CREDIT REPORT AUTHORIZATION AND PRIVACY DISCLOSURE FORM

I hereby authorize and instruct New Jersey Housing and Mortgage Finance Agency (hereinafter “NJHMFA”) to obtain and review my credit report. My credit report with be obtained from a credit reporting agency chosen by NJHMFA. I understand and agree that NJHNA intends to use the credit report for the purpose of evaluating my financial readiness to purchase a home and/or to engage in post - purchase counseling activities.

My signature below also authorizes the release to credit reporting agencies of financial or other information that I have supplied to NJHMFA in connection with such evaluation. Authorization is further granted to the credit reporting agency to use a copy of this form to obtain any information the credit reporting agency deems necessary to complete my credit report.

In addition , in connection with determining my ability to obtain a loan, I
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NJHMFA to share with potential mortgage lenders and/o r counseling agencies my credit report and any information that I have provided, including any computations and assessments that have been produced bases upon such information. These lenders may contact me to discuss loans for which I may be eligible, and these counseling, and these counseling agencies may contact me to discuss counseling services.

I understand that I may revoke my consent to these disclosures by notifying NJHMFA in writing.

Client's Name 1
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Client's Name 2
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Social Security Number 1
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Social Security Number 2
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Date 1
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Date 2
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Street Address 1
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Street Address 2
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City, State, Zip 1
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City, State, Zip 2
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Day Contact Number1
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Day Contact Number2
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Please answer the below questions:

Do you currently rent?
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If yes, how much is your monthly rent?
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Is anyone obligated to pay child support, alimony or separated maintenance?
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If so , how much do you pay per month?
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Is anyone using receiving other than salary of the pay stubs you are faxing over?
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If yes how much do you get per month?
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Have you owned any property in the last 3 years?
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Do you have any judgements?
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Have you filed for bankruptcy in the last 2 years or foreclosure in the last 5 years?
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If so please explain?
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To get pre-qualified by NJHFMA mortgage Please fax fill out this form or fax it to (973) 491-2662 or e-mail (info@mmdevelopmentllc.com) with a copy of 30 days current pay stubs and W2 for 2014 & 2013 for each working applicant.