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Credit Application

IMPORTANT: Read these Directions before completing this Application.

Check the appropiate Box:

Name*

E-mail Address*

Please check one:

If 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, complete Sections A, C, D, and E, omitting B and the Second Part of C.

If this is an application for joint credit with another person, complete all Sections, providing information in B about the joint applicant. We intend to apply for joint credit:

Applicant

Co-Applicant

If you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of credit requested, complete all Sections to the extent possible, providing information in B about the person on whose alimony, support, or maintenance payments or income or assets you are relying.

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, 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.

Submit

* Required