NMLS # 205935

As a borrower you will be required to pay for your credit report.
If you would like this fee charged to your credit card, please read and complete the form below.
Be sure to check the box to authorize us to charge the following fee to your specified credit card.

SECURE FORM FOR
AUTHORIZATION TO CHARGE CREDIT CARD

Please Choose your Mortgage Loan Officer or Local Branch

The stated borrower(s) authorize HNB Mortgage to charge the provided credit card in the amount of $55.00 for one borrower, or $75.00 for two borrowers, for the initial credit report fee upon the initial HNB Mortgage loan application. Credit report supplements may be required after pulling the initial report in order to receive full loan approval. Typically, any additional fees for said required credit supplements will be collected at closing.

The stated borrower(s) understand the majority of closing costs and prepaid items, as disclosed on the Loan Estimate Disclosure, will not be charged to the provided credit card, but will be collected at closing in the form of a cashier’s check.

AUTHORIZATION TO CHARGE CREDIT CARD
I have read and understand the information above and I authorize HNB Mortgage to charge the credit report fee stated above to the following credit card:

NAME AS IT APPEARS ON CARD:


Name on loan application (leave blank if name on loan application is same as name on card):

BILLING ADDRESS:
street:
city:
state:
zip:
phone number:

CREDIT CARD TYPE


CREDIT CARD NUMBER: (no spaces or dashes please)


SECURITY CODE:


EXPIRATION DATE:
-

I elect to receive Initial Loan Disclosures via (please choose):

Password Protected Email (please provide an email address on your Loan Application)

U.S. Mail (please provide a postal address on your Loan Application)

I would like to meet in person to discuss and review this documentation

I/We authorize the other third parties as listed below to have permission to inquire about the status or details of my loan during the loan process.  In order for HNB Mortgage to discuss your loan file with any of the below, they will be required to provide the last four digits of the primary borrower’s cell phone number:

Additional Information or Comments:

Submit your credit card information via our Secure website
(please click only once)

or

Credit Report Privacy

Call (888) 5-OPTOUT or (888) 567-8688 to opt out of pre-approved offers of credit or go online to www.optoutprescreen.com