Mortgage Loan Review
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Borrower’s Certification & Authorization **/** ~ EncompassTM from Ellie Mae ~ www.elliemae.com
Borrower’s Certification & Authorization
Certification
The undersigned certify the following:
1. I/We have applied for a mortgage loan from ClearPath Lending. In applying for the loan.
I/We completed a loan application containing various information on the purposes of the loan, the amount and source of the down payment, employment and income information, and assets and liabilities. I/We certify that all of the information is true and complete. I/We made no misrepresentations in the loan application with the employer and/or other documents, nor did I/We omit any pertinent information. 2. I/We understand and agree that ClearPath Lending reserves the right to change the mortgage loan review process 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.
Authorization to Release Information
To Whom It May Concern:
1. I/We have applied for a mortgage loan from ClearPath Lending. As part of the application process, ClearPath Lending or Vantage Point Title may verify 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 understand and agree that ClearPath Lending or Vantage Point Title reserves the right to change the mortgage loan review process to a full documentation program. This may include verifying the information provided on the application with the employer and/or the financial institution. 3. ClearPath Lending or Vantage Point Title or any investor that purchases the mortgage may address this authorization to any party names in the loan application. 4. A copy of this authorization may be accepted as an original. 5. Your prompt reply to ClearPath Lending or the investor that purchased the mortgage is appreciated. Wallace L. Altom Date Date
Social Security Number: ***-**-**** Social Security Number: Funding Suite 12255 El Camino Real Suite 200 San Diego, CA 92130 www.chronossolutions.com/fundingsuite Consumer Authorization to Release Information
To Whom It May Concern:
I/We have applied for a mortgage loan from Clearpath Lending, which uses Funding Suite to prepare and verify the credit report. As part of the application process Funding Suite may verify 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.
I/We authorize you to provide to Funding Suite or and to any investor to whom may sell my mortgage, any and all information and documentation they request. Such information includes, but is not limited to, employment history and income; bank, money market, and similar account balance; credit history; and copies of income tax returns. Funding Suite may address this authorization to Equifax, Experian or Transunion should they require authorization to make requested changes within the credit profile. Funding Suite is a complete credit management system provided by Cogent Road Inc. Cogent Road Inc. is a Mortgage Software company that provides enterprise wide software applications to mortgage companies, banks and other lending institutions.
Wallace Altom ***-**-****
Primary Borrower Name Date Social Security Number
Primary Borrower Signature
Co-Borrower Name Date Social Security Number
Co-Borrower Signature
Form SSA-89 (02-2018)
Discontinue Previous Editions Page 1 of 2
Social Security Administration OMB No. 0960-0760
Authorization for the Social Security Administration (SSA) To Release Social Security Number (SSN) Verification Printed Name: Date of Birth: Social Security Number: I want this information released because I am conducting the following business transaction: Reason (s) for using CBSV: (Please select all that apply) Mortgage Service Banking Service
Background Check License Requirement
Credit Check Other
with the following company (“the Company”):
Company Name:
Company Address:
I authorize the Social Security Administration to verify my name and SSN to the Company and/or the Company’s Agent, if applicable, for the purpose I identified.
The name and address of the Company’s Agent is:
I am the individual to whom the Social Security number was issued or the parent or legal guardian of a minor, or the legal guardian of a legally incompetent adult. I declare and affirm under the penalty of perjury that the information contained herein is true and correct. I acknowledge that if I make any representation that I know is false to obtain information from Social Security records, I could be found guilty of a misdemeanor and fined up to $5,000. This consent is valid only for 90 days from the date signed, unless indicated otherwise by the individual named above. If you wish to change this timeframe, fill in the following: This consent is valid for days from the date signed. (Please initial.) Signature: Date Signed:
Relationship (if not the individual to whom the SSN was issued): Contact information of individual signing authorization: Address:
City/State/ZIP:
Phone Number:
September 28,
1948
***-**-****
Mortgage Services
ClearPath Lending
Automation Research, Inc. (d/b/a DataVerify)
875 Greentree Road 8 Parkway Center
Pittsburgh, PA 15220
180
2601 Bluebonnet Valley Dr
Georgetown, TX 78626
Wallace L. Altom
15615 Alton Parkway, Suite 300, Irvine, CA 92618
Form SSA-89 (02-2018) Page 2 of 2
Privacy Act Statement
Collection and Use of Personal Information
Sections 205(a) and 1106 of the Social Security Act, as amended, allow us to collect this information. Furnishing us this information is voluntary. However, failing to provide all or part of the information may prevent us from releasing information to a designated company or company’s agent.
We will use the information to verify your name and Social Security number (SSN). In addition, we may share this information in accordance with the Privacy Act and other Federal laws. For example, where authorized, we may use and disclose this information in computer matching programs, in which our records are compared with other records to establish or verify a person’s eligibility for Federal benefit programs and for repayment of incorrect or delinquent debts under these programs. A list of routine uses is available in our Privacy Act System of Records Notice (SORN) 60-0058, entitled Master Files of SSN Holders and SSN Applications. Additional information and a full listing of all our SORNs are available on our website at www.socialsecurity.gov/foia/bluebook.
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 3 minutes to complete the form. You may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send to this address only comments relating to our time estimate, not the completed form. TEAR OFF
NOTICE TO NUMBER HOLDER
The Company and/or its Agent have entered into an agreement with SSA that, among other things, includes restrictions on the further use and disclosure of SSA’s verification of your SSN. To view a copy of the entire model agreement, visit http://www.ssa.gov/cbsv/docs/SampleUserAgreement.pdf.
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