Mortgage Loan Disclosure Statement/good Faith Estimate (Page 3 of 3) in pdf

Liens that will remain or are anticipated on this property after the proposed loan for which you are applying is made or arranged

(including the proposed loan for which you are applying):

Lienholder’s Name

Amount Owing

Priority

NOTICE TO BORROWER: Be sure that you state the amount of all liens as accurately as possible. If you contract with the

broker to arrange this loan, but it cannot be arranged because you did not state these liens correctly, you may be liable to pay

commissions, costs, fees, and expenses even though you do not obtain the loan.

VII. Article 7 Compliance: If this proposed loan is secured by a first deed of trust in a principal amount of less than $30,000 or

secured by a junior lien in a principal amount of less that $20,000, the undersigned licensee certifies that the loan will be made in

compliance with Article 7 of Chapter 3 of the Real Estate Law.

This loan

may

will

will not be made wholly or in part from broker controlled funds as defined in Section

10241(j) of the Business and Professions Code.

If the broker indicates in the above statement that the loan “may” be made out of broker-controlled funds, the broker must

inform the borrower prior to the close of escrow if the funds to be received by the borrower are in fact broker-controlled

funds.

VIII. NOTICE TO BORROWER: THIS IS NOT A LOAN COMMITMENT. Do not sign this statement until you have read and

understood all of the information in it. All parts of this form must be completed before you sign. Borrower hereby acknowledges

the receipt of a copy of this statement.

________________________________________________

___________________________________________________

Name of Broker/License #

Broker’s Representative/License #

________________________________________________

Broker’s Address

OR ___________________________________________________

Signature of Broker

Date

Signature of Representative

Date

________________________________________________

___________________________________________________

Borrower

Date

Borrower

Date

Department of Real Estate license information telephone number: (916) 227-0931, or check license status at

RE 883 — Page 3 of 3

GFE CA RE883 p3 08/08 ~ Encompass

from Ellie Mae ~

Mortgage Loan Disclosure Statement/good Faith Estimate Page 3