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CREDIT INFORMATION AUTHORIZATION FORM

I hereby authorize the lender, or ITS SUCCESSORS AND/OR ASSIGNS, to verify my/our past and present employment earnings records, bank accounts, stock holdings, and any other assets balances that are needed to process my/our mortgage loan application. I/We further authorize the lender, or ITS SUCCESSORS AND/OR ASSIGNS, to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references, and federal or state records including State Employment Security Agency records, or other sources as required. It is understood that a photocopy of this form will also serve as
authorization.

The information the lender obtains is only to be used in the processing of my/our application for a mortgage loan or in the conduction of a Qualify Control Audit of my/our loan file.

Social Security Number:

Date:

Current Address:

Date of Birth:

PRIVACY ACT NOTICE: The information to be obtained will be used by the lender and any federal agency insuring, guaranteeing, or purchasing the mortgage to determine whether you qualify as a prospective borrower under the lender's and the agency's underwriting standards. The information will not be disclosed outside the lender or, the federal agency without your consent except to the person or company verifying the information including, but not limited to, your employer, bank, lender, and any other credit reference as needed to verify other credit information and as permitted by law. You do not have to give us this information but if you do not, your mortgage loan application may be delayed or rejected. The information we will obtain is authorized by Title 38, U.S.C., Chapter 37 (if VA); and 12 U.S.C., Section 1701 et seq. (if HUD/FHA); by 42 U.S.C., Section 1452b (if HUD/CPD); and Title 42 U.S.C., 1471 et. seq., or 7 U.S.C., 1921 et. seq (if USDA/FmHA).

NOTICE TO BORROWERS: This notice to you as required by the Right to Financial Privacy Act of 1978 that HUD/FHA/VA has a right to access to financial records held by financial institutions in connection with the consideration or administration of assistance to you. Financial records involving your transaction will be
available to HUD/FHA/VA without further notice or authorization but will not be disclosed or released by this institution to another Government Agency or Department without your consent except as required or permitted by law.

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July 17, 2025 12:54 am EDT

Credit Information Authorization Form Uploaded by Brian Potts - [email protected] IP 107.1.234.106