Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2Who is your Agent?Phone number of Agent:Borrower(s) InformationDo you have a Co-Borrower?YesNoBorrower Name:FirstLastCo-Borrower Name: FirstLastBorrower Email:Co-Borrower Email: Borrower Phone Number:Co-Borrower phone number:Home AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMonthly Rent:How Long?Property InformationDevelopment/Park Name:Property AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeProperty Price/ValueSizeExample: 18x80 feet.Down Payment:Mobile Home Year/Make/ModelHOA Dues/Space Rent:EmploymentBorrower's Employer/Company name:Co-Borrower's Employer/Company name: Borrower's Job Title:Co-Borrower's Job Title: Number of years employed:Number of years employed:IncomeIndicate hourly, weekly, bi-weekly, or monthly, ect.Borrower's Income Base:Co-Borrower's Income Base:Overtime: Overtime:Commission:Commission: Obligations/BillsPlease list your obligations. Car Loans/Leases, Mortgage Loans/Credit Cards total balances and Monthly Payments. ObligationsCredit HistoryHow do you rate your credit?credit historyExcellentGoodAverageSlow PayCredit ScoreHave you had a previous Bankruptcy?YesNoHave you owned a Home?YesNoSoldShort SaleForeclosureCash on hand or savingsBank Amount:Escrow Deposit:Gift:401K / IRA / SecuritiesNextBorrowers' Certification and Authorization You've reached the Borrowers' Certification and Authorization section for CRM Funding. By completing this online form, you confirm that all the information provided in your mortgage application is truthful and complete. This encompasses details on the loan's purpose, your financial sources, employment, income, and other pertinent data. Additionally, you grant permission for CRM Funding to verify any of the information as part of the loan processing or for quality control purposes. Please be aware that making false statements in this application can lead to legal penalties under federal law. This authorization ensures your application is processed with the highest level of integrity and compliance. Certification The Undersigned certified the following 1. I/We have applied for a mortgage loan through CRM Funding. In applying for the loan, I/We completed a loan application containing various information on the purpose of the loan, the amount and source of the down payment, employment and income information, and the assets and liabilities. I/We certify that all of the information is true and complete. I/We made no misrepresentations in the loan application or other documents, nor did I/We omit any pertinent information. 2. I/We understand and agree that CRM Funding reserves the right to change the mortgage loan review processes to a full documentation program. This may include verifying the information provided on the application with the employer and/or the financial institution. 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 Authorizations to release information To Whom it May Concern: 1. I/We have applied for a mortgage loan through CRM Funding. As part of the application process, CRM Funding and the mortgage guaranty insurer (if any), may verfiy information contained 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. 2. I/We authorize you to provide to CRM Funding and to any investor to whom CRM Funding may sell my mortgage, any and all informaiton 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; and copies of income tax returns. 3. CRM Funding or any investor that purchases the mortgage may address this authorization to any party named in the loan application. 4. A copy of this authorization may be accepted as an original. 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