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Borrower Certification Form

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BORROWER CERTIFICATION FORM

Borrower Information

Individual    Corporation    LLC    Partnership    Trust    Other:

Loan Information

Certifications and Representations

By signing below, the Borrower certifies, represents and warrants to the Lender as follows:

1. Accuracy of Information. All information provided to the Lender in connection with the Loan identified above is true, complete and correct in all material respects as of the Funding Date, including financial statements, tax returns, and other documents provided to support creditworthiness. Borrower will notify the Lender promptly of any material adverse change in financial condition.

2. Use of Proceeds. Borrower will use the proceeds solely for the purpose described in the Use of Proceeds section and not for any illegal activity. If proceeds are to be used for business purposes, Borrower certifies that no portion will be used for personal purposes inconsistent with the credit agreement.

3. No Bankruptcy or Default. Borrower is not presently insolvent and is not the subject of any pending petition in bankruptcy, insolvency, receivership, or similar proceeding. Borrower is not in default under any material agreement or obligation that would have a material adverse effect on Borrower’s ability to perform under the Loan.

4. Authorization to Verify. Borrower authorizes the Lender and its agents to verify any information provided, to obtain credit reports, to obtain employment and income verification, and to obtain any additional documentation reasonably requested by Lender to evaluate or monitor the Loan.

5. Tax Certification. Borrower certifies that all federal, state and local tax filings required of Borrower have been filed, and that to Borrower’s knowledge there are no material tax liabilities not disclosed to Lender, except as listed here:

6. Conflicts of Interest. Borrower has disclosed to Lender any relationship, direct or indirect, with any officer, director, agent, employee or affiliate of the Lender that could reasonably be viewed as a conflict of interest.

7. Compliance with Laws. Borrower will comply with all applicable laws, regulations and orders in the use of the Loan proceeds and in Borrower’s operations that are material to Borrower’s ability to perform under the Loan.

8. No Material Misstatements. Borrower understands that any intentional or negligent false statement, omission or misrepresentation in any information provided to Lender may constitute fraud and may subject Borrower to civil or criminal liability and immediate acceleration of the Loan.

9. Indemnity. Borrower agrees to indemnify and hold harmless the Lender from and against any losses, claims, damages, liabilities or expenses arising from material misrepresentations or breach of these certifications by Borrower.

10. Consent to Disclosure and Electronic Delivery. Borrower consents to Lender sharing information necessary to administer the Loan with affiliates, servicers and investors, and consents to receiving communications and disclosures electronically where permitted by law.

Additional Declarations

Will any portion of the proceeds be used to pay off an existing loan to a related party?   Yes    No

WARNING: ANY PERSON WHO KNOWINGLY MAKES A MATERIAL FALSE STATEMENT OR OMISSION IN CONNECTION WITH THIS CERTIFICATION MAY BE SUBJECT TO CIVIL OR CRIMINAL PENALTIES UNDER APPLICABLE LAW.

Borrower Printed Name:

Title (if signing for entity):

Signature:

Date:

Capacity:

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What the Borrower Certification Form Is

A Borrower Certification Form is a written attestation used in lending and financing transactions where an individual or entity confirms key facts about the loan, borrower identity, use of proceeds, and compliance with lender requirements. Typical uses include mortgage closings, commercial loan file documentation, SBA or government-backed loan certifications, and borrower eligibility statements. The form creates a record the lender can rely on for underwriting, audit, and regulatory review.

Why a Proper Borrower Certification Matters

A complete, accurate certification reduces legal and compliance risk, supports underwriting decisions, and documents borrower representations for audits and examiners.

Why a Proper Borrower Certification Matters

Who typically completes or relies on this form

Lenders, loan officers, compliance teams, and closing agents commonly prepare or request the Borrower Certification Form before funding.

  • Borrowers and co-borrowers who must attest to income, residency, business ownership, or intended use of loan proceeds.
  • Loan processors and underwriters who need signed representations for credit files and audit trails.
  • Closing agents, escrow officers, or notaries who verify identity and witness signatures when required.

Completed forms become part of the loan file and may be reviewed by regulators, auditors, or secondary-market purchasers.

Core sections found in a professional Borrower Certification Form

Well-designed forms group information logically, include clear representations, and provide signature blocks with dates and witness or notary sections where required.

Identification

Borrower legal name, business entity type, DBA names, and government-issued ID numbers as applicable for verification.

Loan Details

Loan amount, purpose of proceeds, lender reference number, and closing or effective date to tie the certification to a specific transaction.

Representations

Affirmations about accuracy of information, absence of undisclosed liabilities, and use of proceeds that the lender can rely upon.

Compliance Statements

Statements related to regulatory matters (e.g., SBA eligibility, anti-money laundering, or borrower insolvency disclosures).

Supporting Attachments

References to required supporting documents such as financial statements, tax transcripts, or corporate resolutions.

Signature Block

Signer name, title, signature, date, and any witness/notary block required by state law or lender policy.

Essential information fields to include

Borrower Name: Full legal name
Entity Type: Individual, LLC, Corporation, Trust
Loan Amount: Principal amount
Use of Proceeds: Purpose statement
Effective Date: MM/DD/YYYY
Signer Title: Officer or authorized signer

Step-by-step: how to complete the Borrower Certification Form

Follow these steps in order to prepare a clear, enforceable certification suitable for the loan file.

  • 01
    Gather documents: Collect ID, formation/ownership records, and financial attachments
  • 02
    Complete fields: Enter all required data in the format specified in the fillable guide
  • 03
    Review statements: Ensure all representations match supporting evidence
  • 04
    Sign and date: Signer executes in presence of required witnesses/notary

Customizing and configuring the form for online use

Typical workflow settings let you control who signs, authentication strength, and attachment requirements.

Field Configuration
Signature Type Electronic signature or digital (PKI) signature option
Authentication Email, SMS code, or advanced signer ID verification
Conditional Fields Show or hide fields based on borrower type
Attachments Require upload of ID or financial documents

Digital signing and platform needs

For secure eSubmission, use a platform that supports audit trails, secure storage, and required compliance controls.

  • File formats: PDF, DOCX supported
  • Integrations: Connectors for CRM/loan origination systems
  • Security: TLS in transit; AES-256 at rest

Ensure the chosen platform can produce a tamper-evident audit trail and meet program-specific authentication or notarization requirements.

Where to send or file the completed form

Routing depends on lender procedures; these steps show common destinations for the signed certification.

  • Lender File: Upload to loan origination system or document management repository
  • Closing Agent: Provide signed copy to escrow or title for closing records
  • Secondary Market: Include with delivery package for investors when required
  • Regulatory Exams: Retain certified copies for potential examiner review

Timing and processing expectations

Understand when the certification must be signed and how long review or funding may take after submission.

Signature before funding:

Sign prior to lender disbursement or closing

Document review:

Underwriting review typically takes 1–5 business days

Retention requirement:

Maintain file per retention rules in this guide

I-9 or tax timing:

Related federal forms follow their statutory deadlines

Re-execution window:

Lenders may require updated certification if circumstances change

Key milestones in the certification process

A sequential view of main processing stages helps coordinate signatures, verification, and funding.

01

Preparation

Assemble borrower data and supporting documents for the form

02

Execution

Borrower and authorized signers execute signatures and dates

03

Verification

Lender verifies identity and supporting evidence

04

Filing and retention

Store the executed certification in the loan file and archive

Common mistakes to avoid

  • Using nicknames or abbreviations for legal names that do not match ID or formation documents
  • Leaving conditional fields blank when borrower type requires additional representations
  • Failing to attach required supporting documents such as tax transcripts or corporate resolutions
  • Signing without required witness or notary where state or lender policy mandates it

Risks and consequences of incorrect certifications

Funding delays: Misstatements can pause or deny disbursement
Repurchase risk: Secondary-market buyers may require repurchase for material misrepresentations
Regulatory fines: Potential examiner penalties for compliance failures
Legal liability: Borrower exposure for fraudulent statements
Tax consequences: Incorrect tax-related info may trigger withholding or penalties
Contract rescission: Material inaccuracies can void loan agreements in some cases

Real-world examples of Borrower Certification use

These scenarios show how different organizations use the form to manage risk and document loan conditions.

Optica Ventures — Loan Closing

The lender required a borrower certification for a bridge loan to confirm use of proceeds for acquisition

  • Form captured borrower identity and source of funds
  • The signed form was retained in the loan origination system and supported a clean investor delivery package, reducing follow-up requests.

Martin Properties — Property Refinance

A commercial borrower certified property occupancy status to qualify for program financing

  • Certification included attachments verifying rents and leases
  • The completed certification expedited underwriting and provided a clear audit trail for subsequent servicer reviews.

eSignature vendor comparison for completing and storing the form

Basic vendor capabilities and starting price points help compare providers for secure signing and storage of borrower certifications.

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 Varies Varies Varies
Bulk Send Yes (Premium) Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently asked questions and troubleshooting

Answers to common questions about completing, signing, and storing the Borrower Certification Form.


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