Borrower Information Checklist

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="136fd5a3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><I><B>Charles R. Nelson Mortgage, Inc.  </B></I></FONT><I><B>    </B></I><I><B> </B></I></div> <div> <B>|</B> <A HREF="id15.htm" TARGET="_top" TITLE="Lending Tips"><U> Lending Tips</U></A>  |  <A HREF="id16.htm" TARGET="_top" TITLE="Ten Tips To Buying A Home"><U>Ten Tips To Buying A Home</U></A>   |   <A HREF="id17.htm" TARGET="_top" TITLE="Completing Your Loan Package"><U>Completing Your Loan Package</U></A>   |   <B>Borrower Information Checklist</B>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Cost of Refinancing"><U>Cost of Refinancing</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="The Loan Process"><U>The Loan Process</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Which Term is Right For You"><U>Which Term is Right For You</U></A>  |</div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="137d2b03.jpg"> <bR> <bR> <div> <A HREF="index.htm" TARGET="_top" TITLE="Charles R. Nelson Mortgage, Inc. "><U><I>Home</I></U></A></div> <div> <A HREF="id2.htm" TARGET="_top" TITLE="Loan Products"><U><I>Loan Products</I></U></A></div> <div> <A HREF="id3.htm" TARGET="_top" TITLE="About Us"><U><I>About US</I></U></A></div> <div> <A HREF="id4.htm" TARGET="_top" TITLE="Forms"><U><I>Forms</I></U></A></div> <div> <A HREF="id5.htm" TARGET="_top" TITLE="Contact Us"><U><I>Contact US</I></U></A></div> <div> <A HREF="id6.htm" TARGET="_top" TITLE="Seniors"><U><I>Seniors</I></U></A></div> <div> <A HREF="id15.htm" TARGET="_top" TITLE="Lending Tips"><U><I>Lending Tips</I></U></A></div> <div> <A HREF="id22.htm" TARGET="_top" TITLE="Mortgage Notes"><U><I>Mortgage Notes</I></U></A></div> <bR> <div> <I> <script type="text/javascript"> </script> <script type="text/javascript" src="http://pagead2.googlesyndication.com/pagead/show_ads.js"> </script>  </I></div> <bR> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><B>Borrower Information Checklist</B></I></div> <div> In order to expedite the processing of your loan application, we may require the following </div> <div> information as it pertains to you. Prompt receipt of the information will greatly reduce </div> <div> processing time.</div> <bR> <div> Not all information indicated may pertain to you or your situation, so please call us if </div> <div> you have questions regarding any of the items below.                         </div> <bR> <div>                 </div> <div> <I><B><U>INCOME</U></B></I></div> <div>                 </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Current 2 Weeks Paystubs - Borrower                            </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Current 2 Weeks Paystubs - Co-borrower                                </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Lat Two Years W-2's        </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Last Two Years 1040's (w/schedules)                                </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">P&L Statement and Balance Sheet (self-employed)                            </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Two Years 1120's (w/schedules)                                    </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Two Years Partnership Returns                                    </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Two Years K1's                                    </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Rental Agreement (used for income)                            </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Proof of Other Income (Social Sec., Disability, Pension, etc.)                </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Verification Child Support                                </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Copy of Notes Due Borrower(s)                                </div> <bR> <div> <I><B><U>ASSETS</U></B></I> <FONT SIZE="3" COLOR="#000000" FACE="Arial" >                                </FONT></div> <div>     </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">3 Months Bank Statement                                    </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Copy of Stocks/Dividends                                    </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Gift Letter                                    </div> <bR> <div> <I><B><U>CREDIT</U></B></I><FONT SIZE="3" COLOR="#000000" FACE="Arial" >    </FONT></div> <div>                                 </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Bankruptcy Papers</div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Date of Dischage Paper (BK)                            </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Credit Explanation (if derogatory)                                    </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Divorce Agreement                                    </div> <bR> <div> <I><B><U>PURCHASE/SALE RELATED</U></B></I></div> <div>                                     </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Purchase Agreement/Counter Offer                                </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Sale Agreement                                    </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Sale HUD 1 (Closing Statement)</div> <bR> <div> <I><B><U>REFINANCES</U></B></I></div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Purpose of Refinance Letter</div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Warranty Deed </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Home Owner's Title Insurance Policy </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Home Owner's Insurance Policies (Fire & Hazard, Flood & Wind)</div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Real Estate Taxes                                     </div> <bR> <div> <I><B><U>CONDOS/PUDS</U></B></I><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><I><B>    </B></I></FONT></div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Homeowner's Assoc. Name                                        </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Homeowner's Assoc. Phone                                    </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">By-Laws</div> <bR> <div> <I><B><U>MISCELLANEOUS</U></B></I></div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Copy of Driver's License</div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Copy of Social Security Card                                    </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Copy of Green Card    </div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Gap of Employment Letter                                    </div> <bR> <DIV ALIGN="LEFT"></DIV> <div>   __________________________________________________________________ </div> <bR> <div> |<B> </B><A HREF="index.htm" TARGET="_top" TITLE="Charles R. 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