Net Tangible Benefit Worksheet Template Page 2

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I/We acknowledge that:
I/We understand the costs associated with the new loan;
The new loan may have different terms (including duration of term and rate of interest) than my/our
existing loan(s); and
The new loan will provide a reasonable, tangible net benefit to me/us after taking into account the terms
of both the new and existing loan(s), the cost of the new loan, and my/our particular circumstances.
By refinancing my/our existing loan(s), the following benefits apply to me/us (each borrower should initial any
benefit that applies):
______
______ Obtaining a lower interest rate.
______
______ Obtaining a lower monthly payment, including principal, interest, taxes, and insurance.
______
______ Obtaining a shorter amortization schedule.
______
______ Changing from an adjustable rate to a fixed rate.
______
______ Eliminating a negative amortization feature.
______
______ Eliminating a balloon payment feature.
______
______ Receiving cash-out from the new loan in an amount greater than all closing costs incurred in
connection with the loan.
______
______ Avoiding foreclosure.
______
______ Eliminating private mortgage insurance.
______
______ Consolidating other existing loans into a new mortgage loan.
______
______ Other (please specify): ________________________________________________________
__________________________________________________________________________
I/We have considered the terms of both the existing and new loans, the cost of the new loan, and my/our
personal circumstances. I/We believe the overall benefits of the new loan make the new loan beneficial to
me/us for the reason or reasons identified above. By signing below, I/we certify that I/we have read and
understand this Net Tangible Benefits Worksheet.
Borrower: ____________________________________________
Date: _____________________
Borrower: ____________________________________________
Date: _____________________
NTBW
Page 2
Rev. 11/12/08

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