Establishing secure connection…Loading editor…Preparing document…

Borrower Certificate Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

BORROWER CERTIFICATE FORM

This Borrower Certificate Form (the Certificate) is delivered as of by Borrower Name: and Lender Name: pursuant to the Loan Agreement dated among the parties.

RECITALS

WHEREAS, Lender has agreed to make or has made certain loans and other financial accommodations to Borrower under the Loan Agreement and related loan documents (collectively, the Loan Documents); and

WHEREAS, as a condition to the making and continuation of the loans, Lender requires Borrower to deliver this Certificate, executed by an authorized officer, certifying certain matters set forth below.

WHEREAS, capitalized terms used but not otherwise defined herein have the meanings assigned to them in the Loan Agreement.

NOW THEREFORE

Borrower hereby certifies to Lender as follows, effective as of (the Effective Date).

1. BORROWER INFORMATION

2. REPRESENTATIONS AND WARRANTIES

2.1 Organization and Authority. Borrower is duly organized, validly existing and in good standing under the laws of the jurisdiction set forth above, and Borrower has all requisite power and authority to enter into and perform the Loan Documents and to carry on its business as now conducted.

2.2 Authorization; Enforceability. The execution, delivery and performance of the Loan Documents have been duly authorized by all necessary corporate or other organizational action of Borrower, and the Loan Documents constitute valid and binding obligations of Borrower enforceable in accordance with their terms, except as enforcement may be limited by bankruptcy, insolvency, reorganization, moratorium or other similar laws affecting enforcement of creditors' rights generally.

2.3 No Conflict; No Default. Neither the execution and delivery of the Loan Documents nor compliance by Borrower with the terms thereof will (a) violate any provision of Borrower's organizational documents, (b) violate any material law or material contractual obligation of Borrower, or (c) result in any existing default or acceleration under any material agreement to which Borrower is a party.

2.4 Litigation. There are no actions, suits or proceedings pending or, to Borrower's knowledge, threatened against or affecting Borrower that would reasonably be expected to have a Material Adverse Effect (as defined in the Loan Agreement), except as set forth in the Exceptions section below.

2.5 Taxes. All federal, state and local tax returns required to be filed by Borrower have been filed and all taxes shown to be owing thereon have been paid, except for taxes the validity or amount of which is being contested in good faith by appropriate proceedings and for which adequate reserves have been established in accordance with generally accepted accounting principles.

2.6 Solvency. After giving effect to the transactions contemplated by the Loan Documents, Borrower is, and will be, solvent, able to pay its debts as they mature and has capital sufficient to carry on its business and operations in the ordinary course.

2.7 Environmental Matters. To Borrower's knowledge, there are no environmental conditions, violations, liabilities or claims relating to Borrower's properties that would reasonably be expected to have a Material Adverse Effect.

3. CERTIFICATIONS

3.1 Accuracy of Information. The representations and warranties set forth in the Loan Documents and in this Certificate are true and correct in all material respects on the Effective Date and will be true and correct on the Funding Date (as defined in the Loan Agreement), except to the extent that the Loan Documents expressly provide otherwise.

3.2 No Undisclosed Liens. Except as disclosed to Lender in writing and listed in the Exceptions section below, there are no liens, security interests, charges or encumbrances affecting the assets of Borrower other than those permitted under the Loan Documents.

3.3 Use of Proceeds. The proceeds of the loans under the Loan Documents will be used only for the purposes expressly permitted by the Loan Documents and not for any use that would violate applicable law. Describe intended use of proceeds, if required:

4. EXCEPTIONS

5. COVENANTS

Borrower covenants that, until all obligations under the Loan Documents have been indefeasibly paid in full, Borrower will (i) comply with all material laws and regulations applicable to its business; (ii) promptly deliver to Lender such financial statements, certificates and other information as Lender may reasonably request; and (iii) not permit any material default under the Loan Documents.

6. NOTICES

7. MISCELLANEOUS

Governing Law. This Certificate shall be governed by and construed in accordance with the laws of the jurisdiction specified in the Loan Agreement without regard to conflicts of law provisions.

Entire Agreement. This Certificate, together with the Loan Documents, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes any prior written or oral agreements with respect thereto.

Severability. If any provision of this Certificate is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

Amendments and Waivers. No amendment or waiver of any provision of this Certificate shall be effective unless in writing and signed by the party against whom enforcement is sought.

Counterparts. This Certificate may be executed in counterparts, each of which shall be an original and all of which together shall constitute one and the same instrument.

Borrower:

By:

Date:

Lender:

By:

Date:

Enter text✕
Prepare your document for signing right on this page
  • 01 Edit the text and complete the fields
  • 02 Click Sign Now and on the next screen add recipients and signature fields in SignNow
  • 03 Start your free trial to sign and send your doc
Sign Now

What the Borrower Certificate Form Is and When It’s Used

The Borrower Certificate Form is a formal written declaration used in lending and closing workflows to document a borrower’s factual statements and representations. Typical attestations cover identity, authority to borrow, intended use of loan proceeds, tax or residency status, and any conditions precedent required by the lender or investor. Lenders, closing agents, and underwriters rely on the certificate to verify information, support funding decisions, and create an auditable record for compliance, investor delivery, or tax reporting.

Why a Clear Borrower Certificate Matters

A precise Borrower Certificate reduces underwriting and closing delays, documents the factual basis for loan decisions, and creates a defensible record for audits or secondary market requirements. Properly completed certificates also help satisfy tax reporting and anti-fraud obligations.

Why a Clear Borrower Certificate Matters

Typical Users and Roles That Complete This Form

Primary users include lenders, mortgage brokers, closing agents, and commercial finance teams responsible for verifying borrower statements.

  • Mortgage lenders verifying borrower occupancy, income documents, and intended use of loan proceeds.
  • Commercial lenders assessing corporate borrower authority, capitalization, and permitted use of funds.
  • Closing agents and escrow officers collecting signed certificates at disbursement and recording time.

Use the form to standardize attestations and create a reliable document trail for underwriting, funding, and post-closing review.

Who Signs and Who Prepares the Form

Loan Officer

Prepares the certificate for lender review, ensures required exhibits are attached, and coordinates signature logistics. Accurate preparation shortens underwriting review and reduces the likelihood of funding holds or post-closing document requests.

Authorized Signer

An authorized borrower representative (individual owner, corporate officer, or closing attorney) who signs to attest to all representations. The signer should confirm identity, authority, and factual accuracy before signing due to potential legal consequences for false statements.

Essential Elements of a Professional Borrower Certificate

A well-structured Borrower Certificate includes standardized attestations, clear identifiers, required data fields, supporting exhibits, signature and notarization areas, and audit metadata to support compliance and secondary market transfer.

Header

Identifies lender, borrower, loan number, and effective date so the certificate clearly ties to a specific loan file and closing package.

Borrower Attestations

Concise statements about identity, intended use of proceeds, occupancy or business purpose, tax status, and the absence of undisclosed encumbrances or defaults.

Required Fields

Fields for legal name, taxpayer identification, address, loan amount, and signature block with instructions for format and supporting attachments.

Supporting Exhibits

References to documents like corporate resolutions, tax forms, title reports, or funding instructions that substantiate attested facts.

Signature Block

Lines for printed name, title, date, and notary or witness information where lender policy or state law requires authentication.

Audit Data

Capture of signing metadata—timestamp, IP or RON journal entry, method of authentication, and certificate of completion for future audits.

Required Information Typically Collected

Borrower Name: Full legal name
Taxpayer ID: TIN or EIN
Loan Amount: Principal amount
Property Address: Street, city, state, ZIP
Signer Title: Role or capacity
Effective Date: MM/DD/YYYY

Step-by-Step: Completing a Borrower Certificate

Follow these sequential steps to prepare, verify, sign, and distribute the Borrower Certificate Form so it’s valid for funding and compliance review.

  • 01
    Prepare Document: Gather loan identifiers and supporting exhibits.
  • 02
    Complete Fields: Enter borrower data using required formats.
  • 03
    Obtain Signatures: Have authorized signers authenticate and date the form.
  • 04
    Distribute Copies: Send executed copies to lender, escrow, and borrower.

How to Configure a Digital Workflow for This Form

Common workflow settings when digitizing the Borrower Certificate ensure proper authentication, field validation, and archival.

Field Configuration
Authentication Method Email + SMS code
Signature Type Electronic signature or RON
Field Validation Required formats and TIN mask
Retention Setting PDF/A archival with audit trail

From Preparation to Signed Record — Process Flow

A simplified workflow shows the primary handoffs: prepare, verify, sign, and archive — with audit data captured at each step.

  • Upload: Sender uploads the certificate to an eSignature platform.
  • Place Fields: Configure fillable fields, required flags, and validation rules.
  • Sign: Signer authenticates and completes the signature process.
  • Archive: Store signed PDF with audit trail and attachments.

Digital Signing Considerations and Technical Compatibility

Verify platform support for required integrations, file formats, and signer authentication before eSubmission.

  • Integrations: Salesforce, NetSuite, Google Workspace
  • File Formats: PDF, DOCX, HTML, Excel
  • Authentication: Email, SMS, KBA, RON

Typical Timing and Deadlines to Track

Timing depends on lender policy, closing schedules, and any tax or regulatory reporting deadlines tied to the loan; plan early to avoid funding delays.

Submission Timing:

Delivered at or before closing; often a funding prerequisite.

Tax Reporting:

Provide supporting tax forms (for example, W-9) when requested by the payer.

Notarization Window:

Notarize per state or lender rules before disbursement if required.

Retention Timing:

Store executed copies per retention policy and regulatory standards.

Correction Period:

Report and correct material errors promptly to the lender.

Common Preparation and Completion Errors to Avoid

  • Mismatched names between the certificate and government IDs that delay verification and funding.
  • Missing supporting exhibits such as corporate resolutions or tax forms that lead to follow-up requests.
  • Insufficient signer authority or unclear capacity for corporate signers, causing validity disputes.
  • Incorrect dates or formats (e.g., inconsistent MM/DD/YYYY) that create audit or acceptance issues.

Consequences of Incorrect or Misleading Borrower Statements

False Statement: Civil and criminal exposure
Tax Withholding: Backup withholding risk
Funding Delays: Disbursement holds
Contract Voidance: Potential rescission
Legal Liability: Indemnities or damages
Regulatory Penalty: Enforcement fines

Comparing eSignature Solutions for Borrower Certificate Workflows

Key pricing and capability differences for common eSignature vendors. signNow is shown first for direct product comparison; confirm vendor details before procurement.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by vendor Varies by vendor Varies by vendor Varies by vendor
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently Asked Questions About the Borrower Certificate Form

Answers to common questions about execution, e-signing, notarization, corrections, and retention for the Borrower Certificate Form.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users
Sign Now
Company
Forms
Pricing
Resources
Knowledge base
Other Products
© 2026 airSlate Inc. All rights reserved.