191 Sweet Hollow Road
Old Bethpage, NY 11804

Tel: 516 932-9675   .  Fax: 516 861-3001

 


 
 
 Loan Processing Submission Form
Submission Date:
Your Name:
Your Company:
Borrower's Name:
Subject's Address:
THE FILE MUST INCLUDE THE FOLLOWING:
 
Complete 1003
Good Faith Estimate (GFE)
Truth in Lending (TIL)
Borrower's Signed Authorization
Pre-approval
Borrowers Credit Report
 
TYPE OF LOAN: (CHECK ONE)
FHA
VA STREAMLINE
Conforming Conventional
Non-Conforming Conventional
Other:
PURPOSE OF LOAN: (CHECK ONE)
Purchase
Purchase/pre-approval TBD
(requiries deposit)
No Cash-Out Refinance Cash-Out 
Refinance
2nd Mortgage/Heloc
Other:
DOC TYPE: (CHECK ONE)
Full
Stated
Other:
EMPLOYMENT TYPE: (CHECK ONE)
Self Employed
Wage Earner
SUBMIT LOAN TO THE FOLLOWING LENDER:
(MUST ALREADY BE DETERMINED -- PLEASE FILL OUT BELOW)
Lender Name:
Program:
Rate:
Locked :
Yes No
Contact Person:
Phone #:
Fax:
TITLE INSURANCE COMPANY: (PLEASE FILL OUT BELOW)
Title Co. Name:
Address:
Contact Person:
Phone #:
Fax:
APPRAISAL FIRM: (PLEASE FILL OUT BELOW)
Appraisal Co. Name:
Address:
Contact Person:
Phone #:
Fax:
ESCROW/CLOSING AGENT: (PLEASE FILL OUT BELOW)

Escrow/Closing Co. Name:

Address:
Contact Person:
Phone #:
Fax:
ADDITIONAL SERVICES
15 Day rush $100
Return file in compliant electronic PDF $30
Post Closing QC $50
Courier out discloser $25 
Automated valuation model (AVM) $55
Flood Certificate $25
Drawing of closing docs $55
MISC: (PLEASE FILL OUT BELOW)
LP/AU/DO decision letter included?
Yes No
May we contact the borrower to source needed docs?
Yes No
Have you submitted this loan to any other lender yet?
Yes No
 if so, how many?
1 2 3
SPECIAL COMMENTS
COMMENTS:
    
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