Application For Loan

(Not to be considered unless each question is answered.) I hereby make application to the Title Guaranty Trust Co. for a loan of ......................................................... dollars, payable .....................at................ per cent, interest per annum, to be paid...................:.....(principal and interest to be payable at said Company's office) and state that application is not pending and will not be made elsewhere, until an adverse decision is rendered; said

1 Form of the Title Guaranty Trust Co. of St. Louis, Mo.

Company to have..................days for its consideration, and is hereby given the exclusive right to take the proposed mortgage.

Location of property

Description of improvements and when erected

Location, description and grade of Jot

Are street, alley and sidewalk paved?

If so, with what ? .............

Is property sewered?.......____

Are there gas and water pipes? .

Mortgagor's name ..............

Give address and business.........

Who would you name as reference?.

By whom and for what purpose occupied ?

If tenant, give name, business, rental, and term of tenancy

If by owner, give rental value .

Have there been any repairs or alterations to premises, any street, sidewalk, sewer or alley improvements made or contracted for within six months?

Value of ground....................

Value of buildings...................

If improvements to be made, state cost.

Date of purchase and cash con- sideration paid

Assessed value for taxation and amount of last year's taxes

Give exact statement of present incumbrance, name and address of mortgagee, amount and rate.

How much insurance now carried?.

Does applicant agree to have property insured in amount, company and v terms satisfactory to mortgagee?

In whose name is title now vested?.

Wife or husband 's full name.

Are there any judgments, taxes, special tax bills or other liens against the property not enumerated above?

What other property, if any, does applicant own?

Give value and incumbrance, if any.

General remarks:

Full certificate of title by Title Guaranty Trust Co., fire and storm insurance policies payable to mortgagee or trustee, covenant to pay taxes, and such other papers as are desired by said company, are to be furnished by me. And 1 do hereby agree to pay to said Title Guaranty Trust Co. the sum of.........................................dollars for expenses in connection with this loan, which amount is to include cost of examining property, title, preparing and recording papers, acknowledgments, etc. If, during the examination, the application shall be withdrawn, I will pay the sum of .......................................dollars, for all expenses incurred. I hereby state that I hold or will acquire the undisputed title in fee simple to the real estate herein described, and the proposed mortgage is to be the first lien thereon; that I do not owe any money to mechanics, builders or others for work done or materials furnished upon the property not otherwise specified; that I am not surety upon any bond which can become a lien upon said property, and that these statements are made for the purpose of securing said loan.

I promise to furnish to the said Title Guaranty Trust Co. a satisfactory bond insuring erection and completion of improvements and indemnity against mechanics', material liens, or laborers' liens, judgments, costs and fees of any description that may be had against the premises described, by reason of my failure to pay and satisfy any and all such claims.

This last clause to apply in case the improvements, if any, have not been completed six months.

Any Agreements Made Hereunder by the Title Guaranty Trust Co. shall be Abrogated if the Applicant has Concealed or Misrepresented any Material Fact in this Application.

Date.......................... ......................Applicant.

P. O. or Street Address..........................

Form 43. - Application for Loan. Baltimore, Maryland.