VA IRRRL Benefit Allotment
1003
Sponsored by the Veteran's Administration
VA IRRRL Application
Secure Form

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Please fill out the form completely.  If there is no answer for a certian section, please complete the form with "NA".  For employment, if you are currently a student, retired, or unemployed, please complete the question of number of years on job or work.  For example if you have been retired for 5 years, please fill in the number of years in the employment section as 5 years.

* Required fields
Name *
E-mail Address *
Veteran First Name *
Veteran Middle Initial *
Veteran Last Name *
Home Phone Number *
Veteran Cell Phone number *
Social Security Number *
Date of Birth *
Married *
Co-Borrower First Name
Co-Borrower Middle Initial
Co-Borrower Last Name
Co-Borrower Social Security Number
Co-Borrower Date of Birth
Co-Borrower Cell Phone number
Property Address *
Property City, State, Zip *
Number of Years at Current Address *
Year Home Built *
Borrower Employer Name & Address *
Borrower Job Title *
Borrower Number of Years on Job *
Employer Phone Number *
Co-Borrower Employer Name & Address
Co-Borrower Job Title
Co-Borrower Number of Years on Job
Co-Borrower Employer Phone number
Have you declared bankruptcy in the past 7 years *
Have you foreclosed on a property in the past 7 years *
Are there any outstanding Judgements against you *
Are you more than 10% disabled *
Are you currently an active reservist *
If you are a current active reservist, what is your unit number? *
Name of nearest living relative *
Nearest living relative Phone Number *
Nearest living relative complete address *
Current Loan amount *
Current Interest rate *
Rate Type *
Current Mortgage Payment *
Are taxes and insurance included in your monthly payment *
Home Appraised Value *
Date Veteran Entered Service *
Date Veteran Separated from Service *
Branch of Service *
Officer or Enlisted *
Veteran Service Number *
Number of Dependants *
Dependents Ages *
Addition Names on Property Title
Veteran Number of Years of School Completed
Co-Borrower Number of Years of School Completed
Homeowner's Insurance Agent Name and Phone Number


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Credence Funding Corporation is not a government agency, and is not affiliated with any other mortgage lender or banking institution.  Credence Funding Corporation is sponsored by the Veterans Administration.  Credence Funding Corporation is a licensed Mortgage Lender.  Licensed by the Maryland Department of Finacial Regulation 06-20051, Licensed by the Colorado Division of Real Estate, Licensed by the Florida office of  Financial Regulation MLD 1041, Licensed by the Georgia Department of Banking and Finance 36848, Licensed by the New Jersey Department of Banking and Insurance, Licensed by the Pennsylvania Department of Banking and Securities 39247, Licensed by the Texas Department of Savings and Mortgage Lending, Licensed by the Virginia Bureau of Financial Institutions MC5662.  Licensed by the Tennessee Dept. of Financial Institutions License #124448.  Licensed by the California Dept. of Business Oversight License 60DBO44661.  Licensed by the Washington Dept. of Financial Institutions License CL-878490

 

Contact Credence Funding Corporation to find out more about the products and services we can provide. Regarding TEXAS residents and, properties located in TEXAS: "CONSUMERS WISHING TO FILE A COMPLAINT AGAINST A COMPANY OR A RESIDENTIAL MORTGAGE LOAN ORIGINATOR SHOULD COMPLETE AND SEND A COMPLAINT FORM TO THE TEXAS DEPARTMENT OF SAVINGS AND MORTGAGE LENDING, 2601 NORTH LAMAR, SUITE 201, AUSTIN, TEXAS 78705. COMPLAINT FORMS AND INSTRUCTIONS MAY BE OBTAINED FROM THE DEPARTMENT’S WEBSITE AT WWW.SML.TEXAS.GOV. A TOLL-FREE CONSUMER HOTLINE IS AVAILABLE AT 1-877-276-5550. THE DEPARTMENT MAINTAINS A RECOVERY FUND TO MAKE PAYMENTS OF CERTAIN ACTUAL OUT OF POCKET DAMAGES SUSTAINED BY BORROWERS CAUSED BY ACTS OF LICENSED RESIDENTIALMORTGAGE LOAN ORIGINATORS. A WRITTEN APPLICATION FOR REIMBURSEMENT FROM THE RECOVERY FUND MUST BE FILED WITH AND INVESTIGATED BY THE DEPARTMENT PRIOR TO THE PAYMENT OF A CLAIM. FOR MORE INFORMATION ABOUT THE RECOVERY FUND, PLEASE CONSULT THE DEPARTMENT’S WEBSITE AT WWW.SML.TEXAS.GOV."

Illinois: James R. Thompson Center, IDFPR-Residential Mortgage Banking, 100 W. Randolph, 9th Floor, Chicago, Illinois, 60601 Tel: (844) 768-1713