Loan Submission Form
Contact Information
L/O Name:    
Required: Please enter the L/O Name
L/O Email    
Required: Please enter the L/O Email
SD Processing to Mail Out Disclosures:     Yes    No

Borrower Information
Borrower Name:    
Required: Please enter the Borrower Name
Subject Property Address:    
City, State, Zip:    
Occupancy:    
Required: Please enter the Occupancy
Property Type:    
Required: Please enter the Property Type

# of Units
Required: Please enter the # Of Units
Impounds:     Yes    No

Loan Information
Estimated Close of Escrow:    
Doc Type:    
Loan Purpose:    
Required: Please enter the Loan Purpose
Loan Type:    
Loan Amount:    
Purchase Price / Estimated Value:    
Interest Rate (%):    
Locked:     Yes    No
YSP% / Cost%:    
Term:    
Required: Please enter the Term

If "Other", specify term
Required: Please enter the Term Other
Amortization:    
Required: Please enter the Amortization
Prepayment Penalty:     Yes    No

Lender Information
Lender:    
AE Name:    
AE Phone:    
Program #:    
Program Description:    

Broker Fees
Broker Origination Fee:    
Required: Please enter the Broker Origination Fee
Broker Admin Fee:    
Required: Please enter the Broker Admin Fee
Broker Credit for NRCCs:    
Other Fees:    

3rd Party Information
SD Processing to Open Escrow:     Yes    No
Escrow Company:    
Escrow Phone:    
Escrow #:    
SD Processing to Order Title:     Yes    No
Title Company:    
Title Phone:    
Title #:    
SD Processing to Order Appraisal:     Yes    No
Appraiser Name:    
Appraiser Phone:    

Hazard Insurance Info (if available)
Insurance Agency/Agent Name:    
Insurance Agency/Agent Phone:    

Notes
Notes:    

Concurrent 2nd - CLICK HERE -
(opens in a seperate window - will not effect this form)

***ORIGINATOR WARRANTS THAT ALL COPIES IN THE LOAN FILE ARE CERTIFIED TRUE OF THE ORIGINAL DOCUMENTS***


  


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Website Administrator: Chris Davis