Home Buyers Guide from Tammy Mitchell Hines & Co. Workbook for Home Buyers | Page 17

Please Fill Out FINANCIAL INFORMATION  Yes  No Have you or your spouse ever taken bankruptcy? If yes, explain: _____________________________________________________________________________  Yes  No Have you or your spouse had a home or auto foreclosure? If yes, explain: _____________________________________________________________________________ _________________________________________________________________________________ I/We, the undersigned, authorize our Realtor, Tammy Mitchell Hines & Co Team, to request a credit report on my/our behalf from the credit reporting agency of choice as designated by the listed Realtors. I/We acknowledge that this action does not in any way constitute a loan approval or commitment of approval on the party of any company. Furthermore, I/we authorize any of the agents of the above team to share the data derived from the credit reports in order to assist in determining my/our credit worthiness and ability to purchase a home. __________________________________________ _______________________________________________ CUSTOMER CUSTOMER __________________________________________ _______________________________________________ SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER __________________________________________ _______________________________________________ DATE OF BIRTH DATE OF BIRTH __________________________________________ _______________________________________________ CURRENT ADDRESS CURRENT ADDRESS __________________________________________ _______________________________________________ EMPLOYER EMPLOYER __________________________________________ _______________________________________________ DATE DATE Equal Credit Opportunity Act The Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. Income which you receive as alimony, child support, or from separate maintenance need not be disclosed to this creditor unless you choose to rely on such sources to qualify for the lender because of your sex or marital status. However, we will consider very carefully the stability and probable continuity of any income you disclose to us.