Form

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Our Reverse Mortage Eligibility Application is for our senior borrowers 62 years and older who would like us to pre-qualify them before making a full commitment to move forward.

* required fields

FULL NAME *

First Name Last Name

DATE OF BIRTH *

TELEPHONE NUMBER *

NÚMERO DE TELÉFONO

EMAIL ADDRESS *

DIRECCIÓN DE EMAIL

PROPERTY ADDRESS (inlcude city, state ,zip)

EST. PROPERTY VALUE

CURRENT MORTGAGE BALANCE

PURPOSE OF LOAN

SELECT LOAN AMOUNT

HOW WOULD YOU RATE YOUR CREDIT?

PROPERTY TYPE

YOUR REALTORS NAME (OPTIONAL)

NOMBRE DE TU AGENTE

REALTORS EMAIL (OPTIONAL)

AGENTE SU CORREO ELECTRÓNICO

Credit Check Authorization *

I hereby grant permission to 1st Florida Lending Corp., to obtain all information deemed necessary to process your mortgage loan application. This information includes, but is not limited to, your past and present employment status, your deposit accounts, your past and present consumer credit record, your mortgage record and/or your rental record. 1ST FLORIDA LENDING CORP AGREES TO CONTACT YOU FIRST BY TELEPHONE OR EMAIL TO RE-CONFIRM PERMISSION BEFORE PULLING YOUR CREDIT.

Patriot Act *

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: As part of applying for your mortgage loan, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.

Electronic Disclosures Authorization *

By applying for a loan on-line, you agree to accept all applicable disclosures associated with this transaction in an electronic form, including disclosures required by the Truth in Lending Act, Real Estate Settlement Procedures Act and Equal Credit Opportunity Act. Paper copies will be provided for certain real estate related contracts and transactions after your loan application is received including but not limited to copies of any Mortgage events such as foreclosures, short sales and bankruptcies that would affect your ability to obtain a loan.

Sign with pointer or touch screen on mobile *

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