Fulfillment Service Order Form Page 2
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3Loan Specifics
Base Loan Amount:
Total Loan Amount:
Interest Rate:
Term/Amortization:
Sales Price:
Appraised Value:
Application Date:
First Payment Date:
MERS/MIN:
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If loan is closed without the MERS number and an assignment has to be prepared and recorded post-closing, an additional $50 fee will be charged.
PMI Information
MI Cert Number:
Up-Front Premium:
Renewal #1:
Renewal #2:
ARM Information
Index:
Margin:
Floor Rate:
Caps:
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FHA Information
Case Number:
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MIP Upfront Percentage:
MIP Upfront Amount:
Renewal Percentage:
VA Information
Case Number:
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VA Funding Fee Percentage:
VA Funding Fee Amount:
Trustee Information
(AK, AZ, CA, CO, ID, MD, MO, MS, MT, NC, NE, NV, OR, TN, TX, UT, VA, WA, WV, DC only)
Use Settlement Agent?
Yes
No
Trustee Name:
Address:
City:
State:
Zip:
Note For Texas Only: Chris A. Peirson will be used as Trustee.
Property Information
Street Address:
City:
State:
Zip:
County:
Property Type: (Check all that apply)
PUD
2-4 Unit
Condo
Manufactured Home
PUD/Condo Name:
Manufactured Home VIN:
Borrower Information
Borrower #1 (First, Middle, Last):
Marital Status:
Married
Unmarried
Social Security Number:
Borrower’s Mailing Address (if different from property):
City:
State:
Zip:
County:
Borrower #2 (First, Middle, Last):
Relationship to Borrower:
Marital Status:
Married
Unmarried
Social Security Number:
Signs Note (Yes or No):
Power of Attorney
Attorney In Fact:
Signing for:
Escrow Information
Escrow Waiver:
Yes
No
If escrows are waived, do not complete this section.
Total Yearly Amount
Due Date(s)
Hazard Insurance
Flood Insurance
Other Insurance
Property Taxes
Other Tax (specify type)
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Parent category: Business