Urban Mortgage Inc. uses this form solely for the purpose of mortgage qualification. Once filled out, it will remain  strictly confidential. The  information will be used to quickly verify your credit rating. This form is secure, so please  provide the following information to the best of your ability to help Urban Mortgage Inc. get started on finding the best  mortgage for you. There is no cost, obligation or commitment by submitting this   form.

By filling out this secure online application, I hereby authorize Urban Mortgage Inc. to obtain a credit report and make any necessary inquiries regarding my mortgage application and to release this information to any approved lender  who may be interested in providing funds on my behalf as stated in the Urban Mortgage Inc. Privacy Policy (attached). I also agree to provide a signed and dated copy of the Urban Mortgage Inc. consent form (attached).

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