Information About Yourself 
Is This Loan for the Purchase of a Property or a Refinance? 

Expected Years in House, Cannot Exceed Term 

Rate of Interest on Savings (e.g. 3.5) 

Income Tax Bracket ( e.g. 27 ) 

Current Value of House (e.g. 225000) 

Optional: Expected Rate of Property Value Appreciation 

Basic Loan Information 

New ARM 
New FR 
Loan Amount 


Initial Interest Rate on ARM — Interest Rate on FRM (e.g. 6.00) 


Loan Term 


Mortgage Insurance (Monthly Premium Plan) 


Points ($'s or % of Loan) 


All Other Closing Costs 


Points and Costs Are: 


Optional: Number of Years Each Loans is InterestOnly 


Interest Rate Index 
Current Value of ARM Interest Rate Index ( e.g. 1.54 ) 


Margin That is Added to Interest Rate Index (e.g. 2.75) 


Next Rate Adjustment 
Number of Months to First Rate Adjustment (e.g. 36) 


Maximum Interest Rate Change on First Rate Adjustment (e.g. 5.0) 


Subsequent Rate Adjustments 
Duration, in Months, Between Subsequent Rate Adjustments (e.g. 12) 


Maximum Interest Rate Change on Subsequent Rate Adjustments (e.g. 2.0) 


Maximum / Minimum Rates 
Maximum Interest Rate Over Life of Mortgage (e.g. 12.5) 


Minimum Interest Rate Over Life of Mortgage (e.g. 4.5) 


Assumptions About Future Interest Rates — (ARM Only  Only 2 selections allowed per run ) 
Stable Index: — Interest Rate Index Stays Unchanged for Life of Mortgage 
Worst Case: — Interest Rate Rises to the Maximum Allowable Rate in the Second Month 

Annual Change to Begin in Year 
For x Years 
Percent Per Year 
Upward Movement: — Interest Rate Index Rises for: 



Downward Movement: —Interest Rate Index Declines for: 




Years Between Direction Changes 
Percent Change Per Year 
Volatile: — Interest Rate Index Rises, Then Declines: 


Volatile: — Interest Rate Index Declines, Then Rises: 

