WSB Mortgage Services Inc. (WSB)
Mortgage Refinance Loan Application
Borrower Signature Authorization
Thom Bouis, Loan Officer
P.O. Box 1614, Rockwall, TX 75087
mortgage-money@sbcglobal.net
972-768-6160
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INSTRUCTIONS: Complete all blocks, if not applicable indicate by "n/a." PRINT 2 copies, sign and date both, keep one for your own records. MAIL one copy to WSB Mortgage Services, Inc., 9712 Fair Oaks Blvd., Suite "C," Fair Oaks, CA 95628 or FAX to 916-965-5726.
THIS FORM MUST BE COMPLETED, PRINTED AND SIGNED.
TEXAS RESIDENTS: It is a crime to provide false or misleading information on this form, punishable by fine or imprisonment or both upon conviction. |
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| Applicant Information |
| Social Security Number: |
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| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Co-Applicant Information |
| Social Security Number: |
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| First Name: |
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| Last Name: |
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| Contact Information |
| Daytime Phone: |
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| Evening Phone: |
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| Cell Phone: |
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| Email: |
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| Financial Information |
| Applicant Monthly Income: |
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| Co-Applicant Monthly Income: |
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| Monthly Expenses: |
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| Current Loan Type: |
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| Current Interest Rate: |
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| Current Monthly Loan Payments: |
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| New Loan Type: |
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| New Loan Amount: |
(USD) |
| Property Information |
| Property Type: |
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| Occupancy: |
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| Purchase Price: |
(USD) |
| Appraised Value: |
(USD) |
| Mortgage Balance: |
(USD if applicable) |
| Other Information |
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By my signature, I hereby authorize WSB to verify my past and present employment earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my mortgage loan application. I further authorize WSB to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references. It is understood that a copy of this form will also serve as authorization. The information that WSB obtains is only to be used in the processing of my application for a mortgage loan.
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| Borrower's Signature: |
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| Date: |
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| Co-Borrower's Signature: |
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| Date: |
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PRIVACY ACT NOTICE: This information is to be used by the agency collecting it or its assignees in determining whether you qualify as a prospective mortgagor under it program. This information will not be disclosed outside the agency except as required and permitted by law. You do not have to provide this information, but if you do not, your application for approval as a prospective mortgagor or borrower may be delayed or rejected. The information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. seq. (if HUD/FHA); by 42 USC, Section 1452b (if HUD/CPD); and Title 42 USC, 1471 et. seq., or 7 USC, 1921 et. seq. (if USDA/FmHA)
THIS FORM MUST BE COMPLETED, PRINTED AND SIGNED
FAX to 916-965-5726
or; MAIL one SIGNED copy to:
WSB Mortgage Services, Inc.,
9712 Fair Oaks Blvd., Suite "C,"
Fair Oaks, CA 95628
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