Information Disclosure Authorization Page 6

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CONTINUATION SHEET/RESIDENTIAL LOAN APPLICATION

Use this continuation sheet if you need more

Borrower:

Agency Case Number:

space to complete the Residential Loan

Application. Mark B f or Borrower or C for

Co-Borrower.

Co-Borrower:

Lender Case Number:

______________________________________________________________________________________________________________________________________________

I/We fully understand that it is a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions

of Title 18, United States Code, Section 1001, et seq.

Borrower’s Signature

Date

Co-Borrower’s Signature

Date

Uniform Residential Loan Application

Freddie Mac Form 65 7/05 (rev.6/09)

Page 5 of 5

Fannie Mae Form 1003 7/05 (rev.6/09)