*By providing the requested information and submitting all or a portion of this form, I expressly consent to contact from Southern Residential Lending or its subsidiaries, or agents at the number I provided regarding products or services via live, automated or prerecorded telephone call, text message, or email. I understand that my telephone company may impose charges on me for these contacts, and I am not required to enter into this agreement as a condition of purchasing property, goods, or services. I understand that I can revoke this consent at any time. To speak with someone at Southern Residential Lending, please call 1-800-748-2147. Southern Residential Lending NMLS #2921 (
nmlsconsumeraccess.org). Southern Residential Lending, L.L.C lending in the following states: DC(Lic.#MLB-2921), DE, FL, GA(Lic.#16579), MD, NC, NJ, OH, SC(Lic.#MLB-2921), TN, WV, VA. Southern Residential Lending is proud to be an Equal Housing Lender and Equal Opportunity Lender.