Borrower's Certification and General Authorization Certification
Privacy Act Notice Statement- This information is to be used by agency collecting it in determining whether you qualify as a prospective mortgagor for a mortgage insurance or guarantor or as a borrower for a loan under the agency's program. It will not be disclosed outside the agency or its holding company, subsidiaries, or affiliates without your consent except to institutions for verification of your employment, assets, mortgage or rent as required and permitted by law. You do not have to give us this information, but, if you do not, your application for approval as a prospective mortgagor for mortgage, mortgage insurance, or guarantor or as a borrower for a loan may be delayed or rejected. This information request is authorized by Title 38, U.S.C., Chapter 37 (if VA); by 12 U.S.C., Section 1701 et seq., (if HUD/ FHA); and by U.S.C., Section 1452b (if HUD/CPD).
The undersigned certify the following:
1. I/We have applied for a mortgage loan from GOLDEN EMPIRE MORTGAGE, INC.. I/We completed a loan application containing various information on the purpose of the loan, the loan amount and source of the downpayment, employment and income information, and assets and liabilities. I/We hereby certify that funds to purchase the home are not borrowed. I/we certify that all of the information is true and complete I/We made no misrepresentation in the loan application or other documents, nor did I/we omit any pertinent information.
2. I/We understand and agree that GOLDEN EMPIRE MORTGAGE, INC., its successors and/or assigns, reserves the right to reverify the information provided on the application.
3. I/We fully understand that it is a federal crime punishable by fine or imprisonment or both, to knowingly make any false statements when applying for this mortgage, as applicable under the provisions of Title 18, United States Code, Section 1014.
Authorization to Release Information
To Whom it may Concern:
1. I/We have applied for a mortgage loan from GOLDEN EMPIRE MORTGAGE, INC.. As part of the application process, GOLDEN EMPIRE MORTGAGE, INC., its successors and/or assigns, its holding company, subsidiaries, or affiliates, any investors or mortgage guaranty insurer (if any), may use information contained in my/our loan application and on other documents required in connection with the loan, either before or after the loan is closed are as part of a quality control program. This authorization will be valid for as long as the loan remains unpaid.
2. I/We authorize you to provide to GOLDEN EMPIRE MORTGAGE, INC., its successors and/or assigns, its holding, subsidiaries, or affiliates, to any investor and mortgage guaranty insurer (if any) any and all information and documentation that they request. Such information includes, but is not limited to, employment history and income; bank, money market, and similar account balances; credit history; copies of income tax returns; or rent mortgage verification.
3. GOLDEN EMPIRE MORTGAGE, INC., its holding company, subsidiaries, or affiliates or any investor that purchases the mortgage guaranty insurer (if any), its successors and/or assigns, may address this authorization to any party named in the loan application.
4. A copy of this authorization may be accepted as an original.
5. Your prompt reply to GOLDEN EMPIRE MORTGAGE, INC., its successors and/or assigns, the investors that purchased the mortgage, or the mortgage guaranty insures (if any), is appreciated.
6. That it is our responsibility to have flood insurance if our property, either now or in the future, is located in a flood zone requiring flood insurance.
7. I/We hereby authorize the release of information concerning the status and disposition of my/our application to any real estate agent or real estate broker involved in this transaction. If any application is denied or a counter offer is made, the reason for these actions may be released to such person. I/We hereby authorize the release any credit information, loan documentation, or processing information, including depository and employment data, or the status and disposition of our loan to any title agency, insurance agency, insurance company, or holding company, subsidiary or affiliate. This authorization supersedes any restriction typed on a standard processing form.
Specialty Prod.