Borrower Information
Employment Information
Declarations
If you answer “Yes” to any questions a through i, please use continuation sheet for explanation.
a. Are there any outstanding judgments against you?
b. Have you had any open bankruptcies in the last 7 years?
c. Have you had property foreclosed upon, sold short sale or given title or deed in lieu thereof in the last 7 years?
d. Are you a party to a lawsuit?
e. Have you been obligated on any loan of which resulted in foreclosure, transfer of title in lieu of foreclosure,
or judgement?
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation,
bond, or loan guarantee?
g. Are you obligated to pay alimony, child support, or separate maintenance?
(1) What type of property did you own-
principal residence (PR), second home (SH), or investment property (IP)?
I confirm that the above information is correct and authorize Lending Resource Financial Group LLC. (“Lender”) and/or Broker listed above to verify any and all information necessary to process my mortgage loan application. I further authorize Lender/Broker to order a consumer credit report and verify other credit information. A copy of this form will also serve as authorization.