Part-1 General Information Borrower Name Name and Address of Borrower/Broker Date Loan Number Part-2 Borrower Authorization I hereby authorize the Lender/Broker to verify my past and present employment earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my mortgage loan application. further authorize the Lender/Broker to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references. It is understood that a copy of this form will also serve as authorization. The information the Lancer/Broker obtains is only to be used in the processing of my application for a mortgage loan. Signature: Or Enter your digital signature in the right field. Date Δ