Applicant Information For Individuals

All fields marked with a star (*) are required!

Co-Applicant Information

ALL FIELDS MARKED WITH A STAR (*) ARE REQUIRED! PLEASE DOUBLE CHECK.

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I/We warrant and confirm that the information given in the mortgage application is true and correct and I/We understand that it is being used to determine my/our credit responsibility. Mortgage Central Nationwide & Legacy Mortgage Group is authorized to obtain any information you may require relative to this application from any sources to which you may apply and each such source is hereby authorized to provide you with such information. Mortgage Central Nationwide & Legacy Mortgage Group is furthermore authorized to disclose, in response to direct inquiries from any other lender or credit bureau, such information on my loaning accounts as you consider appropriate, and I agree to indemnify Mortgage Central Nationwide & Legacy Mortgage Group against and save you harm from any and all claims in damages or otherwise arising from such disclosure on your part. Mortgage Central Nationwide & Legacy Mortgage Group is authorized to retain the application whether or not the relative mortgage is approved.

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