Credit Authorization Terms

I/We hereby give our consent to Synergy Mortgage Corporation, or any credit reporting bureau which it may designate, to obtain any and all information concerning our employment, checking and/or savings account, and any or all obligations with our application for a loan. This form may be reproduced or photocopied and the copy shall be as effective as the original which we have signed.

Borrower: ________________________________________

Co-Borrower: ________________________________________

Date: __________________