Home Purchase Verification
Address of Home Purchased
Date of Purchase
Daytime Phone Number
Lender and Mortgage Information
Name of Lender
Address of Lender
Loan Closing Date
Closing Costs Received from Seller
You may select from the given responses or enter your own below.
FHA 30 Year Fixed
House Hartford Loan Program
Habitat for Humanity
Special First Time Homebuyer Lender Program
If other, please describe:
Down Payment Information
If you have only one source, answer questions 1-5. If you have more than one source, please answer questions 1-10. If a question does not apply, you may enter n/a. For question 1, you may select from the given responses or enter your own.
1a) Down Payment Source
I used my own savings as a down payment.
I had a gift letter as a down payment.
I used my 401K as a down payment.
1b) If other, please describe:
2) Dollar Amount
5) Monthly Repayment
6) Grant Down Payment Source
7) Dollar Amount
10) Monthly Repayment or Loan Forgiveness Term
Is the Down Payment and/or Grant a Second Lien on Your Home?
Monthly Mortgage Repayment
Amount of Monthly Insurance Premium
Total of All Monthly Payments (Mortgage, Interest, Insurance, Taxes)
Send me a copy of my responses
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