Mortgage Loan Disclosure Statement/good Faith Estimate

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Mortgage Loan Disclosure Statement/Good Faith Estimate
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) if applicable 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 estimates generally correspond to the numbered lines contained in the HUD-1
Settlement Statement which you will receive at settlement if the 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 three 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
$ ___________________
$ ___________________
806
MI Application Fee
$ ___________________
$ ___________________
807
Assumption Fee
$ ___________________
$ ___________________
808
Mortgage Broker Commission/Fee
$ ___________________
$ ___________________
809
Tax Service Fee
$ ___________________
$ ___________________
810
Processing Fee
$ ___________________
$ ___________________
811
Underwriting Fee
$ ___________________
$ ___________________
812
Wire Transfer Fee
$ ___________________
$ ___________________
813
$ ___________________
$ ___________________
814
$ ___________________
$ ___________________
815
$ ___________________
$ ___________________
816
$ ___________________
$ ___________________
817
$ ___________________
$ ___________________
818
$ ___________________
$ ___________________
819
$ ___________________
$ ___________________
820
$ ___________________
$ ___________________
821
$ ___________________
$ ___________________
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
$ ___________________
$ ___________________
906
Flood Insurance
$ ___________________
$ ___________________
907
$ ___________________
$ ___________________
1000
Reserves Deposited with Lender
1001
Hazard Insurance:
months at $
/mo.
$ ___________________
$ ___________________
1002
Mortgage Insurance:
months at $
/mo.
$ ___________________
$ ___________________
1003
City Prop. Tax:
months at $
/mo.
$ ___________________
$ ___________________
1004
Co. Property Taxes:
months at $
/mo.
$ ___________________
$ ___________________
1006
Flood Insurance:
months at $
/mo.
$ ___________________
$ ___________________
1007
months at $
/mo.
$ ___________________
$ ___________________
1008
months at $
/mo.
$ ___________________
$ ___________________
1009
months at $
/mo.
$ ___________________
$ ___________________
1010
Aggregate Analysis:
$ ___________________
$ ___________________
1100
Title Charges
1101
Settlement or Closing/Escrow Fee
$ ___________________
$ ___________________
1105
Document Preparation Fee
$ ___________________
$ ___________________
1106
Notary Fee
$ ___________________
$ ___________________
1107
Attorney Fee
$ ___________________
$ ___________________
1108
Title Insurance
$ ___________________
$ ___________________
1109
$ ___________________
$ ___________________
1110
$ ___________________
$ ___________________
1200
Government Recording and Transfer Charges
1201
Recording Fees
$ ___________________
$ ___________________
1202
City/County Tax/Stamps
$ ___________________
$ ___________________
1203
State Tax/Stamps
$ ___________________
$ ___________________
1204
$ ___________________
$ ___________________
1205
$ ___________________
$ ___________________
1300
Additional Settlement Charges
1301
Survey to:
$ ___________________
$ ___________________
1302
Pest Inspection:
$ ___________________
$ ___________________
1303
$ ___________________
$ ___________________
1304
$ ___________________
$ ___________________
1305
$ ___________________
$ ___________________
1306
$ ___________________
$ ___________________
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)
(Approximate Yield Spread Premium or Other Rebate)
Page 1 of 3
TM
GFE CA RE883 p1 08/08 ~ Encompass
from Ellie Mae ~

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