12660 W. CAPITOL DRIVE Suite #100 BROOKFIELD, WI.

For information and current rates, call: Jeff Laitsch, Assured Mortgage Inc. jlaitsch@assuredmortgage.com (Office) #262-754-4009 (Fax) #262-796-0538 FREE Fast Start Loan Program To receive your Free Pre-approval in just one day, Complete this form and fax or return it to Jeff Laitsch

Borrower
First Name Middle Initial Last Name /Suffix Home Number Work Number Cell Number Social Security Number Date of Birth Marital Status Dependents/Ages Years of School Address City, State, Zip County Email Address Years at Present Address Former Address ( IF LESS THAN 2 YEARS AT PRESENT ADDRESS) Former Address City State Zip Years at Former Address Matthew Steven Napoli

Co-Borrower
First Name Middle Initial Last Name /Suffix Home Number Work Number Cell Number Social Security Number Date of Birth Marital Status Dependents/Ages Years of School Address City, State, Zip County Email Address Years at Present Address Ericka Napoli Sue Napoli

414-534-2445 399-96-7918 03-01-1980 married 5.5 bachelors degree, 2 years Masters degree 2780 N 87th Street Milwaukee, WI, 53222 Milwaukee napoli21@live.com 3

414-940-1280 504-92-3390 09-23-1976 Married 2 years assoicate degree, 3.5 years bachelors degree, 1.5 masters degree 2780 N 87th St Milwaukee, WI, 53222 Milwaukee ess.napoli@gmail.com 3

Former Address City State Zip Years at Former Address

EMPLOY MENT HISTORY

Present Employers Name Address City Job Position/Title Type of Business Years with Current Employer Whitnall School District 5000 South 116th Street Greenfield 5th grade teacher teacher 1 year, Start date: 8/1/11 Zip 53228 Present Employers Name Address City Job Position/Title Type of Business Years with Current Employer Wheaton Francisican- All Saints 3801 Spring Street Racine Occupational therapist Rehabilitation 1 Year, Start Date: 09/26/11 (262) 796-0538 Fax Number Zip 53405

Jeff Laitsch MNLS # 262937 Assured Mortgage Vice President/Partner

jlaitsch@assuredmortgage.com

(262) 754-4009 Phone Number

Former Employer ( IF LESS THAN 2 YEARS AT PRESENT EMPLOYME NT) Prior Employers Name Address City Job Position/Title Type of Business Years with Prior Employer List under other information below any additional employers you have had within the past 2 years. IF YOU HAVE A SIGNED SALES CONTRACT ON A PROPERTY, COMPLETE THIS SECTION: Property Address Sales Price Interest Rate: Milwuakee Public School System P.O. Box 2181 Milwaukee 4th Grade School Teacher School Teacher 5 Zip 53201 Prior Employers Name Address City Job Position/Title Type of Business Years with Prior Employer Wisconsin Athletic Club 8700 W. Watertown Plank Road Wauwatosa Massage Therapist Atthletic Club 5

Zip

53226

Elmbrook School District

$ No. of Months:

Loan Amount Total Monthly Payment (PITI):

Loan Type

HELPFUL HINTS WHEN COMPLETING THIS FORM: *Generally overtime and bonuses need to be consistent to be used for home mortgage qualification. *Indicate any raises due within the next 90 days. *Co-signed loans are considered a debt. *Auto leases are considered a debt. *Gift funds can be an asset for down payments. *Include a cover letter to explain any known late payments or bankruptcies. CoBorrow er

YOUR MONTHLY EARNINGS *Average of the last 2 years Base Employment Income Overtime* Bonuses* Commissions* Dividends/Interest* Net Rental Income Other Rental Income Jeff Laitsch MNLS # 262937 Assured Mortgage Vice President/Partner

Borrower $4,099.92 $47,000

YOUR DEBTS

Name of Bank / Institution

Monthly Payment

Unpaid Balance

$45,21 6

House Car Car Charge Charge Student Loans Other

Great Lakes

$580.00

$34,200.00

jlaitsch@assuredmortgage.com

(262) 754-4009 Phone Number

(262) 796-0538 Fax Number

Other Income, explain below

Other Other Alimony/Child Support TOTAL (S)

TOTAL (S)

YOUR ASSETS
Checking Checking Savings Savings Mutual Funds Stocks Other Other

Name of Institution
M&I Savings

Present Balance
800.00 Will any part of the down payment be borrowed? Are you co-maker or endorser on a note? Are you a party in a lawsuit? Are there any outstanding judgements or collections against you? Maybe

Yes

No
X X X

ING

$4,607 If you answered yes to any of the preceding questions, please explain below. I plan to live in the property as a primary home. I plan to occupy the property as a secondary home. X X

TOTAL (S) Estimated value of home: $

Any other information you think will help AMI regarding your application:

TYPE OF LOAN: FHA FVA Other

CONV ENTIO NAL (down payme nt): 5-9.9% 10-19.9% 20% or more

AGREEMENT: I/We certify that the information I/we have provided in this application is true and accurate to the best of my/our knowledge. I/We have given this information to Assured Mortgage, Inc. (AMI) for the purpose of obtaining credit which will be secured by a first or second mortgage on a property acceptable to AMI, and I/we acknowledge that AMI will rely on this information in considering my/our application for Quick Start Express Program certification. I/We understand that by returning this application, AMI will verify the information I/we have provided in this application, and I/we gave AMI permission to obtain a credit report about me/us and that approval under the program is subject to the verification of the information through the credit report and other means available to AMI. --------------------------------------------------------------------------------------------------------------------------------------------------------------------------SIGNATURES: Borrower: Matthew Napoli Co-Borrower: Ericka Napoli Date: 08-26-11 Date: 08-26-11 Interviewer Interviewer

Dear Assured Mortgage customer (s) This Disclosure, Documents means any Accounts documents including but not limited to information that we are required by law to provide to you in writing may be electronically transferred to you via email or fax. 1. Scope of Documents to be provided in electronic form.

Jeff Laitsch MNLS # 262937 Assured Mortgage Vice President/Partner

jlaitsch@assuredmortgage.com

(262) 754-4009 Phone Number

(262) 796-0538 Fax Number

When you elect to receive paperless documents you agree that we may provide you with any documents in electronic format. We will continue to provide electronic documents unless and until you withdraw your consent as described below. Your electronic communications and transactions include, but are not limited to: 2. All legal and regulatory disclosures and communications associate with your account All data sheet and product literature for your Account(s) Notices or disclosures about a change in the terms of your account or associate payment feature Privacy policies and notices

Method of Providing Communications to you in electronic Form All communications that we provide to you in electronic form will be provided either via e-mail or by access to a website that we will designate in an e-notice we send to you at the time the information is available. How to withdraw consent You may withdraw your consent to receive documents in electronic form by informing us in writing to: ASSURED MORTGAGE INC ISAOA 12660 WEST CAPITOL DRIVE SUITE 100 BROOKFIELD, WI 53005 Any withdrawal of your consent to receive electronic documents will be effective only after we have a reasonable period of time to process your withdrawal. How to update your records It is your responsibility to provide us with true, accurate and complete e-mail address, contact, and other information related to this disclosure and to your account(s), and to maintain and update promptly any changes in this information. You can update information (such as your e-mail address) by sending an email to eric@assuredmortgage.com, or you can contact us by telephone (262) 754-4008. Requesting paper copies We will not send you a paper copy of any documents unless you request it or we otherwise deem it appropriate to do so. You can obtain a paper copy of electronic documents by printing it yourself after downloading or opening the forms, or by requesting that we mail you a paper copy, provided that such request is made within a reasonable time after we first provided the electronic documents to you. Documents in writing All documents in either electronic or paper format from us to you will be considered in writing. You should print or download for your records, a copy of your paperless statements, this disclosure, and your initial authorization to receive paperless statements and any changes to that authorization, and any other documents that is important to you. Federal Law You acknowledge and agree that your consent to electronic documents is being provided in connection with a transaction affecting interstate commerce that is subject to the federal electronic signatures in Global and National Commerce Act, and that you and we both intend that the act apply to the fullest extent possible to validate our ability to conduct business with you by electronic means. By signing below we acknowledge our understanding and receipt of this document. By checking here you agree to receive electronic documents at the following email address and or fax number (s) napoli21@live.com 414-534-2445

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Email: Phone: Fax:

Email: Phone: Fax:

ess.napoli@gmail.com 414-940-1280

By checking here you DO NOT agree to receive electronic documents Signature:

Borrower

Borrower

Date

Jeff Laitsch MNLS # 262937 Assured Mortgage Vice President/Partner

jlaitsch@assuredmortgage.com

(262) 754-4009 Phone Number

(262) 796-0538 Fax Number