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

Expected Years in House, Cannot Exceed Term 

What Do You Expect Your Down Payment to Be? 

Income Tax Bracket ( e.g. 27 ) 

Loan Amount (e.g. 100000) 

Will Mortgage Insurance be Deductible for You? 
Yes
No

Basic Loan Information 

FRM 
ARM 
Initial Interest Rate on Loan (e.g. 7.50) 


Points (% of Loan) 


Loan Term (in years) 


Optional: Number of Years Each Loans is InterestOnly 


Other Upfront Fees and Charges —(May be Entered as a % of Loan or $$ Amount) 
Type of Fee 
FRM 
ARM 
Application Fee (Usually a $$ Amount) 


Commitment Fee (% of Loan) 


Origination Fee (Usually % of Loan) 


Mortgage Broker Fee (Usually % of Loan) 


Credit Report ($$ Amount) 


Appraisal ($$ Amount) 


All Other Fees Paid to Lender 


Mortgage Insurance (Monthly Premium) 


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

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

First Rate Adjustment — (ARM Only) 
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 — (ARM Only) 
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 — (ARM Only) 
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) 
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 

Number of 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: 

