Part I

LOAN-TO-VALUE RATIO

1.

Mortgage Amount(s)

$

2.

Appraised Value

$

3.

Line 1 divided by Line 2

Note:  This is the Percentage of the purchase price appraised value of your home that will be allocated to your total mortgage.  A percentage rate over 80% may result in you incurring additional costs.

Part II

INCOME RATIO

MONTHLY HOUSING EXPENSES:

1.

Principal and Interest Payment

$

2.

Homeowner's Insurance

3.

Real Estate Tax

4.

Mortgage Insurance Premium

5.

Homeowner's Assoc. Fee

6.

Ground Rents

7.

Payments on Existing or Proposed

2^nd Mortgage

8.

Total Housing Expense

(Add Lines 1 through 7)

$

9.

Gross Salary

$

10.

Dividend/Interest

11.

Social Security/Pension

12.

Alimony/Child Support

13.

Other

14.

Total Gross Income

$

15.

Divide Line 8 by Line 14

Note:  This is the percentage of your gross monthly income that will be allocated to your mortgage expenses.

Part III

LONG-TERM DEBT RATIO

MONTHLY EXPENSES:

1.

Total Housing Expenses (Part II, Line 8)

$

2.

Credit Cards

3.

Car Payments

4.

Loans

(Not Included on Line 1 or Line 3)

5.

Alimony/Child Support

6.

Total Expenses

$

(Lines 1 through 5)

MONTHLY INCOME:

7.

Total Gross Income

(Part II, Line 14)

$

8.

Divided Line 6 by Line 7

Note:   This is the percentage of your gross monthly income that will be allocated to your mortgage expenses and other debt that you pay on a monthly basis.

Borrower's Signature