of 4

5 Use this continuation sheet if you need more space to complete the Residential Loan Application. Mark B for or C for. : : CONTINUATION SHEET/RESIDENTIAL LOAN APPLICATION Agency Case Number: Lender Case Number: I/We fully underst and that it is a Federal crime punishable by fine or imprisonment, or both, to know ingly 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. ' s Signat ure: Date ' s Signature: Date Wolters Kluw er Financial Services Page 4 of 4

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