Mortgage Application

Consent Page

*Please Check One:

You are applying for individual credit in your own name and are relying on your own income or assets and not the income or assets of another person as the basis for repayment or the credit requested.
You are applying for joint credit with another person and are relying on your own income or assets and the income or assets of another person as the basis for repayment or the credit requested.

*Applicant
*Co-Applicant

Electronic Consent

Federal law requires that we obtain your consent before providing required disclosures electronically as you complete our online application. Your consent will apply only to this transaction.

If you would prefer to receive paper copies free of charge after consenting to receive electronic disclosures and submitting your online application, or if you need to update your information such as your e-mail address please contact us by phone at 214-341-1991. Because we may provide certain disclosures to you as soon as you consent but prior to submitting your online application, you will not be able to withdraw your consent to receive those disclosures electronically. However, you may withdraw your consent to receive future disclosures electronically at any time and at no cost to you by emailing us or contacting us by phone as described above. Such withdrawal will not affect the legal validity of the disclosures already given.

By clicking Submit you agree to complete our online application and to receive any required disclosures online. You promise and warrant that everything you state in this request is correct to the best of your knowledge. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information. You understand that ViewPoint Bankers Mortgage will rely on the information provided by you in this request and your credit report to make a credit decision.

System Requirements:

e-Mail address that will allow receipt of commercial email and will not be subject to control blocks
e-Mail address that will accept attachments
Adobe Acrobat*

Requirements for Adobe:

Intel® Pentium®processor
Microsoft® Windows® 98, Windows Millennium Edition, Windows NT® 4.0, Windows 2000, or Windows XP
16MB of RAM
20MB of available hard-disk space

Microsoft Word or any software that can support Word documents.

*I agree