Fillable Printable Credit Authorization and Certification
Fillable Printable Credit Authorization and Certification
Credit Authorization and Certification
Myers Forms - Credit Authorization
Credit Authorization and Certification
__________________________________________________________________________________, ‘Lender’
Privacy Act Notice: The information you provide d to Lender is to be used b y the agency collecting it in determining
whether you qualify as a prospective mortgagor for a mortgage, mortgage insurance or guaranty or as a borrower. It
will not be discl osed outside the agency without your consent except to financial institutio ns for verification of your
employment, assets, mortgage or rent as required and permitted by la w. You do not have to give us this information,
but, if you do not, your application for approval as a prospective mortgagor for a mortgage, mortgage insurance or
guaranty may be delayed or rejected. T his information request is authorize d b y Title 38, USC, Chapter 3 7, if VA, by
12 USC, Section 1701 et seq ., if HUD/FHA, and by 42 USC, Section 1452b, if HUD/CPD.
The undersi gned certify the follo wing: I/We have applied for a mortgage loan from Len der. In applying fo r the loan,
I/we completed a loan application containing various information regarding the purpose of the loan, employment,
income, assets and liabilities. I/We hereby certify that all of the information is true and complete. I/W e made no
misrepresentations in the loan application or other documents, nor did I/we omit any pertinent information.
I/We understand and a gre e that Lender and its successors and/ or assigns, reserves the right to reverify the
information provided on the applicatio n with the employer and/or financi al institution.
I/We fully understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any
false statements when appl ying for this mortgage, as applicable under the pr ovisions of Title 18, United States Code,
Section 1014.
Credit Authorization
To Whom It May Conc ern:
I/We have applied for a mortgage loan from Lender. As part of the application pr oc ess, Lender, its successors
and/or assigns, an y investor or mortgage guaranty insurer, if any, that purchases the mortgage, may verify
information contain ed in my/our loan application and in other documents required in connection with the loan, either
before the loan is closed or as part of its quality control program. This authorization will be valid for as lon g as the
loan remains unpaid.
I/We authorize you to provide to Lender, its successors and/or assigns, to any investor and mortga ge guaranty
insurer, if any, to whom Lender may sell my mortgage, any and all inf ormation and documentation that they may
request. Such information includes, but is not limited to, employment history and income; bank, money market, and
similar account balances; cred it history; and copies of income tax retur ns.
Lender or any investor that p urchases the mortgage or the mortgage guaranty insurer, if any, its successors and/or
assigns, may address this authorization to any party named in the loan application.
A copy of this authorization may be accepted as an original.
I/We hereby authorize the release of information concernin g the status an d disposition of my/our application to any
real estate agent, real estate broker, third party vendor, escrow officer or closing agent involved in this transaction.
_________________________________ ________ ____________________ _____________________
Print Name SS# Print Name SS#
_________________________________ ________ ____________________ _____________________
Borrower Signature Date Co-Borrower Signature Date
_________________________________________ _________________________________ _________
Property Address / City / State / Zip