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 
NegAm ARM 
FRM 
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 FRM is InterestOnly 


Negative Amortization ARM Payment Information 
Initial Monthly Payment of Principal and Interest (e.g., 753.45) 


Payment Adjustment Period, in Months (e.g., 12) 


Payment Adjustment Cap, in Percent (e.g., 7.5  if no cap, leave blank) 


Payment Recast Period, in Years (e.g., 5  if no recast period, leave blank) 


Negative Amortization Cap, in Percent (e.g., 110  if no cap, leave blank) 


Interest Rate Information 
ARM Interest Rate Index ( e.g. 1.54 ) 


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


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


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


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: 

