Wells fargo borrower certification form 2025

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CERTIFICATION. BY SIGNING THIS DOCUMENT, YOU ARE STATING THAT ALL INFORMATION YOU HAVE PROVIDED TO THIS LENDER IS ACCURATE AND VERIFIABLE. THE LENDER IS AUTHORIZED TO VERIFY OR RE-VERIFY ANY OF THE INFORMATION YOU HAVE PROVIDED IN YOUR APPLICATION AND TO OBTAIN ONE OR MORE CREDIT REPORTS.
Mortgage Loan Servicers have procedures designed to detect fraud or improper activity and must follow privacy laws to protect borrower information. This form should be transmitted to the Mortgage Servicer as soon as possible and no later than 90 days after the date signed. Be aware of scams!
Only one LOA is issued for each provider for up to 12 months of services. A provider needs only one letter for all months for which the client received medical services.
The non-borrower contributor is an owner on the title to the property or will be added as an owner to the title to the property. The non-borrower contributor assuming the loan will not release any borrower from liability on the mortgage note.
The patient may enter a date range of information to be shared. If no expiration date is specified, this authorization is good for 12 months from the date signed in Section IX.
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The authorization to access employment and income history from federal or state records, including SESA records, for this transaction continues in effect for one (1) year unless limited by state law, in which case the authorization continues in effect for the maximum period, not to exceed one (1) year, allowed by law.

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