Form Re883 Rev. 12/93 - Mortgage Loan Disclosure Statement Good Faith Estimate Template
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RE 883 (New 12/93)
Borrower’s Name(s): _________________________________________________________________________________________
Real Property Collateral: The intended security for this proposed loan will be a Deed of Trust on (street address or legal
description) _________________________________________________________________________________________________
This joint Mortgage Loan Disclosure Statement/Good Faith Estimate is being provided by ________________________________ ,
a real estate broker acting as a mortgage broker, pursuant to the Federal Real Estate Settlement Procedures Act (RESPA) and similar
California law. In a transaction subject to RESPA, a lender will provide you with an additional Good Faith Estimate within three business
days of the receipt of your loan application. You will also be informed of material changes before settlement/close of escrow. The name
of the intended lender to whom your loan application will be delivered is:
Unknown
_____________________________________________________ (Name of lender, if known)
GOOD FAITH ESTIMATE OF CLOSING COSTS
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. The numbers listed beside the estimate generally correspond to the
numbered lines contained in the HUD-1 Settlement Statement which you will receive at settlement if this transaction is subject to RESPA.
The HUD-1 Settlement Statement contains the actual costs for the items paid at settlement. When this transaction is subject to RESPA,
by signing page two of this form you are also acknowledging receipt of the HUD Guide to Settlement Costs.
HUD-1
Item
Paid to Others
Paid to Broker
800
Items Payable in Connection with Loan
801
Lender’s Loan Origination Fee
$ ________________
$ ________________
802
Lender’s Loan Discount Fee
$ ________________
$ ________________
803
Appraisal Fee
$ ________________
$ ________________
804
Credit Report
$ ________________
$ ________________
805
Lender’s Inspection Fee
$ ________________
$ ________________
808
Mortgage Broker Commission/Fee
$ ________________
$ ________________
809
Tax Service Fee
$ ________________
$ ________________
810
Processing Fee
$ ________________
$ ________________
811
Underwriting Fee
$ ________________
$ ________________
812
Wire Transfer Fee
$ ________________
$ ________________
_____
___________________________________
$ ________________
$ ________________
900
Items Required by Lender to be Paid in Advance
901
Interest for ____ days at $_______ per day
$ ________________
$ ________________
902
Mortgage Insurance Premiums
$ ________________
$ ________________
903
Hazard Insurance Premiums
$ ________________
$ ________________
904
County Property Taxes
$ ________________
$ ________________
905
VA Funding Fee
$ ________________
$ ________________
_____
___________________________________
$ ________________
$ ________________
1000
Reserves Deposited with Lender
1001
Hazard Insurance: ____ months at $_______ /mo.
$ ________________
$ ________________
1002
Mortgage Insurance: ____ months at $_______ /mo. $ ________________
$ ________________
1004
Co. Property Taxes: ____ months at $_______ /mo. $ ________________
$ ________________
_____
___________________________________
$ ________________
$ ________________
1100
Title Charges
1101
Settlement or Closing/Escrow Fee
$ ________________
$ ________________
1105
Document Preparation Fee
$ ________________
$ ________________
1106
Notary Fee
$ ________________
$ ________________
1108
Title Insurance
$ ________________
$ ________________
_____
___________________________________
$ ________________
$ ________________
1200
Government Recording and Transfer Charges
1201
Recording Fees
$ ________________
$ ________________
1202
City/County Tax/Stamps
$ ________________
$ ________________
_____
___________________________________
$ ________________
$ ________________
1300
Additional Settlement Charges
1302
Pest Inspection
$ ________________
$ ________________
_____
___________________________________
$ ________________
$ ________________
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):
Mortgage Broker Commission/Fee
$ ________________
Any Additional Compensation from Lender
No
Yes
$ ________________ (if known)
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