Inter-Capital Group

                Real Estate Loans


Borrower(s) Name: _______________________________________

Present Address: _________________________________________________________

I/We hereby give consent to have Inter-Capital Group obtain information regarding my/our employment, checking and/or savings accounts, mortgage ratings, credit history and any and all credit matters related to this loan application.

A photographic or carbon copy of this authorization bearing a photographic or carbon copy of the signature(s) of the undersigned may be deemed to be equivalent of the original hereof and may be used as a duplicate original.

______________________________             _______________                 __________________________

Signature of Applicant                                Date                                     Social Security Number

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Signature of Applicant                                 Date                                     Social Security Number

2787 Moorpark Ave, San Jose, CA 95128

                    Telephone: (408) 985-6400 Fax: (408) 241-6900