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Borrower Application InformationPLEASE PRINT CLEARLYBorrower
Full Name: f% \ yft YVXj^^ j^-f C ^
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CO-Borrower Application InformatiBorrower Full Name:Fedce
QwawanCurrent Address: 3 L|.Z| | QamirVO Reo\ # ^V-City/State/Zip
/Vft/1 erf-CYl / Cft /^f0^!
Christine KaniPrivate Mortgage Banker578 University Ave.Palo
Alto, CA 94301
Date 07/ 23 I 2X>\\ Own Rent$ o?75C /WWlIf less than 2 years,
please provide prior addresses so there is 2 year history:
phone 650-543-10'foe 877-822-32([email protected]
Home Telephone: Q\0 -70 J -^{ZSQpEmail address: fe\\CtO V\aN
CtV\Q 0\ VVICi 11 Oorv)Social Secunty Number:Date of Birth: Dec,
I
mber of years in school:VCurrent Employer:
Work Address:
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Borrower's Certification/Verification Authorization/Financial
Privacy NoticeThe "Lender":
CertificationIf applying for a "reduced doc" loan, the
undersigned certify the following:1. I have applied for a first
mortgage loan from the Lender. I may also have applied for a second
mortgage loan from theLender. In applying for the loan(s), I/We
completed a loan applications) containing various Information on
the purpose of thetoanjs), the amount and source of the down
payment, employment and income information, and assets and
liabilities I/Wecertify that all of the information is true and
complete. I/We made no misrepresentations in the loan
applicationfe) or otherdocuments, nordid l/we omit any pertinent
information.?* l^ ^SfT13^3!! arae.that ^^ "^rtsage toan review
proems may be changed to a full docummtation promam. This
mayinclude verifying the iiiformation provided on the applications)
with the employer and/or the financial institution.2^52515^2^
!!?erS^!^ '^ J? aFe
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Fax Information (it applicable)D a t e : F r o m : .T o : P h o
n e :F a x : F a x : _
Consent for CreditWe are pleased to have the opportunity to
assist you with your home financing needs.I / W e , t h e u n d e r
s i g n e d c o n s u m e r ( s ) , d i r e c t t o o b t a i nc o
p i e s o f m y / o u r c r e d i t r e p o r t s . ( L e n d e r N
a m e )This consent shall automatically expire thirty (30) days
from the date of my/our signature(s) below.
f . P r i n t e d N a m e : f \ \ l > { > f o ( > k W ^
W ^Date of Birth: 10/ " J O 3 Credit Report Ref #:
It is required that the HMC legibly writes the entire 15
digitcredit report reference number (not the SSN) on the aboveline
without writing any dashes, hyphens or symbols
Address * * * * k . i i w u i w i l t i n g u y u a i i e O | i
l y p i i c # i t o u i 9 y
t - 1 / z . f / T lS i g n a t u r e D a t e
A P r i n t e d N a m e : f g j l C P f ^ l i r l fl ^Date of
Bir th: >"> i f r t?^ /WKeHw,A d d r e s s : ^ t f z j 1 f l
a i A / n V ^ g f c f l l # ^ { C f r C \ { + 0 ' U j
W / $ t f < & f i z * \ l / ? s / t 1..WMS i g n a t u r
e / S J D a t eConsent for Credit form is to be used for only one
credit report reference number
CESSERLENDER TO COMPLETE: Home Mortgage Consultant to fax
completed formby next business day to secure fax: 866-512-6377 (not
for customer's use)
NMFL0 0331JV Easy Order #102449 Rev. 12/2010
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For Internal Use Only - If providing copy to borrower the credit
card number must be removed.Credit Card Charge / Refund
Notification
Ail fields must be completed. Please fax to: Cash Receipts (800)
300-7979Cash Receipts will not process a credit card form that is
more than 2 months old.D New Form Cor rec ted Form
Branch Contact InformationHMC/Contact Name: Date:Telephone
Number: Ext.
Borrower Information: **Must be completely filled outBorrower
Name:
* */VUy y^ecb/w/ujCardholder name: (If different than
borrower)
Loan Number: Mastercard jsa A.U. Number:Visa Discover
C r e d i t C a r d N u m b e r : L / ? g 8 ^ k ^ l p D ^ f ? 0
O % < $ ? {Expiration Date: )D|1? Date Form Faxed Ifa/lj
'"itials: ./V/?
Application Fee $Credit Report $ " ^ UAppraisal Fee $ ~Lock Fee
$Builder Best Fee $Other (Please Specify) $Total $ ^
U t ^
7 7 .The fee amounts must be entered into the mainframe in the
FCC column of the GF1 or HD1-5 screens.The issuer of the card
identified on this item is authorized to pay the amount shown as
TOTAL upon properpresentation. I promise to pay such TOTAL
(together with any other charges due thereon) subject to and
inaccordance with the agreementaoveming the use of such
card.Customer Signature: Date: 1/ zs/ I
* * * Refund Information Only* * *Amount of refund:Reason for
refund:Loan must be one of the following. Please indicate loan
status: CanceledQ DeniecQ FundedDAU Manager Printed Name:Employee
number:AU Manager Signature: Date:
NOTE** All refunds require AU Manager approvalNMFL# 3473 (CCCN)
Rev. 10/2007
