Order Credit Report (* indicates required fields)
Home Address (Street)*
By Clicking the Submit button, I hereby authorize THE PING MORTGAGE COMPANY to verify my past and present employment
earnings records, bank accounts, stockholdings, and any other asset balances that are needed to process my
mortgage loan application. I further authorize THE PING MORTGAGE COMPANY to order a consumer
credit report and verify other credit information, including past and present mortgages and landlord
THE PING MORTGAGE COMPANY may also utilize the services of MERCHANTS CREDIT BUREAU to
further verify my personal credit information and the information THE PING MORTGAGE COMPANY obtains
is only to be used in the processing of my application for a mortgage loan. It is understood that a copy of this
form will also serve as authorization. This authorization expires 120 days from the date indicated below.
Privacy Act Notice: This information is to be used by the agency collecting it or its assignees in determining
whether you qualify as a prospective mortgagor under its program. It will not be disclosed outside the agency
except as required and permitted by law. You do not have to provide this information, but if you do not your
application for approval as a prospective mortgagor or borrower may be delayed or rejected. The information
requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. seq. (if
HUD/FHA); by 42 USC, Section 1452b (if HUD/CPD); and Title 42 USC, 1471 et. seq., or 7 USC, 1921 et.
seq. (if USDA/FmHA).
[ Home ] [ Rate Inquiry ] [ Rate Lock-in ] [ Offices ] [ Tools and Library ] [ Featured Builders ] [ Law Offices ] [ Community Outreach ]
© 2003-2008, The Ping Mortgage Company, a GA/TN/SC Residential Mortgage
Licensee. GA license #19048 Last modified:
July 17, 2008