Tangible Net Benefit To Borrower Worksheet

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TANGIBLE NET BENEFIT TO BORROWER WORKSHEET
Conventional Transactions
Borrower Name:
_______________
___
Loan #
Property Address: _________________________________________________________________________
Underwriter Name:
_______________
___
Date:
LOAN INFORMATION
New Loan
Previous Loan
Loan Date
Loan Amount
Loan Term
Loan Type
Conventional
FHA
VA
Conventional
FHA
VA
(circle)
Fixed
ARM
Balloon
Fixed
ARM
Balloon
Interest Rate
Principal & Interest
Mortgage Insurance
Negative Amortization
Pre-Payment Penalty
LTV / CLTV
DTI Level
Loan Purpose (circle)
Rate/Term Refi
Cash-Out Refi
Purchase
Rate/Term Refi
Cash-Out Refi
Distribution of Loan
Proceeds to/for
BORROWER CERTIFICATION
I (we), the borrower(s) acknowledge that we will receive the following tangible benefit(s) from the execution of this
proposed new loan:
____ Lower interest rate to _____% from _____%
____ Reduce monthly principle and interest payment to $_________ from $_________
____ Shorten loan term to ______ years to _______ years
____ Convert current adjustable rate mortgage to a fixed rate loan
____ Convert balloon loan to a fixed rate loan
____ Remove mortgage insurance by lowering my loan-to-value (LTV)
____ Consolidate my first and second mortgages
____ Eliminate a negative amortization feature
____ Avoid short-sale or foreclosure
____ Debt consolidation – Benefit: _____________________________________________________________________
____________________________________________________________________________________________
____ Home Improvement –Benefit: ____________________________________________________________________
_____________________________________________________________________________________________
____ Cash Out – Benefit: ____________________________________________________________________________
_____________________________________________________________________________________________
____ Other – Explain: _______________________________________________________________________________
_____________________________________________________________________________________________
I (we) understand that my (our) loan broker/lender is verifying that I (we) are receiving a reasonable, tangible net
benefit by refinancing this loan. I (we) affirm that I (we) entered into this transaction of our own free will and that
tangible net benefit of the new loan has been explained. Finally, I (we) understand and confirm the benefits.
Borrower Signature:__________________________________________________
Date:
Co-Borrower Signature:_______________________________________________
Date:
LOAN OFFICER CERTIFICATION
The undersigned Loan Officer certifies the information provided herein is true and complete, and understands that
underwriter shall rely on the information provided in making its decision regarding the application.
Loan Officer Signature:__________________________________________________
Date:
Loan Officer Printed Name: ______________________________________________
Tangible Net Benefit to Borrower
Page 1
5/4/2010

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