[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-287251-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-287251-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","borrowers-signature-authorization-form-right-to-financial-privacy-act-certification","Borrower’s Signature Authorization Form - Right to Financial Privacy Act Certification","","Borrower’s Signature Authorization Form for Farmers State Bank authorizes the lender to verify employment earnings, bank accounts, stock holdings, and other asset balances needed to process a loan application. The form also permits ordering a consumer credit report and verifying additional credit information, including mortgage and landlord references, with a photocopy acceptable as authorization. It includes Right to Financial Privacy Act certification language, joint-credit intent statements, addendum terms supplementing an attached residential loan application, appraisal copy rights, and signature/address fields for borrower and co-borrower.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/borrowers-signature-authorization-form-right-to-financial-privacy-act-certification/287251/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/borrowers-signature-authorization-form-right-to-financial-privacy-act-certification/287251.png","ImageObject",442,249,{"name":42,"@type":43},"Genevieve","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-22","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What does the borrower authorize Farmers State Bank to verify for the loan application?","Question",{"text":63,"@type":64},"The borrower authorizes verification of past and present employment earnings, bank accounts, stock holdings, and other asset balances needed to process the loan application.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Can Farmers State Bank order a consumer credit report under this form?",{"text":68,"@type":64},"Yes. The borrower authorizes the lender to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references.",{"name":70,"@type":61,"acceptedAnswer":71},"What rights does the borrower have regarding receiving an appraisal report copy?",{"text":72,"@type":64},"The lender may order an appraisal and charge for it, and the borrower will be promptly given a copy of any appraisal even if the loan does not close.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},287251,1790049144,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":4},1374391974585,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","FARMERS STATE BANK  \nP.O. Box 405 Hillsboro, WI 54634 Phone (608) 489-2621  \nBORROWER’S SIGNATURE AUTHORIZATION FORM  \nI hereby authorize Farmers State Bank, the “lender” to verify my past and present employment earnings record, bank accounts, stock holdings and any other asset balances that are needed to process my loan application. I further authorize Farmers State Bank to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references. It is understood that a photocopy of this form will also serve as authorization.  \nThe information the lender obtains is only to be used in the processing of my application for a loan.  \nRIGHT TO FINANCIAL PRIVACY ACT CERTIFICATION  \nThe Department of Housing and Urban Development certifies, in compliance with the Right to Financial Privacy Act of 1978, that in connection with this request for access to financial records, it is in compliance with the applicable provisions of said Act.  \nAll parties signing this authorization are affirming their intent to apply for joint credit. A single signature implies intent for individual credit.  \nFACT ACT ADDENDUM TO UNIFORM RESIDENTIAL LOAN APPLICATION  \nThis Addendum supplements and is made a part of the attached Residential Loan Application.  \nWe acknowledge that income from medical insurance, disability or wage continuation insurance need not be revealed in the description of other income on the Residential Loan Application unless we choose to have it considered as a basis for repaying this loan.  \nThe extent to which parties may verify, reverify or obtain any information or data relating to the Loan according to the Acknowledgement on page 3 of the Uniform Residential Loan Application,(if that Application form is being used), may be limited by applicable Federal Law.  \nRIGHT TO RECEIVE A COPY OF APPRAISAL REPORT  \nRight to Receive Copy  \nWe may order an appraisal to determine the property’s value and charge you for this appraisal. We will promptly give you a copy of any appraisal, even if your loan does not close.  \nYou can pay for an additional appraisal for your own use at your own cost.  \nDate  Date   \nSignature  Signature  Borrower  Co-Borrower   \nAddress Address  \n_____________________________ ________________________  \n_____________________________ ________________________","cbCaiqWG3Xasr9Me","https://ap.wps.com/l/cbCaiqWG3Xasr9Me","pdf",105791,"English","# Borrower’s Signature Authorization\n## Right to Financial Privacy Act Certification\n## FACT Act Addendum to Uniform Residential Loan Application\n## Right to Receive a Copy of Appraisal Report\n## Signature and Borrower Details","[{\"question\":\"What does the borrower authorize Farmers State Bank to verify for the loan application?\",\"answer\":\"The borrower authorizes verification of past and present employment earnings, bank accounts, stock holdings, and other asset balances needed to process the loan application.\"},{\"question\":\"Can Farmers State Bank order a consumer credit report under this form?\",\"answer\":\"Yes. The borrower authorizes the lender to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references.\"},{\"question\":\"What rights does the borrower have regarding receiving an appraisal report copy?\",\"answer\":\"The lender may order an appraisal and charge for it, and the borrower will be promptly given a copy of any appraisal even if the loan does not close.\"}]","Borrower’s Signature Authorization Form - Right to Financial Privacy Act Certification | PDF",1789632066]