Why this document matters
A credit report or third-party quality control software utilized in the underwriting process may reveal discrepancies in address information compared to the application. This form enables the borrower to provide clarification regarding such variations. This form enables borrowers to explain address variations and verify no undisclosed properties that would impact loan qualification. Without borrower clarification, address discrepancies can delay underwriting or result in incomplete risk assessment.When this document is requested
This document is requested when:- Address mismatch between credit report and application
- Multiple addresses found in credit history
- Address format inconsistencies across systems
- Recent move with previous address still on credit report
Required data fields
General fields
| Field Name | Type | Required | Data Source | Notes |
|---|---|---|---|---|
| Borrower name | String | Yes | Borrower entity | Full legal name, repeatable for N borrowers |
| Loan number | String | Yes | Loan entity | Alphanumeric identifier |
| Borrower signature | Signature | Yes | E-signature | Digital signature with timestamp, repeatable for N borrowers |
| Signature date | Date | Yes | E-signature | Auto-populated on signature, repeatable for N borrowers |
Address-specific fields (repeatable up to N times)
| Field Name | Type | Required | Data Source | Notes |
|---|---|---|---|---|
| Address in question | String | Yes | Credit report / Application | Full street address |
| Ever lived at this address | Boolean | Yes | User input | Yes/No checkbox |
| Date lived from | Date | Conditional | User input | Required if “Ever lived” = Yes, format: MM/DD/YYYY |
| Date lived to | Date | Conditional | User input | Required if “Ever lived” = Yes, must be >= from date |
| Has ownership interest | Boolean | Yes | User input | Yes/No checkbox |
Suggested questions for data collection
| Question | Response Type | Validation |
|---|---|---|
| ”Borrower #X: What is your full legal name?” | Text input | Required, min 2 words, repeat for each borrower |
| ”Address #X: What is the address in question?” | Text input | Required, full street address format |
| ”Address #X: Have you ever lived at this address?” | Yes/No | Required |
| ”Address #X: If yes, when did you live there? (From)“ | Date | Required if “Ever lived” = Yes |
| ”Address #X: If yes, when did you live there? (To)“ | Date | Required if “Ever lived” = Yes, must be >= from date |
| ”Address #X: Do you currently have any ownership interest in this property?” | Yes/No | Required |
| ”Please sign and date this document” | E-signature | Required, includes timestamp |