Re 882 - Mortgage Loan Disclosure Statement

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S
C
tate of
alifornia
D
r
e
epartment of
eal
State
Providing Service, Protecting You
M
L
D
s
(t
)
ortgage
oan
iscLosure
tateMent
raDitionaL
RE 882 (Rev. 10/10)
BORROWER'S NAME(S)
REAL PROPERTY COLLATERAL: THE INTENDED SECURITY FOR THIS PROPOSED LOAN WILL BE A DEED OF TRUST OR MORTGAGE ON (STREET ADDRESS OR LEGAL DESCRIPTION)
THIS MORTGAGE LOAN DISCLOSURE STATEMENT IS BEING PROVIDED BY THE FOLLOWING CALIFORNIA REAL ESTATE BROKER ACTING AS A MORTGAGE BROKER
¨
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INTENDED LENDER TO WHOM YOUR LOAN APPLICATION WILL BE DELIVERED (IF KNOWN)
 For any federally related mortgage oans, HUD/RESPA laws require that a Good Faith Estimate (GFE) be provided. A RE 882
Mortgage Loan Disclosure Statement (MLDS) is required by California law and must also be provided.
 The information provided below reflects estimates of the charges you are likely to incur at the settlement of your loan. The fees,
commissions, costs and expenses listed are estimates; the actual charges may be more or less. Your transaction may not involve
a charge for every item listed and any additional items charged will be listed.
Item
Paid to Others
Paid to Broker
Items Payable in Connection with Loan
Mortgage Broker Commission/Fee
$
$
Lender’s Loan Origination Fee
$
$
Lender’s Loan Discount Fee
$
$
Appraisal Fee
$
$
Credit Report
$
$
Lender’s Inspection Fee
$
$
Tax Service Fee
$
$
Processing Fee
$
$
Underwriting Fee
$
$
Wire Transfer Fee
$
$
Items Required by Lender to be Paid in Advance
Interest for ___________ days at $_________________ per day
$
$
Hazard Insurance Premiums
$
$
County Property Taxes
$
$
Mortgage Insurance Premiums
$
$
VA Funding Fee/FHA MIP/PMI
$
$
Other:_______________________
$
$
Reserves Deposited with Lender
Hazard Insurance:
_____ months at $________________/mo.
$
$
Co. Property Taxes: _____ months at $________________/mo.
$
$
Mortgage Insurance: _____ months at $________________/mo.
$
$
Other:_______________________
$
$
Title Charges
Settlement or Closing/Escrow Fee
$
$
Document Preparation Fee
$
$
Notary Fee
$
$
Title Insurance
$
$
Other:_______________________
$
$
Government Recording and Transfer Charges
Recording Fees
$
$
City/County Tax/Stamps
$
$
Other:_______________________
$
$
Additional Settlement Charges
Pest Inspection
$
$
$
$
Credit Life, and/or Disabilty Insurance (See Note below)
Subtotals of Initial Fees, Commissions, Costs and Expenses
$
$
Total of Initial Fees, Commissions, Costs and Expenses
$
Compensation to Broker (Not Paid Out of Loan Proceeds)
Yield Spread Premium, Service Release Premium or Other Rebate Received from Lender $___________________
Yield Spread Premium, Service Release Premium or Other Rebate Credited to Borrower $___________________
Total Amount of Compensation Retained by Broker
$___________________
Note: The purchase of Credit Life and/or Disability Insurance is NOT required as a condition of making this proposed loan.

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