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Borrower:_______________________________________SSN#__________________ DOB _______________
Co-Borrower:___________________________________ SSN#__________________ DOB _______________
Address:__________________________________City____________________St______Zip_______________
Home Phone ( )________________________ Cell Phone ( )_______________________________
Email:____________________________________________________________________________________
Borrower’s Employer: _______________________________________________________________________
Work Telephone ( )_____________________________________________________________________
Co-Borrower’s Employer_____________________________________________________________________
Work Telephone ( )_____________________________________________________________________
General Authorization
This authorizes One-For-The-Money, and its assigns, to verify my/our past and present employment, earnings records, bank accounts, stock holdings and any other balances needed to process my/our mortgage application. This further authorizes One- For-The-Money to order a mortgage credit report and verify all other information, including past or present mortgage and landlord references. It is understood that a photocopy of this document shall also serve as an authorization to provide the information for a loan application.
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Borrower’s Signature Date Co-Borrower’s Signature Date
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