EFTA00298880.pdf

DocuSign Envelope ID: 59570314.BACIE4D83.8C94-9C20E6761FEC BORROWER'S NOTICE OF INTENT TO PROCEED CERTIFICATION & AUTHORIZATION TO RELEASE INFORMATION The undersigned certify: I/We have submitted an application to Embrace Home Loans, Inc. (Embrace) as of 08/25/16, and Embrace has provided us with informational disclosures about our loan including, but not limited to a Loan Estimate, and we acknowledge receipt of this disclosure. We understand that a Market Value Appraisal of our property, performed by an independent professional appraiser, may be required to complete our loan application, and that Embrace may collect a fee in advance to pay for those services. If the fee we pay is greater than the cost of the appraisal, then the difference is refundable to us. If the fee we advance is not enough to pay for the service, then we may be required to pay an additional amount. We further understand that the appraisal fee is considered to have been earned by the appraiser once their services have been provided, and is not refundable afterwards. In applying for this loan, I/We will complete or have completed various loan application documents containing various forms of information supporting our credit request, including, but not limited to Employment and Income Information, Assets and Liabilities, and other information. both public and private. I/We certify that the information we provide is true and accurate, and contains no misrepresentations or omissions of pertinent information in the loan application or other documents. I/We understand and agree that Embrace or its Closing Agent or Service Provider reserves the right to amend the review process for my/our application, which may include verifying the information provided on the application with the employer or financial institution. I/We fully understand that, under Title 18, US Code, Sec. 1014, it is a Federal Crime punishable by fine and/or imprisonment, to knowingly make false statements when applying for a mortgage loan. AUTHORIZATION TO RELEASE INFORMATION For: Embrace and/or its Closing Agents or Service Providers In regard to the above referenced application, Embrace or its Agents may share information I/We have provided with third parties for the purpose of verifying the authenticity of the information provided in the application, and in other documents pertinent to the credit request, either before the loan is closed or as part of its quality control or servicing procedures. I/We authorize you to provide Embrace or its Agent, or to any party to whom Embrace may subsequently sell my/our loan, any and all information or documentation they request. Such information may include, but not be limited to Employment History, Income, Bank, Money Market or other similar account balances, credit history, and copies of tax returns. Embrace, or its Agents or any Investor that may acquire rights to this loan, may address this authorization to any party named in the loan application and related documents. A copy of this authorization may be accepted as the original. I/We hereby confirm that it is my/our Intent to Proceed with this application, and give my/our authorizations below to assist in the processing of that application. r. Leo L Loking J Date SSN --- Last 4 Delia N Loking Date SSN Last 4 EFTA00298880 DocuSign Envelope ID. 59570314-BA0E• 4D83•8C94-9C20E676I FEE Request for Verification of Employment Privacy Act Notice: INS infonnetien is to be used by the agency aileang nails assignees In determining whether you arellY ass prosarcka rratgaga wider its swam It wit not tedisclosed oslade the agency Sall as required and paneledby law. You do net have 40 provide PM ingermagOn. but If you do net Kul SOpliCalion lot approval as a DrOSpealve mOrsgagOr Or borrOser may he delayed a retested. The nformaton requested in INs tennis authorized by Tab 38. USC. Cheats 37 lif VAX by 12 USC. Seaon 1731 at seq. a HUCCFNA). by 42 USC. Section 1452b Of HUOCPD): and Tole 42 USC. 1471 Si. seq. a 7 USE. 1921 el. seq. Of USONFmtilA). Instructions: Lender -Complete Items 1 through 7. Slave ilegliCanl Complete Nem 8. Forward dimity to employer named in item I. Employer Please compete alba Part II or Part III as applcable. Complete Pan tV and return directly to lender named In oem The form IBM be transmitted directly to the lender and Is net le be transmitted through the applicant or any other pally. Part I - Request 1. To (Name and address of employer) NES LLC 9 EAST 71ST STREET NEW YORK, NY 10021 2. From (Name and address of lender) EMBRACE HOME LOANS PO Box 370 Carlisle, IA 50047 I Gently that this vainestion has been sent directly to the employer and has not passed through the hands of the applicant or any other Interested parly -37Sunda/re of Lender 4. Tile Verification Specialist 5. Date 09-19-2016 6. Larder's No. (Optional) I have applied fora Manage loan and slated that I am now or was formerly employed by you. My signature below authorizes verification of this information 7. Name and Address of Applicant (nclude erne ea or badge number) B. Signature of Applicant LEO L LOKING ***-Ms 8. Signature of Appliont X SEE ATTACHMENT Part II - Verification of Present Employme t 9. Apptcanrs Date of Employment 06/01/2015 sent tuyi house maintenance Mere yes 12A. Current Gross Base PaytEmer Amount X _ and Check Penoth Annual Monthly H weekly Olher (Spoutyl Hardy 13. For Military Personnel Only 14. If Overtime or Bonus . Amscaint. It In Cfninornce UMW? °mune I I-1 Sonia Yes rn tea r i v., rxi N. Pay Grade na Type Morality Amount 12B. Gross Earnings Base Pay $ na IS it ma hany • avenge hose po (sneak Type Year To Dale Past Year 2015 Past Year 2014 2016 Rations S na M. Cow et metrems mono*/ pima Base Pay Thru 15 Fight or Hazard S na S i s na Gothng S na IT. arppugaamama rwxtpermmva Overtime S 5 na s na ouane,s s na Com issins s na ) na s na Pro Pas s na ie.Wwaapairems tht pas imataso Bonus S , nor s na Overseas or Combat $ na Tura $ IIIIIIIII° s 0.00 Varga Housing Allowance na M. Aryoun a eau win :roan 20. Romanis (I na endorse was on work rot an', i ngth or time please indicate time period and reason) Banui- 2t ate Rom Verification of Previous •. -ary. epos °monition Employment er 'e= Non; 22. Date Ter retort Base Overame Commissons Bonus 24 Bevan tor leasing 25 POSMan HeO Part IV - Authorized Signature - Federal statutes provide severe penalties for any fraud. intentional misrepresentation, or criminal connivance or conspiracy pu posed to influence the issuance of any guaranty or insurance by the VA Secretary. the USDA, FmHAIFHA Commissioner. or the HUD.CPD Assistant Secretary. 26 larfin ial ettp431Oyer &It ktibs, 27. Title (Please prnl or Inas) Accountant 28 bale 9/22/2016 29. /t'arrreMyethWrfidelentilb in aem 26 Bella Klein ao. Phone No. Fanne Mae art, 1005 Mar. 90 WRITTEN_ESIGN of EFTA00298881