Each of the undersigned specifically represents to Lender and to Lender's actual or potential agents, brokers, processors, attorneys, insurers,
servicers, successors and assigns and agrees and acknowledges that: (1) the information provided in this application is true and correct as of the
date set forth opposite my signature and that any intentional or negligent misrepresentation of this 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 that I
have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of
Title 18, United States Code, Sec. 1001, et seq.; (2) the loan requested pursuant to this application (the "Loan") will be secured by a mortgage or
deed of trust on the property described in this application; (3) the property will not be used for any illegal or prohibited purpose or use; (4) all
statements made in this application are made for the purpose of obtaining a residential mortgage loan; (5) the property will be occupied as
indicated in this application; (6) the Lender, its servicers, successors or assigns may retain the original and/or an electronic record of this
application, whether or not the Loan is approved; (7) the Lender and its agents, brokers, insurers, servicers, successors, and assigns may
continuously rely on the information contained in the application, and I am obligated to amend and/or supplement the information provided in
this application if any of the material facts that I have represented herein should change prior to closing of the Loan; (8) in the event that my
payments on the Loan become delinquent, the Lender, its servicers, successors or assigns may, in addition to any other rights and remedies that it
may have relating to such delinquency, report my name and account information to one or more consumer reporting agencies; (9) ownership of
the Loan and/or administration of the Loan account may be transferred with such notice as may be required by law; (10) neither Lender nor its
agents, brokers, insurers, servicers, successors or assigns has made any representation or warranty, express or implied, to me regarding the
property or the condition or value of the property; and (11) my transmission of this application as an "electronic record" containing my
"electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile
transmission of this application containing a facsimile of my signature, shall be as effective, enforceable and valid as if a paper version of this
application were delivered containing my original written signature.
Acknowledgement. Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors and assigns, may verify or
re-verify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate business purpose
through any source, including a source named in this application or a consumer reporting agency.
I confirm that the above information is correct and authorize Lender and/or Broker listed above to verify any and all information necessary to
process my mortgage loan application. I further authorize Lender/Broker to order a consumer credit report and verify other credit information.
I further authorize Lender/Broker to verify bank statements directly with the banking institution. A copy of this form will also serve as
authorization.
