Mortgage Financial Corporation Brokerage Licence #10421
Mortgage Application and Consent

To Mortgage Financial Corporation. By submitting this form I/We hereby authorise and consent to such credit investigation as necessary for your proper consideration of this application, and understand that a credit report will be obtained from a credit reporting agency. I/We agree that a placement fee may be obtained by you from the mortgagee or as otherwise agreed. I understand and agree that I shall not be entitled to any portion of any profit, nor is Mortgage Financial Corporation or its employees liable for any loss that may occur upon placing and or assigning the herein mortgage for which I am applying.

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