Instructions for RD0410-0004

UNIFORM RESIDENTIAL LOAN APPLICATION

To be completed by anyone wishing to apply for a Rural Development (RD) housing loan or grant. RD uses this form to obtain information about applicants interested in Agency programs.

Submit the original of the completed form in hard copy or facsimile to the appropriate Rural Development servicing office.

Features for transmitting the form electronically are available to those customers with access credentials only.  If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.

Applicants and borrowers must complete all of the items specified in the following table.

I. Type of Mortgage and Terms of Loan

Fld Name / Item No.	Instruction
1 Mortgage Applied for	Place a check mark in the USDA box.
2 Agency Case Number	Leave blank.
3 Lender Account Number	Leave blank.
4 Amount	Enter the mortgage amount requested, if known.
5 Interest Rate	Leave blank.
6 No. of Months	Leave blank.
7 Amorti-zation Type	Leave blank.

II. Property Information and Purpose of Loan

Fld Name / Item No.	Instruction
8 Subject Property Address	Enter the address of the property to be purchased or repaired, if known.
9 No. of Units	Enter 1.
10 Legal Description of Subject Property	Leave blank.
11 Year Built	Enter the year built, if known.
12 Purpose of Loan	Mark the "Purchase" block, or if there is a contract to build a home, mark the "Construction" block. For repair loans, the "Other" block should be marked and repairs listed as the explanation.
13 Property will be	Place a check mark in the "Primary Residence" block.
14 Complete this line if construction or construction-permanent loan	Leave this section blank.
15 Complete this line if this is a refinance loan	Leave this section blank.
16 Title will be held in what Name(s)	Enter name of the applicants.
17 Manner in which Title will be held	Leave blank.
18 Estate will be held	Leave blank.
19 Source of Down Payment, Settlement Charges and/or Subordinate Financing	Leave blank.

Sections III through X and Continuation

Fld Name / Item No.	Instruction
Section III	Complete with requested information. Information must be provided for all applicants. If the applicants are married, all dependents living in the household should be listed in the "Applicant #1" section. If the applicants are not married, list dependents as appropriate. The names and ages of the dependents can be listed separately or in the "Continuation Section" on page 5.
Section IV	Complete with requested information. Information must be provided for all applicants. Employment information for any other adults in the household should be provided in the "Continuation Section" on page 5.
Section V	Complete with requested information. Agency regulations require the disclosure of all household income including alimony, child support, and separate maintenance income in order to determine eligibility for payment assistance.
Section VI	Complete with requested information. List assets for applicant(s). If an asset belongs to only one of the applicants, identify who it belongs to by an A1 for Applicant #1 or an A2 for Applicant #2. List liabilities for the applicant(s). If a liability belongs to only one of the applicants, identify who it belongs to by an A1 for Applicant #1 or an A2 for Applicant #2. If there are no assets or liabilities, indicate none.
Section VII	Leave section blank.
Section VIII	Complete with requested information. All "yes" answers to questions a. through j. require an explanation in the "Continuation Section" on page 5.
Section IX	Complete with requested information.
Section X	Complete with requested information. The "To be Completed by Interviewer" portion is completed by the RHS staff.
Continuation For/Residential Loan Application	Complete with requested information if additional information was requested in previous section(s).

Additional Information Required for RHS Assistance

Fld Name / Item No.	Instruction
1 Loan Type	Leave blank.
2-7	Complete with requested information.
8 Household members	Complete with requested information for all members of the household regardless of age.
9 Child Care	Complete with requested information.
10 Characteristics of Present Housing	Complete with requested information.
11-12	Leave blank.
14-17	Leave blank.