Prequalify Application
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Borrower Information

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Under Two Over Two *

Own Rent

Assets and Income

(Gross) *



Self-employed
Commissions
Salary
Hourly
Other

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Checking/Savings

Real Estate

Other


Co-Borrower Information

Under Two Over Two

Own Rent

Assets and Income

(Gross)



Self-employed
Commissions
Salary
Hourly
Other



Checking/Savings

Real Estate

Other


Information for Government Monitoring

BORROWER  *Please provide details or opt out below

I do not wish to furnish this information


Hispanic or Latino
Mexican
Puerto Rican
Cuban
Other Hispanic or Latino:

Not Hispanic or Latino
Information not provided


American Indian or Alaska Native

Asian
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian:

Black or African American
Native Hawaiian or Other Pacific Islander
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander:

White
Information not provided


Male
Female
Information not provided

CO-BORROWER

I do not wish to furnish this information


Hispanic or Latino
Mexican
Puerto Rican
Cuban
Other Hispanic or Latino:

Not Hispanic or Latino
Information not provided


American Indian or Alaska Native

Asian
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian:

Black or African American
Native Hawaiian or Other Pacific Islander
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander:

White
Information not provided


Male
Female
Information not provided


Consent To Do Business Electronically (eDisclosure Agreement)

The loan for which you are applying involves various disclosures, records, and documents ("Loan Documents"), including this eDisclosure Agreement. The purpose of this eDisclosure Agreement is to obtain Your consent to receive certain Loan Documents from Us in electronic form rather than in paper form. With Your consent, You will also be able to sign and authorize these Loan Documents electronically, rather than on paper.

Before We can engage in this transaction electronically, it is important that You understand Your rights and responsibilities. Please read the following and affirm Your consent to conduct business with Us electronically. For purposes of this eDisclosure Agreement, "eDisclosures" means the Loan Documents related to this transaction that are provided electronically, "You" and "Your" mean the borrower(s) under the applicable loan to which such Loan Documents apply, and "We", "Our" and "Us" mean the applicable mortgage broker(s), loan processor(s) or mortgage banker(s) with whom You are transacting business for such loan(s).

YOUR CONSENT

Your consent to participate in this transaction electronically will apply to all Loan Documents for the applicable loans for which You are applying. If You provide Your consent by clicking the "I agree" button at the bottom of the page, We will conduct this transaction electronically, instead of providing You with the Loan Documents in paper form. If a document related to Your loan is not available in electronic form, a paper copy will be provided to You free of charge. Conducting this transaction electronically is an option. If You choose not to accept receipt of eDisclosures, paper Loan Documents will be mailed to You. If You do not consent to receive these Loan Documents electronically, You will be provided with copies of the Loan Documents in paper form. Additionally, You will not be required to pay a fee for receiving paper copies of the Loan Documents.

WITHDRAWAL OF CONSENT

You have the right to withdraw Your consent at any time. By declining or revoking Your consent to receive eDisclosures, We will provide You with the Loan Documents in paper form. If You originally consent to receive eDisclosures, but later decide to withdraw Your consent, You can do so by clicking on the "I do not agree" button, or by notifying Us at:

Phone: 713-275-1300
Address: 2506 W Main Street, Suite 400, Houston, TX 77098

If You originally consent to receive eDisclosures, but later withdraw Your consen You will not be required to pay a fee for withdrawing consent and receiving paper copies of the Loan Documents.

OBTAINING PAPER COPIES

After Your consent is given, You may request from Us paper copies of Your Loan Documents. Please send this request to Us at:

Phone: 713-275-1300
Address: 2506 W Main Street, Suite 400, Houston, TX 77098

If You request paper copies of the Loan Documents You will not be required to pay a fee for receiving paper copies of the Loan Documents.

SYSTEM REQUIREMENTS

In order to receive eDisclosures, You must have a computer with Internet access and an Internet email account and address; an Internet browser using 128-bit encryption or higher, Adobe Acrobat 7.0 or higher, SSL encryption and access to a printer or the ability to download information in order to keep copies of Your eDisclosures for Your records. If the software or hardware requirements change in the future, and You are unable to continue receiving eDisclosures, paper copies of such Loan Documents will be mailed to You once You notify Us that You are no longer able to access the eDisclosures because of the changed requirements. We will use commercially reasonable efforts to notify You before such requirements change. If You choose to withdraw Your consent upon notification of the change, You will be able to do so without penalty.

HOW WE CAN REACH YOU

You must promptly notify Us if there is a change in Your email address or in other information needed to contact You electronically. You can contact Us at:

Phone: 713-275-1300
Address: 2506 W Main Street, Suite 400, Houston, TX 77098

We will not assume liability for non-receipt of notification of the availability of eDisclosures in the event Your email address on file is invalid; Your email or Internet service provider filters the notification as "spam" or "junk mail"; there is a malfunction in Your computer, browser, Internet service and/or software; or for other reasons beyond Our control.

"I Agree" to consent to do business electronically and to view Loan Documents electronically.

* By checking, I/we hereby authorize NRL Mortgage, LLC (NRL) to obtain a consumer credit report through a credit reporting agency chosen by NRL.

I/We understand and agree that NRL intends to use this consumer credit report for the purposes of evaluating my/our financial readiness to purchase/refinance a home.

I/We understand this credit report will be retained on file with NRL and the information will not be disclosed to anyone without my prior written consent.

* In order to successfully process your mortgage loan application, you must agree to receive certain disclosures from this institution in electronic form rather than paper form. You must also agree to the terms of the eDisclosure Agreement, which include software and hardware requirements and your responsibility to maintain and provide a valid email address. Certain disclosures may be provided to you in paper form as necessary once your mortgage loan application is received.

* We take our clients' financial privacy very seriously. During the course of processing your application, we accumulate non-public personal financial information from you and from other sources about your income, your assets, and your credit history in order to allow a lender to make an informed decision about granting you credit. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

We collect nonpublic information about you from the following sources: (i) information we receive from you on applications or other forms; (ii) information about your transactions with us, our affiliates, or others; and (iii) information we receive from a consumer reporting agency.

We do not disclose any nonpublic information about our customers or former customers to any third party, except as permitted by law.

* I/we am/are voluntarily giving NRL Mortgage authorization to verify information including but not limited to:

  • Employment history
  • Income history
  • Bank statements or other asset verification documents
  • Copies of income statements
  • Order Tax Transcripts from the IRS
NRL Mortgage has specifically advised us that "Your actual rate, payment and costs may be higher. Get an official Loan Estimate before choosing a loan."

Initials

September 23rd, 2018


September 23rd, 2018



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