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CCPA – Verifiable Consumer Request Form

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Are You a Resident of California (or making a request on behalf of a resident of California)?(Required)
Do you wish to make a Verifiable Consumer Request pursuant to the California Consumer Privacy Act of 2018 (CCPA)?(Required)
More information regarding your rights under the CCPA (if any) can be found here.
By completing and submitting the below form, you will submit information and follow procedures sufficient for a Verifiable Consumer Request pursuant to the CCPA.
Name(Required)
(If not applicable please insert "1111")
Address(Required)
Declaration(Required)
**California law permits California consumers to use an authorized agent to make privacy rights requests. We require the authorized agent to provide us with proof of the California consumer’s written permission (for example, power of attorney) that shows the authorized agent has the authority to submit a request for the California consumer. The authorized agent must also verify his/her own identify. We will confirm the agent’s authority with the California consumer about whom the request was made.
This field is for validation purposes and should be left unchanged.

Homebridge Financial Services, Inc.
99 Wood Avenue South, Suite 301
Iselin, NJ 08830

NMLS ID #6521
©2025 Homebridge Financial Services, Inc.

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Homebridge is not acting on behalf of or at the direction of HUD/FHA
Or the Federal Government

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