EmailMe Form - Client Authorization and Consent Form

Name *

First MI Last

Phone *

### - ### - ####

Loan Officer *

Additional Phone

### - ### - ####

Fax

### - ### - ####

Email (Primary)

Email (Secondary)

Permission to discuss any items on my file (Spouse, realtor, title company, insurance agent, etc)

Name(s)

Permission to discuss any
property information only

Name(s)

For Internal Use Only

Terms and Conditions:
I hereby consent to allow Guidance Mortgage LLC (NMLS ID #220081), its employees, and agents to contact me via the above listed email address(es), fax number, or phone number(s), even if I am listed on any Do Not Call list at the State or Federal level until such time as I withdraw permission in writing to: Guidance Mortgage LLC, 14380 W Capitol Dr Ste #1, Brookfield, 53005. I also consent to allow Guidance Mortgage LLC to contact and discuss my file with the interested parties entered above on this form, so long as they do not disclose information to these parties about my income, assets, or credit history. *

I Agree to the Terms and Conditions

Credit Report: *

I Authorize Guidance Mortgage to access my credit report.