BROKER AND LENDER INFORMATION

BROKER*:

ORIGINATOR*:

ORG EMAIL*:

ORG PHONE*:

DATE*:

LENDER*:

(please complete Lender Contact Sheet if this our first time submitting to this lender)

LENDER PAID (%):

FLAT FEE $:

BORROWER PAID (%):

THIRD PARTY PROCESSING FEE $:

REQUEST TYPE*:

RATE LOCKED*:

BORROWER AND PROPERTY INFORMATION

LAST NAME*:

FIRST NAME*:

EMAIL*

PROPERTY ADDRESS*:

PROPERTY TYPE*:

OCCUPANCY*:

LOAN AND PROGRAM INFORMATION

LOAN AMOUNT * $:

RATE * (%):

PURPOSE*:

IMPOUNDS*:

MI:

SECOND TD LN AMT $ :

REIMBURSEMENT (CHECK ALL THAT APPLY)
 CREDIT REPORT APPRAISAL HOA DOCS SUBORDINATING CURRENT NEW ‐ SAME LENDER AS 1ST NEW ‐ DIFFERENT LENDER OTHER

OTHER:

LENDER:

LOAN PRODUCT*:

IF OTHER, PLEASE SPECIFY:

RATE TYPE*:

AUS*:

OTHER:

COMMENTS

Please upload submission documents.

Kindly zip your files into one zip folder and attach.