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Main Office 130 South Elmwood Avenue, Suite 126 Buffalo, NY 14202 716-842-1320 Fax: 716-842-1623 Home Equity Line of Credit Information and Instructions Appletree Business Park Office 2875 Union Road, Suites 28-29 Cheektowaga, NY 14227 716-651-0723 Fax: 716-651-0865 To apply, please: V.A. Medical Center Office 3495 Bailey Avenue Buffalo, New York 14215 716-862-8744 Fax: 716-862-8745 Review the information and instructions below Complete and sign the 2-page application Bring to your nearest BSCU location, fax to 716-842-1623, or scan and email to buffsvc@buffaloservicecu.org ELIGIBILITY Member owned and occupied 1-4 family dwelling Must have good credit rating with the credit union and other creditors Taxes and homeowners insurance must be current AMOUNT OF DRAW An initial advance is not required. Each subsequent advance must be at least $500. Credit advances can be obtained for 10 years (the draw period ). LOAN CALCULATION Amount is based up to 85% of the appraised value less any existing mortgages and/or liens MINIMUM & MAXIMUM LINE OF CREDIT Maximum as determined by the Credit Union; minimum is $10,000 CURRENT INTEREST RATE Variable as low as 4.25%APR* RATE ADJUSTMENT** Annually in April for all existing lines REPAYMENT TERMS 20-year maximum term from date of closing CLOSING COSTS/ PREPAYMENT PENALTY Closing costs paid by the credit union. If the Line of Credit is discharged within 36 months from closing date, borrower will be responsible to pay the disbursements incurred by the credit union at closing. Any previously issued documents that need recording are at the member s expense INSURANCE Prior to the loan closing, borrower must provide proof of homeowners insurance (including flood coverage if necessary), naming Buffalo Service Credit Union, its successors and assigns, as loss payee DOCUMENTS These documents are needed at the time your application is submitted. Photocopies are acceptable: o Deed o Survey o Statement of mortgage balance o Two current paycheck stubs or proof of other income for each applicant o Property tax paid receipts o Signed Early Disclosure *Loan rate reflects the lowest rate available on approved credit as determined by the credit-worthiness of each applicant. **There is a lifetime cap of 18% and an annual maximum increase of 2%. The annual rate adjustment is based on the prime interest rate published on the first business day of February in the Wall Street Journal with 4.25% being the lowest rate available. The adjustment takes effect on April 1st.

HOME EQUITY APPLICATON 130 South Elmwood Avenue, Suite 126 Buffalo, New York 14202-2381 (716) 842-1320 Fax (716) 842-1623 Borrower Account number Please print clearly in ink. Application must be fully completed and signed. I. Home Equity Line of Credit or Loan Co-Borrower Account number Check one and indicate amount desired: New Home Equity Loan Line of Credit increase or renewal New Home Equity Line of Credit Property Address (Street, City & Zip) Amount $ II. Property Information and Purpose County Purpose of Loan Property Type Single Family 2-4 Family Property is your: Condo Primary Residence Secondary Residence Purchase Price Estimated Property Value Date Purchased Property Deeded to: Mortgage Holders Name Account Number Owing Monthly Payment Are taxes & insurance included in monthly payment: Yes No If No, Please indicate: Annual Taxes $ Annual Insurance $ III. Borrower Information Borrower Co-Borrower Borrower Name (include Jr. or Sr. if applicable) Date of Birth Borrower Name (include Jr. or Sr. if applicable) Date of Birth Social Security Number Home Phone Social Security Number Home Phone ( ) ( ) E-mail Cell Phone E-mail Cell Phone ( ) ( ) Marital Status Married Separated Marital Status Married Separated Unmarried (including Single, Divorced, Widowed) Unmarried (including Single, Divorced, Widowed) Present Address (Street, City, Zip) # of Years Present Address (Street, City, Zip) # of Years If residing at present address for less than 2 years, complete the following If residing at present address for less than 2 years, complete the following Former Address (Street, City, Zip) Own # of years Former Address (Street, City, Zip) Own # of years Dependents' Ages Rent Rent Dependents' Ages IV. Employment Information Borrower Co-Borrower Name & Address of Employer Self Employed # of years on this job Name & Address of Employer Self Employed # of years on this job Yes No Yes No Position / Title / If Self Employed Type of Business Business Phone Position / Title / If Self Employed Type of Business Business Phone ( ) ( ) If employed in currrent position for less than 2 years complete the following: If employed in currrent position for less than 2 years complete the following: Name & Address of Previous Employer # of years on this job Name & Address of Previous Employer # of years on this job Position / Title / If Self Employed Type of Business Position / Title / If Self Employed Type of Business V. Monthly Income & Housing Expense Information Income from alimony, child support or separate maintenance payments need not be revealed if you choose not to rely on such income. However, to receive the maximum amount of credit for which you qualify, please complete the following as applicable per year. Gross Monthly Income Borrower Co-Borrower Total Monthly Housing Expenses Amount Monthly Income* Social Security Disability Net Rental Income Other Total First Mortgage Payment Other Financing Real Estate Taxes Homeowner's Insurance Other: Total *Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements. Continue on Reverse Loan Originator NMLS ID 695751 Loan Origination Organization NMLS ID 405407

VI. Assets and Liabilities Assets Borrower Co-Borrower List Checking and Savings Account(s) List Checking and Savings Account(s) Other Assets (Stocks, Bonds, etc.) Other Assets (Stocks, Bonds, etc.) Company Name Type Value Company Name Type Value Company Name Type Value Company Name Type Value Borrower Liabilities List the creditor's name for all outstanding debts and indicate if you wish to pay the debt in full by placing an "X" in the "Pay in Full" column. Co-Borrower Name of Creditor Payment Amount Pay in Full Name of Creditor Payment Amount Pay in Full Total Total Total Total Schedule of Other Real Estate Owned Property Address Propert Type Present Value Mortgage Monthly Payment Rental Income Total $ $ S VII. Financial Information Borrower Co-borrower If a YES is given to a question, explain on an attached sheet. YES NO YES NO Do you have any outstanding judgements? Have you ever filed for bankruptcy or had a debt adjustment plan confirmed under Chapter 13? Have you had any property foreclosed upon or repossessed in the last 7 years? Are you a party in a law suit? Are you other than a U.S. citizen or permanent resident alien? Is your income likely to decline in the next two years? Are you a co-maker, co-signer or guarantor on any loan not listed above? For Whom (Name of others obligated on loan) To whom (name of creditor) VIII. Signature Section I certify to the truth of my statements above and authorize the lender to obtain credit reports in connection with this application as well as any update, renewal, extension, review or collection thereof. If it does, I will, upon request, be informed of that fact and each credit bureaus name and address. I also authorize the lender to verify with others any information contained in this Application and to report its transactions with me. I acknowledge receipt of the Home Equity Disclosures contained herein. X Signature of Borrower Date X Signature of Co-Borrower Date IX. Information for Government Monitoring Purposes This section must be completed only if you are paying off your first mortgage or using the proceeds to purchase a dwelling. Information for Government Monitoring purposes. The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance wirh equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that the lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish this information, please check the appropriate box. Borrower I do not wish to furnish this information Co-Borrower I do not wish to furnish this information Race or National Origin: Race or National Origin: American Indian, Alaska Native Asian, Pacific Islander American Indian, Alaska Native Asian, Pacific Islander Black Hispanic White Other Black Hispanic White Other Sex: Female Male Sex: Female Male Loan Officer decision Date Amount $ Signed by Per appraisal: New amount $ Date Signed by 7/30/2013