Uniform Residential Loan Application - 2009 Page 11

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NOTICE OF PENALTIES FOR MAKING FALSE OR MISLEADING
STATEMENT
Effective September 1, 2007 and pursuant to Section 1. Subchapter B,
Chapter 343, Section 343.105 of the Texas Finance Code, each mortgage
lender, mortgage banker or licensed mortgage broker/loan officer shall
provide to each applicant for a home loan this written notice at closing for
full verification and execution by each loan applicant.
WARNING:
Intentionally or knowingly making a materially false or misleading
statement to obtain property or credit, including a mortgage loan, is a
violation of Section 32.32, of the Texas Penal Code, and, depending on the
amount of the loan or value of the property, is punishable by
imprisonment for a term of 2 years to 99 years and a fine not to exceed
$10,000.
If you are aware of or suspect any false or incorrect information used in
connection with this loan, and do not report it immediately to the following
agency, you could be held responsible and/or accountable by law:
Texas Department of Savings and Mortgage Lending
2601 North Lamar Blvd., Ste. 201
Austin, Texas 78705
Toll Free Consumer Hotline: (877) 276-5550
Main Number: (512) 475-1350
Email: smlinfo@sml.state.tx.us
Website:
I/we, the undersigned home loan applicant(s), represent that I/we have
received, read, and understand this notice of penalties for making a
materially false or misleading written statement to obtain a home loan.
I/we represent that all statements and representations contained in my/our
written home loan application, including statements or representations
regarding my/our identity, employment, annual income, and intent to
occupy the residential real property secured by the home loan, are true
and correct as of the date of loan closing.
Applicant
Date
Co-Applicant(s)
Date

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