MR. ZOLTAN M. PADAR

Marital Status

Rate Your Credit

Good(700+) Ok(600-700) Bad(400-600)

Marital Status

Rate Your Credit

Good(700+) Ok(600-700) Bad(400-600)

Employment Status

PROPERTY INFORMATION

Purpose

Purchase/Pre-approval Refinance Equity Loan Other

Downpayment (If applicable)

Existing 1st Mortgage Balance (If applicable)

Existing 2nd Mortgage Balance (If applicable)

Annual Property Tax (If known)

Monthly Condo Fee (If applicable)

Additional Information

I read and agree to Disclosure below.

I/we warrant and confirm that the information given in the Mortgage Application form is true and a complete representation. I/We understand that it is being used to determine my/our credit worthiness and to evaluate my/our request. I/We authorize MIP Mortgage and Investment Professionals Inc. or their designate to obtain a credit report and any information required for these purposes from other sources. Each source is hereby authorized to provide MIP Mortgage and Investment Professionals Inc. or their designate with such information. I/we also understand, acknowledge, and agree that the information given in the mortgage application as well as other information you obtain in relation to my credit history may be disclosed to potential mortgage lenders, mortgage insurers, other service providers, organizations providing technological or other support services required in relation to this application, and any other parties with whom I/we propose to have a financial relationship.

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MR. ZOLTAN M. PADAR

President

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