Fillable Fulfillment Service Order Form (Page 3 of 3) in pdf

Fulfillment Service Order Form Page 3

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Fees

(Please send Preliminary HUD for accurate TIL Disclosure of Title Fees, Section 32 and High Cost calculations.)

Paid By

POC

HUD #

Fee Description

(B/S/L)

Y/N

Amount

Paid To

801

Origination Fee

802

Discount Fee

803

Appraisal Fee

804

Credit Report

808

Tax Service Fee

810

Underwriting Fee

814

Processing Fee

821

Admin Fee

836

Escrow Waiver Fee

840

841

842

843

844

845

895

Document Preparation

896

Attorney Fee

$125.00

PeirsonPatterson, LLP

897

Warranty Deed Prep/Review

$100.00

PeirsonPatterson, LLP

899

Closing Coordination

$200.00

P&P Services, Inc.

903

Up-Front Hazard Insurance

Insurance Company

904

Up-Front Flood Insurance

Insurance Company

905

Up-Front Mortgage Insurance

906

MIP Refund

(

)

1301

Survey

Additional Information/Special Requests

Additional Closing Instructions to be added to documents:

Funding/Wire Requests:

Other:

I, _________________________________________ (print name), do hereby certify this Order Form to be true, correct, legible and complete. I

understand this order form will be used in conjunction with the applicable support documents to close, fund and sell a residential mortgage loan on the

secondary market. I also realize providing incorrect or illegible information or omitting information on this order form will have consequences, including,

but not limited to: delayed documents, delayed HUD approval, delayed wire request, delayed funding authorization, and delayed purchase by secondary

market investor. These delays may result in monetary loss.

Signed: _______________________________________________________ Date: _______________________________