Borrowers Signature Authorization

Signature Authorization Privacy Act Notice: This information is to be used by the agency collecting it or its assignees in determining whether you qualify as a prospective mortgagor under its program. It will not be disclosed outside the agency except as required and permitted by law. You do not have to provide this information, but if you do not your application for approval as a prospective mortgagor or borrower/seller may be delayed or rejected. The information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. Seq. (if HUD /FHA); by 42 USC, Section 1462b (if HUD/CPD); and Title 42 USC, 1471 et. Seq., or 7 USC, 1921 et. Seq. (if USDA/FmHA).


Name of Agency:  LEY Capital, LLC  324 Datura Street Ste 210 West Palm Beach, FL 33401



I hereby authorize this Company to verify my past and present employment earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my mortgage loan application. I further authorize the Company to order a survey, payoff of my current mortgage, consumer credit report and verify other credit information, including past and present mortgage and landlord references. It is understood that a copy of this form will also serve as authorization.

The information the Company obtains is only to be used in the processing of my application for a mortgage program.

Date: December 5, 2020


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Signature Certificate
Document name: Borrowers Signature Authorization
Unique Document ID: fef6519ec4695871aba5098d1eae20f7a7bdfb42
Timestamp Audit
May 11, 2020 10:50 am ESTBorrowers Signature Authorization Uploaded by Rick Charles - IP
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