ACKNOWLEDGEMENT OF GOOD FAITH ESTIMATE &
RESPA DISCLOSURES
APPLICATION DATE:
_____________________________
BORROWER NAME:
_________________________________________
CO-BORROWER NAME:
_________________________________________
PROPERTY ADDRESS:
_________________________________________
_________________________________________
_________________________________________
PLEASE CHECK ALL APPLICABLE:
_______ I/We have received a copy of our Good Faith Estimate within 3 days of our loan application.
_______ I/We have received a copy of our Settle Services Provider List within 3 days of our loan application.
_______I/We have received a copy of our HUD’s Settlement Book within 3 days of our loan application. (Only
applicable for PURCHASE mortgages)
NOTICE TO BORROWER(S): Signing this document does NOT obligate you to obtain a
mortgage loan through this mortgage originator nor is this a loan commitment or an approval;
nor is your interest rate locked at this time unless otherwise disclosed on a separate Rate Lock
Disclosure Form.
______________________________
_______________________________
Signature of Borrower
(Date)
Signature of Co-borrower
(Date)
______________________________
_______________________________
Signature of Borrower
(Date)
Signature of Co-borrower
(Date)
Ascend Financial Network: NMLS # 75269
Mortgage Loan Officer:_________________________
NMLS#:___________