Loan Application

Applicant Information

Co-Applicant Information

Check the correct answer for the questions below.

Has Applicant ever:
Representation: Applicant and Co-Applicant represent that the above statements are true, complete, and correct. Providing false information or intentional or negligent misrepresentation of the information contained in this application may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation made in this application. The lender or its assigns may retain a copy of this application, whether or not the loan is approved.
Authorization: Applicant and Co-Applicant authorize Lender or Lender’s agent to: (1) obtain a copy of any consumer or credit report related to this application; and (2) verify any rental history, employment history, or any other information related to this application; and (3) discuss information in the consumer report with Lender or Lender’s agent

By submitting this application, you and your co-applicant (if applicable) agree that your first and last names will be used as an electronic signatures on the form.