Email Date Submitted to Processor * Est. Close of Escrow Date * Broker & Lender Information Loan Officer * Phone No * Email * Lender Website User Name * Website User Password * Lender Name * Account Exec * A.E. Phone * A.E. Email * Co. ID * Borrower Information Names Borrower * Co-Borrower * Co-Borrower * Co-Borrower * Phone No * Phone No * Phone No * Phone No * Email * Email * Email * Email * Vesting Information Comments * Loan Information Loan Type * Select One Conventional High Balance Jumbo FHA FHA Streamline USDA VA VA IRRL Base Loan Amount * Loan Amnt. w/UFMIP * Purchase Price * Estimated Value * Subordinating 2nd * Yes NO 3rd Party Processing * Yes NO Program Code * Rate (%) * Lender Paid Comp. Plan * Lender Comp. Plan Flat Fee * Credit to Borrower before Comp * Discount Points * DU or LP * DU or LP DU LP Property Type * Property Type SFR Detached Conc Attached Cond PUD 2-4 Units Purpose * Purchase Refinance R/T Refinance C/O Occupancy * Primary Secondary Home Investment Seller Credit * Impounds * Yes NO Appraisal AMC * AMC User Name * AMC User Password * Rush * Yes NO Contact for Entry * Phone No. Of Contact for Entry * Escrow & Agent Information Escrow Company * Escrow Officer * Phone No * Email * Listing Agent * Phone No * Email * Buyers Agent * Phone No * Email * Special Instructions Comments * recaptcha *