Borrower Information

First Name

Middle Initial

Last Name

Suffix (Jr., Sr.)

Cell Phone

Email Address

Date of Birth

Social Security Number

Marital Status — Select — Married Unmarried (Single, Divorced, Widowed) Separated

Dependents — Select — No Yes

Number of Dependents

Citizenship — Select — U.S. Citizen Permanent Resident Alien Non-Permanent Resident Alien

Co-Borrower Information

Is there a Co-Borrower? No Yes

Co-Borrower First Name

Co-Borrower Last Name

Co-Borrower Email

Co-Borrower Phone

Co-Borrower SSN

Co-Borrower DOB

Loan Information

Loan Purpose — Select — Purchase Refinance Construction Other

Loan Type — Select — FNMA (Fannie Mae) FHLMC (Freddie Mac) Conventional (Other) FHA VA USDA DSCR DSCR FN Bank Statements Profit & Loss Foreign National Jumbo Other

Loan Amount

Interest Rate

Loan Term (Months) — Select — 360 (30 years) 240 (20 years) 180 (15 years) 120 (10 years)

Amortization Type — Select — Fixed Rate Adjustable Rate (ARM) Interest Only

Refinance Type — Select — Rate & Term Cash Out Streamline

Cash Out Amount

Down Payment

Down Payment %

Has Purchase Agreement? — Select — Yes No

Closing Date

Subject Property

Street Address

Unit #

City

State — Select — Florida Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

ZIP Code

County

Property Type — Select — Single Family Multi-Family (2-4 units) Condo Townhouse Manufactured Home Other

Number of Units

Occupancy — Select — Primary Residence Second Home Investment Property

Purchase Price

Appraised Value

Monthly Rental Income

Current Address

Street Address

Unit #

City

State

ZIP Code

Housing — Select — Own Rent Living Rent Free

Monthly Rent/Mortgage

Time at Address

Employment & Income

Employment Status — Select — Employed Self-Employed Retired Not Employed Other

Employer/Business Name

Position/Title

Employer Phone

Employer Address

Start Date

Years in Line of Work

Monthly Income

Base Income

Overtime

Bonus

Commission

Other Income

Annual Gross Income

Assets

Add Asset

Liabilities

Add Liability

Real Estate Owned

Do you currently own real estate? — Select — No Yes

Add Property

Declarations

Will you occupy the property as your primary residence? — Yes No

Have you had ownership interest in another property in the last 3 years? — Yes No

Do you have a family relationship or business affiliation with the seller? — Yes No

Are you borrowing any money not disclosed on this application? — Yes No

Will you be applying for another mortgage before closing? — Yes No

Will you be applying for any new credit before closing? — Yes No

Will property be subject to a priority lien (e.g., PACE)? — Yes No

Are you a co-signer or guarantor on any undisclosed debt? — Yes No

Are there any outstanding judgments against you? — Yes No

Are you currently delinquent or in default on a Federal debt? — Yes No

Are you a party to a lawsuit with potential financial liability? — Yes No

Have you conveyed title in lieu of foreclosure (past 7 years)? — Yes No

Have you completed a short sale (past 7 years)? — Yes No

Have you had property foreclosed upon (past 7 years)? — Yes No

Have you declared bankruptcy (past 7 years)? — Yes No

Military Service

Did you (or your deceased spouse) ever serve, or are you currently serving, in the United States Armed Forces? — Select — No Currently Serving on Active Duty Currently Retired, Discharged, or Separated Only Period of Service Was as Non-Activated National Guard or Reserve Surviving Spouse

Demographics (HMDA)

Ethnicity — Select — Hispanic or Latino Not Hispanic or Latino I do not wish to provide

Ethnicity Detail

Race — Select — American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White I do not wish to provide

Sex — Select — Male Female I do not wish to provide

Credit Information

Credit Score (Self-Reported) — Select — Above 740 700 - 739 680 - 699 660 - 679 640 - 659 580 - 639 Below 580

Actual Credit Score

Internal Notes

Loan Pipeline Details

MLO Tracking

Key Dates

Application Date

Lock Date

Initial Disclosure Date

Submission Date

Date Closed

Operational Details

Warehouse / Funding Source — Select — Firstfunding Nextbank Other

Investor — Select — Rocket Penny Arc AD BAC Other

Originator

Profitability

Closing Costs (CC)

YSP

Gross Profit (auto: CC + YSP)

MLO Comp % % of loan amount

MLO Compensation (auto)

Fees

Net Profit (auto: Gross - MLO - Fees)

Document Uploads

Drag & drop files here or browse

PDF, JPG, PNG, DOC up to 10MB each

Loan Estimate Header

Loan Estimate Form Type Fixed Rate - Purchase Fixed Rate - Refinance Adjustable Rate (ARM) - Purchase Adjustable Rate (ARM) - Refinance Select the form type that matches this loan. This determines which PDF template is used.

Date Issued

Applicants (Name)

Applicant Address

Property Address

Sale Price

Loan Term

Purpose — Select — Purchase Refinance Construction Construction-Permanent Other

Product

Loan Type — Select — Conventional FHA VA USDA Other

Loan Type (Other)

Loan ID #

Rate Lock — Select — No Yes

Rate Lock Until

Loan Terms

Loan Amount

Can Amount Increase? No Yes

Interest Rate

Can Rate Increase? No Yes

Monthly Principal & Interest

Can P&I Increase? No Yes

Prepayment Penalty

Balloon Payment

Projected Payments

Principal & Interest

Mortgage Insurance

Estimated Escrow

Estimated Total Monthly Payment

Est. Taxes, Insurance & Assessments

Property Taxes in Escrow? No Yes

Homeowner's Insurance in Escrow? No Yes

Other in Escrow?

Costs at Closing (Summary)

Estimated Closing Costs

Includes Loan Costs

Includes Other Costs

Lender Credits

Estimated Cash to Close

Closing Cost Details - Loan Costs

A. Origination Charges

Points (% of Loan)

Points ($)

Application Fee

Underwriting Fee

Origination Fee

A. Total Origination Charges

B. Services You Cannot Shop For

Appraisal Fee

Credit Report Fee

Flood Determination Fee

Flood Monitoring Fee

Tax Service Fee

Tax Status Research Fee

B. Total Services Cannot Shop

C. Services You Can Shop For

Pest Inspection Fee

Survey Fee

Title - Insurance Binder

Title - Lender's Policy

Title - Owner's Policy

Title - Search Fee

Title - Settlement Agent Fee

C. Total Services Can Shop

D. TOTAL LOAN COSTS (A + B + C)

Closing Cost Details - Other Costs

E. Taxes and Other Government Fees

Recording Fees & Other Taxes

Transfer Taxes

F. Prepaids

Homeowner's Insurance Premium (months)

Homeowner's Insurance Premium ($)

Mortgage Insurance Premium (months)

Mortgage Insurance Premium ($)

Prepaid Interest (per day)

Prepaid Interest (# days)

Property Taxes (months)

Property Taxes ($)

G. Initial Escrow Payment at Closing

Homeowner's Ins. (per month)

Homeowner's Ins. (# months)

Mortgage Insurance (per month)

Mortgage Insurance (# months)

Property Taxes (per month)

Property Taxes (# months)

H. Other

Other Costs Description

Other Costs Amount

I. TOTAL OTHER COSTS (E+F+G+H)

J. TOTAL CLOSING COSTS (D+I)

Lender Credits

Calculating Cash to Close

Total Closing Costs (J)

Closing Costs Financed

Down Payment / Funds from Borrower

Deposit

Funds for Borrower

Seller Credits

Adjustments and Other Credits

Estimated Cash to Close

Adjustable Payment (AP) Table

ARM Loans Only

Interest Only Payments? — Select — No Yes

Optional Payments? — Select — No Yes

Step Payments? — Select — No Yes

Seasonal Payments? — Select — No Yes

First Change / Amount

Subsequent Changes

Maximum Payment

Adjustable Interest Rate (AIR) Table

ARM Loans Only

Index + Margin

Initial Interest Rate

Minimum Interest Rate

Maximum Interest Rate

First Change

Subsequent Changes

First Change Limit

Subsequent Change Limit

Lender Information

Lender Name

Lender NMLS ID

Loan Officer Name

Loan Officer NMLS ID

Lender Email

Lender Phone

Mortgage Broker Information

If Applicable

Broker Name

Broker NMLS ID

Broker Loan Officer

Broker LO NMLS ID

Broker Email

Broker Phone

Comparisons

In 5 Years - Total Paid

In 5 Years - Principal Paid Off

Annual Percentage Rate (APR)

Total Interest Percentage (TIP)

Other Considerations

Assumption Allowed? — Select — Will allow assumption Will not allow assumption

Late Payment - Days

Late Payment - Fee

Servicing — Select — We intend to service your loan We intend to transfer servicing

Confirm Receipt (Signatures)

Applicant Signature Date

Co-Applicant Signature Date