Please provide all the income details
Please let us know your employment history over the last 2 years
Note: Do not add employment, self-employment or military income here
The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race." The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.
Privacy Act Notice: The information provided in this application will be used by Pied Piper Group LLC and its authorized representatives solely for evaluating your qualification as a prospective borrower. It will not be disclosed to third parties except as required or permitted by law.
By signing this agreement, I/we, the Borrower(s), hereby authorize Pied Piper Group LLC and its partner companies, including Pied Piper Mortgage, to:
1. Verification of Financial Information:
○ Verify past and present employment earnings records, bank accounts, stock holdings, and other asset balances as necessary for processing this mortgage loan application. ○ Obtain and review credit reports, including past and present mortgage and landlord references.
○ Conduct consumer credit and background checks to evaluate creditworthiness. ○ Disclose findings to authorized employees, agents, or assignees involved in processing this application.
○ Acknowledge that submitting this form electronically serves as consent for all verification activities. ○ Understand that a digital, photographic, or scanned version of this agreement is as valid as an original.
○ Information obtained during this process will only be used to process and evaluate my/our mortgage loan application.
○ Confirm that all details provided are accurate and truthful. I/we understand that misrepresentation is subject to penalties under applicable federal laws.
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I consent to the terms outlined above by signing below.