Please confirm that the details below are correct before proceeding
(Disregard this step if you are going to disclose your social security number later)
Primary Borrower Social Security Number
Spouse Social Security Number
Secondary Borrower Security Number
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Notes
This is for any notes/comments that you want to send along with the application that you think are important.
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Welcome to our Secure Reverse Mortgage Application. All data that you input through this form is encrypted using SSL technology.
Once your application is transmitted we will call to confirm receipt and begin preparing your documents overnight UPS delivery.
Program I'm Applying For
Have you closed on any mortgages in the last 12 months? (Refinance, private mortgage, equity line etc.)
Did the refinance result in any cash amount to you in excess of $500?
Your Funds
(If you choose an adjustable rate program you can choose to take only a portion of your available funds and leave the rest as a credit line etc.)
Amount:
Do you intend to buy a financial product (annuity, etc) with your funds?
Name and cost of the financial product
Secondary Borrower
Will there be a secondary/co-borrower?
Is secondary borrower your spouse?
1. General Information
In this section we must have your complete legal name (as stated on your photo ID documentation). We also need
your exact date of birth and sex as these are requirements for the application. We must have your Social Security Number to complete your loan application as HUD defines that in order
for an application to be complete under guidelines it must contain the SSN of all borrowers.
Your Information
First Name
Middle Name
Last Name
Date of Birth
Sex
Immigration Status
Social Security Number
Marital Status
Race
Spouse Information
First Name
Middle Name
Last Name
Date of Birth
Social Security Number
Secondary Borrower Information
First Name
Middle Name
Last Name
Sex
Date of birth
Immigration Status
Social Security Number
Race
2. Financial Information
In this section, we need to input your financial information. Please separate the monthly income, real estate assets and available assets for all applicants.
In this section, we need to input your financial information. Under the current guidelines, we do not have to verify your income or assets, but
this will be changing in the near future.
Your Information
x
Primary Borrower, please check each source of income which applies to you:
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Done
Sources of Income
Available Assets
Required to bring money to closing
Did you borrow the money
Do you own any homes?
How many homes do you own?
Total estimated value of all homes owned
Primary Residence
Monthly property tax
Monthly homeowners insurance
Second Home
Street Address
City
Zip Code
Monthly Property Tax
Monthly Insurance
Monthly Mortgage
Third Home
Street Address
City
Zip Code
Monthly Property Tax
Monthly Insurance
Monthly Mortgage
Fourth Home
Street Address
City
Zip Code
Monthly Property Tax
Monthly Insurance
Monthly Mortgage
Fifth Home
Street Address
City
Zip Code
Monthly Property Tax
Monthly Insurance
Monthly Mortgage
Will primary residence be sold prior to new home close?
What type of funds are you using for the down down payment on your new home?
Number of years you have lived at your current address
Total number of people (including yourself) who live at your current address
Spouse Information
x
For Spouse, please check each source of income which applies to you:
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Done
Sources of Income
Secondary Borrower Information
x
Secondary Borrower, please check each source of income which applies to you:
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Monthly Income
Done
Sources of Income
3. Credit Information
Here we need to get a general idea of your credit history. Including any late payments on credit, mortgage, and other obligations.
Have you been late on your mortgage in the last 24 months?
Please list each time you were late and and for how long below:
Is your mortgage now current?
Have you been late on any consumer debt in the last 24 months? this includes (Car loans, Credit cards, etc.)
Please list each item and how long you were late below:
Are all bills now current?
Have you been late on your property tax payments in the last 24 months?
Please list each time you were late and for how long below:
Is your property tax now current?
Do you have any other delinquent credit that will be reported in the last 24 months? (i.e. Judgment, Tax Lien, Collections, Bankruptcy or Foreclosure)
Please list each instance below:
Do you have any deferred student loans or taxes that may not show up on credit?
Please list each instance below:
Have you maintained homeowners insurance on your home consecutively for the past 24 months?
Please provide an explanation for any lapses in coverage below:
Is your home located in an Homeowner's Association(HOA)?
how much are the monthly dues?
Have you been late on paying them in the last 24 months?
Please list each time you were late and for how long below:
Are your HOA dues now current?
Are there any mortgage or credit card payments that are currently being deferred due to Covid?
Please tell us which accounts:
Total Monthly Obligations
What is your total combined minimum credit card payments per month:
What is the total combined amount paid to auto loans or other personal loans per month:
Do you have a credit freeze with any credit reporting agencies:
Rental Information
Do you currently rent or live with a relative/friend rent free?
How much do you pay per month in rent?
Have you been late on your rent payments in the last 24 months?
Do you rent from a private party or management agent (apartment complex, etc.)?
4. Legal Information
In this section you are acknowledging if any of these following items apply to you. For example, if you were involved in bankruptcy currently,
here is where you would check the box acknowledging you were in BK and then your Loan Officer would need to go over that with you.
Your Information
Borrower cannot sign, is incapacitated
Borrower is incompetent
Are there outstanding judgments
Unresolved Bankruptcy
Party to a Lawsuit
Default on Federal Debt
Co-maker or Endorser on a Note
Secondary Borrower Information
Borrower cannot sign, is incapacitated
Borrower is incompetent
Are there outstanding judgments
Unresolved Bankruptcy
Party to a Lawsuit
Default on Federal Debt
Co-maker or Endorser on a Note
5. Property Information
Here we need you to fill in all the information about your home. If you have a separate
mailing address such as a PO Box because you live in an area where the Post Office does not deliver, please indicate so in the notes section.
We need your estimate of your home's value along with any mortgages that need to be paid off belonging to the property.
If you are not sure about the exact property you will be purchasing the only info needed is the state you are planning to purchase the home in and
an estimate of the purchase price. All other fields are optional, but please try to fill out as much info as possible. This will help expedite the process.
Info About Your Home (Primary Residence)
Year Built
Square Footage
Street Address
City
State
Zip Code
Estimated Property Value
Existing Mortgage Amount
Is the mortgage a reverse mortgage?
Title is currently held
Is the property in foreclosure?
Sale date if given by lender
Property Type
Condo association name:
Living Units:
Guest house or "In Law" quarters?
Are they rented?
Property Has a Well
Is it private?
Property Has a Septic Tank
Property Has Solar Panels
Are the solar panels owned by you or are they leased from a 3rd party company?
Please tell us the name of the company
Is this property your primary residence?
Will you continue to occupy this property as your primary residence?
About The Home You Are Purchasing
Property Type
Street Address
City
State
Zip Code
Square Footage
Estimated Purchase Price
Property Has a Well
Is it private?
Property Has a Septic Tank
Will this be your primary residence?
Does the property you are purchasing have an HOA – Homeowners Association?
Is this home a new construction?
Has the Certificate of Occupancy or local equivalent been issued to the builder?
About Your Current Home (Primary Residence)
Street Address
City
State
Zip
6. Contact Information
We need contact information for all parties. The Reverse Mortgage program also requires that we have an alternate
contact for every applicant as well.
Your Information
Home Phone
Mobile Phone (not required)
Email Address
Spouse Information
Email Address (not required)
Secondary Borrower Information
Home Phone (not required)
Mobile Phone (not required)
Email Address
Alternate Contact
This should not be a spouse or co-borrower but rather a close friend or family member. This alternate contact will only
be contacted in situations in which we can not get in touch with you regarding important matters relating to your reverse mortgage
First Name
Middle Name
Last Name
Relationship
Home Phone
Street Address
City
State
Zip
7. Counseling Information
Reverse mortgage counseling is required in order to complete the loan process. If you have not yet completed the counseling we will provide you with a list
of qualified 3rd parties which can help you with counseling after you submit this application.
Have you received your HUD Required Counseling?
Was there a Fee?
How Much?
Was this fee paid upfront or will it be financed through this loan?
Counseling Date
Would you like a copy of this application sent to the primary borrower's email address? (Please Note That Social Security Data Will Not Be Sent)
TERMS AND CONDITIONS
I/We agree that by checking the box below, I/we are giving written
instructions allowing All Reverse Mortgage, Inc. (ARLO), under the
Fair Credit Reporting Act, to obtain a copy of my/our credit
report(s). I/we understand that this info will be collected and shared
with All Reverse Mortgage, Inc. (ARLO) by a consumer reporting company
(if credit is for both husband and wife, both individuals agree to
grant this authorization by checking here). I/we also agree to the
Consent to E-Sign and Receive Information Electronically. Note: if
your credit is currently frozen with any credit rating bureau, please
be advised your credit must be unfrozen before we can complete this
process.
Add Notes for this Application
Save Application for Later
Questions?
If you have any questions about any part
of this application please don't hesitate to
call us toll free 1.800.565.1722
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