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Domestic Applicants Only

CREDIT AUTHORIZATION CERTIFICATION

The undersigned certify the following:

1. I/We have applied for a mortgage loan from Interbanc Mortgage Services.

In applying for the loan, I/We completed a loan application containing various information on the purpose of the loan, the amount and source of the information on the purpose of the loan, the source of the down payment, employment and income information, and assets and liabilities. I/We certify that all of the information is true and complete. I/We make no misrepresentations in the loan application or other documents, nor did I/We omit any pertinent information.

2. I/We understand and agree that Interbanc Mortgage Services reserves the right to change the mortgage loan review process, if applicable, to a full documentation program. This may include verifying the information provided on the application with the employers and/or financial institutions.

3. I/We fully understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements when applying for this mortgage, as applicable under the provisions of Title 18 United States Code, Section 1014.

CREDIT AUTHORIZATION AND RIGHT TO RELEASE INFORMATION

To Whom It May Concern:

1. I/We have applied for a mortgage loan from Interbanc Mortgage Services. As part of the application process, Interbanc Mortgage Services may verify information contained in my/our loan application and in other documents required in connection with the loan, either before the loan is closed or as part of its quality control program.

2. I/We authorize you to provide to Interbanc Mortgage Services, and to any investor to whom Interbanc Mortgage Services may sell my mortgage, any and all information and documentation that they request. Such information includes, but is not limited to, employment history including wages, position, reason for leaving, length of employment, etc.; banking, checking, savings and credit account information; credit history; copies of income tax returns; and mortgage loan history including rates, open date, current balance, payment history, monthly payment, etc.

3. Interbanc Mortgage Services or any investor that purchases the mortgage may address this authorization to any party named in the loan application.

4. A copy of this authorization may be accepted as any original.

5. Your prompt reply to Interbanc Mortgage Services or the investor that purchases the mortgage is appreciated.

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Borrower's Signature Social Security Number Date
     
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Borrower's Signature Social Security Number Date

Return this signed form to:
IMS - InterBanc Mortgage Services
237 Lookout Place - Second Floor
Maitland, FL 32751 USA


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