By signing below, I understand and agree to the following...


  I authorize Data Resource Center to pull my credit report(s) for the purpose of submitting a mortgage loan application.

  I authorize Data Resource Center to charge my credit/debit card a mortgage application fee of $64.95 per applicant. If there are two mortgage applicants, the application fee is $129.90. I understand that the application fee is NON-REFUNDABLE, and that no further fees will be charged unless I sign a Consumer Agreement.

  I understand that Data Resource Center will try to obtain mortgage financing for me and/or my co-applicants. Although I am not guaranteed financing, I understand that Data Resource Center has a 95% success rate at helping people qualify for a home loan.

  I agree that the information I’ve provided on my mortgage application is true and complete, to the best of my knowledge.

First Name and Last Name

Street Address

City, State, and Zip Code

Home Phone (xxx) xxx-xxxx

Mobile Phone (xxx) xxx-xxxx

Email Address smith@email.com

Last 4 digits of Social Security Number

I agree that typing my name into the box below constitutes my digital signature. I am signing this agreement of my own free will. I fully understand and agree to the terms and information contained herein.
Signature
(Type your first name and last name into the signature box below.)


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