Loan Status Disclosure Form

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Loan Status Disclosure
Borrowers/Buyers Name(s):___________________________________________
Current Address:_____________________ _________, _____ ______
Street address
City or Town
State
Zip code
Purchase Price dollar amount prequalified, pre-approved, or approved for:
$__________________, Loan Amount $_______________ with a total monthly payment not to
exceed $_______________.
The current status of prequalification or application status of the borrowers/buyers is:
[ ] Prequalification, WITHOUT credit review*:
The borrowers/buyers listed on this form have INQUIRED with our firm about financing to
purchase a home and the documentation they provided regarding income and down payment has
been reviewed by the loan originator listed below. It is the opinion of said loan originator that the
borrowers/buyers should/would qualify for the terms listed in the attached letter.
[ ] Prequalification, WITH credit review*:
The borrowers/buyers listed on this form have INQUIRED with our firm about financing to
purchase a home and the documentation of income, down payment and credit report have been
reviewed by the loan originator listed below. After careful review, it is the opinion of said loan
originator that the borrowers/buyers should/would qualify for the terms listed in the attached letter.
This Prequalification is [ ] WITH or [ ] WITHOUT Automated Underwriting approval.
[ ] Pre-Approval*:
The borrowers/buyers have APPLIED with our firm for a mortgage loan to purchase a home and
the loan application has been approved by an Automated Underwriting System issued or
accepted by FNMA, FHLMC, HUD or Nationally recognized purchaser/pooler of mortgage loans,
and a conditional commitment has been issued. See attached commitment.
[ ] Approval*:
The borrowers/buyers have APPLIED with our firm for a mortgage loan to purchase a home and
the loan application has been reviewed by the actual lender's underwriter and conditional
commitment has been issued. See attached commitment.
*Please note that nothing contained herein constitutes a loan commitment or guarantee of
financing and is used for disclosure purposes only. See actual commitment letter for specific
conditions/requirements of the lender. All approvals are subject to satisfactory appraisal, title, and
no material change to borrower(s) financial status.
Information on mortgage company issuing the prequalification, pre-approval or approval:
Originating Company’s Name:_____________________________
Company Address:__________________________, _______________,_____ ________
Street address
City or Town
State
Zip Code
Company Phone:(____)__________________ Fax:(____)__________________
Loan Originator’s name:______________________________ Date:__________________
Loan Originator’s signature:___________________________
(Use Recommended by: IAMB; IAR; and IRELA
)
10/24/02

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