This information will be used for Mortgage Prequalification Purposes Only and is not an application for credit. By submitting this information I (We) hereby authorize Crosstown Mortgage Group, Inc or it's representative to obtain a credit report if they require it and to call me (us) to discuss my (our) home buying and financing requirements.

Submitting this information does not obligate me (us) to accept any loan if I (we) am (are) approved.