Loan Number: ____________________
Occupancy Affidavit
Borrower:
____________________________________________________________________________
Co-Borrower(s):
____________________________________________________________________________
Property Address:
____________________________________________________________________________
I/We the undersigned certify that:
_____ Primary Residence – I/We will occupy the Property as my/our principle residence
within Sixty (60) days after the date of closing as stated in the Mortgage or Deed of Trust I/we
executed. I/We will continue to occupy the Property as my/our principal residence for at least
one year after the date of occupancy, unless Lender otherwise agrees in writing.
_____ Second Home – I/We will occupy the Property as second home (vacation, etc.) while
maintaining a principal residence elsewhere.
_____ Investment Property – I/We will not occupy the Property as a principal residence or
second home. I/We will not occupy for more than 14 days in any calendar year. The Property is
an investment to be held or rented rather than for household or personal use.
INVESTMENT PROPERTY ONLY (the following must be completed on an investment property
loan)
_____ I/We understand that consumer protection laws applicable to consumer loans will not
apply to this loan, including the Truth in Lending Act (15 U.S.C. § 1601 et seq.), Real Estate
Settlement Procedures Act (12 U.S.C. § 2601 et seq.), Gramm-Leach Bliley Act (15 U.S.C.
§6802–6809), Secure and Fair Enforcement Mortgage Licensing Act (12 U.S.C. § 5101 et seq.),
and Homeowners Protection Act (12 U.S.C. § 4901 et seq.).
REFINANCE ONLY (the following must be completed on a refinance transaction)
_____ I/We the undersigned, certify that the property referenced above is NOT currently
listed for sale or under contract to be listed for sale.
I/We the undersigned acquired this property on this date:
_________________________________________________, _____________.
I/We understand that it is illegal to provide false information in an application for a
mortgage loan. Mortgage fraud is punishable by up to thirty (30) years in federal prison
or a fine of up to $1,000,000, or both under the provisions of Title 18,
United States Code, Sec 1001.et seq.
I/We understand that failure to comply with the requirement in the Mortgage or Deed of Trust
regarding occupancy of the property will entitle the lender to exercise its remedies for breach of
covenant under the Mortgage or Deed of Trust. Such remedies include, without limitation,
requiring immediate payment in full of the remaining indebtedness under the Loan together with
all other sums secured by the Mortgage or Deed of Trust, and exercise of power of sale or other
applicable foreclosure remedies, to the extent permitted by the Mortgage or Deed of Trust.
___________________________________________________________________________
Borrower Signature Date Borrower Name Date
____________________________________________________________________________
Borrower Signature Date Borrower Name Date
V.20190125
