Loan Underwriting Summary Form
Use this form to capture the key information needed to review, summarize, and decide on a loan application.
Applicant & Loan Request Details
Borrower Name
*
First Name
Middle Name
Last Name
Application / Reference Number
*
Loan Purpose
*
Please Select
Home Purchase
Refinance
Debt Consolidation
Vehicle
Business
Personal
Other
Requested Loan Amount
*
Requested Term
*
Please Select
12 Months
24 Months
36 Months
48 Months
60 Months
72 Months
84 Months
Other
Loan Type / Product
*
Please Select
Conventional
FHA
VA
USDA
Jumbo
SBA
Auto Loan
Personal Loan
HELOC
Other
Co-Borrower Included?
Yes
No
Borrower Type
Please Select
Primary Borrower
Co-Borrower
Guarantor
Authorized Representative
Other
Income, Employment & Housing
Employment Status
*
Employed
Self-Employed
Retired
Unemployed
Student
Other
Employer / Business Name
Job Title / Role
Time in Role (Years)
Gross Monthly Income
*
Other Monthly Income and Source
Housing Status
*
Own
Rent
Live with Family
Other
Monthly Housing Payment
Years at Current Residence
Monthly Obligations, Assets & Liabilities
Monthly debt obligations
*
Alimony or child support obligation?
*
No
Yes
Alimony or child support amount
Liquid assets total
*
Savings and investments total
Existing debt total
*
Open credit obligations
*
Credit Profile & Risk Summary
Credit Score Band
*
Below 580
580–619
620–659
660–699
700–739
740 and above
Unknown
Recent Delinquencies
*
Yes
No
Bankruptcies or Major Derogatory Events
*
Yes
No
Public Records or Collections
*
Yes
No
Underwriter Comments and Risk Factors
Collateral, Property & Decision Summary
Collateral Type
Vehicle
Property
Equipment
Other
Collateral Description
Estimated Collateral Value
Property Address / Asset Location Summary
Loan-to-Value Ratio
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Preliminary Decision
*
Approve
Approve with Conditions
Refer
Decline
Decision Rationale
*
Conditions Required Before Funding
Proof of Insurance
Appraisal Update
Title Review
Additional Documentation
Borrower Explanation
Other
Reviewer Name
*
First Name
Middle Name
Last Name
Review Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Underwriting Summary
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