Please read and accept: The Bank and Clarity Mortgage Inc. may obtain credit information about the borrower and or the spouse from their employer, and any credit bureau of any of their dealings with the bank. Each asset is shown at its present fair market value and I/we own all such assets.

I/we are not being sued and there are no judgment or executions against me/us. I/we certify that the information is true and correct to the best of my/our knowledge.