BORROWER SIGNATURE AUTHORIZATION
Privacy Act Notice: This information is to be used by the agency collecting it or its assignees in determining whether you
qualify as a prospective mortgagor under its program. It will not be disclosed outside the agency except as required and
permitted by law. You do not have to provide this information, but if you do not, your application for approval as a pro-
spective mortgagor or borrower may be delayed or rejected. The information requested in this form is authorized by Title
38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. Seq. (if HUD/FHA); by 42 USC, Section 1452b (if HUD/CPD); and Title
42 USC, 1471 et. Seq., or 7 USC, 1921 et. seq. (if USDA/FHA).
PART 1 - GENERAL INFORMATION
PART 2 - BORROWER AUTHORIZATION
I hereby authorize the Lender/Broker, its affiliates, successors and/or assigns to verify my past and present employment
earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my mortgage
loan application. I further authorize the Lender/Broker, its affiliates, successors and/or assigns to order a consumer credit
report and criminal background checks to verify other credit information, including but not limited to past and present
mortgages and landlord references. It is understood that a copy of this form will also serve as authorization. *
The information the Lender/Broker, its affiliates, successors and/or assigns obtains is only to be used in the processing of my
application for a mortgage loan.