Privacy Choice (1) Step 1 of 7 14% All consumers please complete the below form to exercise your Privacy Choices.Name(Required) First Last Last 4 Digits of Your Loan Number(Required)(If not applicable please insert "1111") Email(Required) Is This a Joint Account?(Required) Yes No Name (joint owner)(Required) First Last HiddenLast 4 Digits of Your Social Security Number (joint owner)(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CLICK HERE to view Homebridge Privacy Policy Notice CLICK HERE to view Important Privacy Choices for California Consumers Alaska Privacy Choices Alaska residents are automatically treated as if they have limited the sharing of their personal information with nonaffiliates or affiliates. Except as permitted by law, we will not share your personal information with nonaffiliates or affiliates unless you authorize us to. In order to authorize us to share your personal information with nonaffiliates and affiliates, please complete the below.Alaska Privacy Choices Yes, you may share my personal information with affiliates. Yes, you may share my personal information with nonaffiliates. Once you have consented, such consent will remain in effect unless you subsequently revoke or modify your consent. You may revoke your consent using any of the means identified at https://www.homebridge.com/privacychoices/ or by calling (866) 933-6342. IMPORTANT PRIVACY CHOICES FOR CALIFORNIA CONSUMERS You have the right to control whether we share some of your personal information. Please read the following information carefully before you make your choices below. Your Rights You have the following rights to restrict the sharing of personal and financial information with outside companies that we do business with. Nothing in this form prohibits the sharing of information necessary for us to follow the law, as permitted by law, or to give you the best service on your accounts with us. This includes sending you information about some other products or services. Your Choices Restrict Information Sharing With Companies We Own or Control (Affiliates): Unless you say “No,” we may share personal and financial information about you with our affiliated companies. Your Choices: Restrict Information Sharing With Companies We Own or Control (Affiliates): NO, please do not share personal and financial information with your affiliated companies. Restrict Information Sharing With Other Companies We Do Business With To Provide Financial Products and Services: Unless you say “No,” we may share personal and financial information about you with outside companies we contract with to provide financial products and services to you.Your Choices: Restrict Information Sharing With Other Companies We Do Business With To Provide Financial Products and Services: NO, please do not share personal and financial information with outside companies you contract with to provide financial products and services. Time Sensitive Reply You may make your privacy choice(s) at any time. Your choice(s) marked here will remain unless you state otherwise. However, if we do not hear from you we may share some of your information with our affiliated companies and other companies with whom we have contracts to provide products and services. You may change your privacy choices by contacting us at any one of the following: Call this toll- free number: (866) 933-6342 Reply electronically by contacting us through the following Internet option: https://www.homebridge.com/privacychoices/ Fill out and sign and send back this form to us: Homebridge Financial Services, Inc. Attn: Marketing Unsubscribe 194 Wood Ave S, Fl 9 Iselin, NJ 08830 Non-affiliate Sharing California residents are automatically treated as if they have limited the sharing of their personal information with nonaffiliates as described in Homebridge’s Privacy Policy Notice. Except as permitted by law, we will not share your personal information with nonaffiliates. North Dakota Privacy Choices North Dakota residents are automatically treated as if they have limited the sharing of their personal information with nonaffiliates or affiliates. Except as permitted by law, we will not share your personal information with nonaffiliates or affiliates. Vermont Privacy Choices Vermont residents are automatically treated as if they have limited the sharing of their personal information with nonaffiliates. We will not share your personal information with nonaffiliated third parties, except as permitted by law. In addition, unless you give us permission, we will not share information about your credit worthiness with our affiliates. We will not share information about your transactions and experiences with our affiliates for their everyday business purposes and to market to you unless permitted by law or unless you give us permission to do so. In order to authorize us to share your personal information with nonaffiliates and creditworthiness with affiliates, complete the below.Vermont Privacy Choices Yes, you may share my creditworthiness information with affiliates. Yes, you may share my personal information with nonaffiliates. Once you have consented, such consent will remain in effect unless you subsequently revoke or modify your consent. You may revoke your consent using any of the means identified at https://www.homebridge.com/privacychoices/ or by calling (866) 933-6342. Privacy ChoicesExcept as permitted by law, you may restrict us from sharing the following information (select each type of sharing you wish to restrict): Please do not share personal credit information about me obtained from outside sources within the Homebridge Financial Services, Inc. family of financial service providers for everyday business purposes. Please do not share my personal information within the Homebridge Financial Services, Inc. family of financial service providers to market to me. Please do not share my personal information with non-affiliates to market to me. You may make your privacy choice(s) at any time. Your choice(s) marked here will remain unless you state otherwise. You may change your privacy choices using any of the means identified at https://www.homebridge.com/privacychoices/ or by calling (866) 933-6342.” Complete the Below Captcha and Click Submit To Complete Your Privacy Choices Request CAPTCHA Δ
