Borrowers Refusal to Sign

BORROWER’S REFUSAL TO SIGN

Borrower(s:___________________________________________________________________ Address:______________________________________________________________________ Lender:_______________________________________________________________________ Loan No.:_____________________________ Appt:__________________________________ Notary:_______________________________________________________________________



Please explain why you do not wish to sign the above referenced document(s):



Do you understand your Right to Cancel? Yes No N/A Have you spoken to your loan officer about this decision? Yes No Were you able to speak to the loan officer? Yes No Are you making this decision freely? Yes No



Borrower



Borrower