BY SUBMITTING THIS APPLICATION, I AUTHORIZE YOU TO CHECK MY CREDIT AND EMPLOYMENT HISTORY AND TO ANSWER QUESTIONS OTHERS MAY ASK ABOUT MY CREDIT RECORD WITH YOU. I UNDERSTAND THAT I MUST UPDATE CREDIT INFORMATION AT YOUR REQUEST IF MY FINANCIAL CONDITION CHANGES. IF A MORTGAGE LOAN, ALL OPTIONS WERE DISCLOSED TO ME AND I HAVE CHOSEN THE MORTGAGE PRODUCT THAT BEST SUITS MY NEEDS.
I have applied for an extension of credit with you. You are soliciting, offering, or selling me an insurance product or annuity in connection with this extension of credit. FEDERAL LAW PROHIBITS YOU FROM CONDITIONING THE EXTENSION OF CREDIT ON EITHER:
By submitting this form, I acknowledge that I have received a copy of this form on today’s date. Unless this disclosure is provided electronically or I have applied for credit by mail, I also acknowledge that you have provided this disclosure to me orally.