Change Acknowledgement Form

Change Acknowledgement Form
Complete proposed changes and submit by fax: 800.576.9431 or email: usbankstips@usbank.com.
Credit Analysis will determine if proposed fee changes are valid. They will inform the broker if further changes to the
Change Acknowledgement Form are needed. Broker acknowledges and understands that U.S. Bank Wholesale Prime Plus
will provide the applicant(s) with a revised Good Faith Estimate, if required.
U.S. BANK REFERENCE NUMBER
BORROWER NAME
NOTE: Changes from loan to HELOC or HELOC to loan require full re-submission.
* Changing Broker Compensation from LPC to BPC: A hand written letter from the borrower (not broker) will be required stating
that they understand the change, they desire the change and know that they will not get a credit from the lender for the fee.
For questions regarding disclosed compensation, contact our Credit department at 800.803.4212 option 2.
NEW LOAN / LINE AMOUNT OR APPRAISED VALUE
NEW COLLATERAL PROPERTY TYPE
Loan / Line Amount
$
Single Family / PUD
Vacation / second home
Appraised Value
$
2-Unit
Townhouse
3-Unit
Row Home
NEW LOAN PRODUCT
15 year fixed rate
1 year ARM
7 year ARM
4-Unit
2-Flat
20 year fixed rate
30 year fixed rate
3 year ARM
7 year IO ARM
Condo
Investment
3 year IO ARM
10 year ARM
Condo > 4 stories
30 year fixed w/10 Yr. IO
5 year ARM
HELOC - No Lender Fee
5 year IO ARM
Modular
Year Built
BORROWERS
Adding / removing an applicant requires a full re-submission.
NEW FLOATING INTEREST RATE
BROKER COMPENSATION - Change from original request to
%
Updated FLOATING interest rate requested
Borrower Paid Compensation1 (BPC) $
To lock the interest rate, submit lock request in USubmit or call the Lock Desk at
800-803-4212 #4 (10 AM - 5 PM CST)
PAYOFF(s)
Price (include all applicable pricing adjustments)
HELOC - Up-front broker fees
ADD REMOVE
$
For HELOC products, WPP will only pay a flat $500.00 fee to the Mortgage
Broker regardless of the line amount or the initial advance amount.
$
$
1
$
Must include hand written letter from borrower (see details above.)
Borrower must pay balance of settlement charges at closing.
COMMENTS
COMPLETE ONLY FEES AFFECTED BY THIS PROPOSED CHANGE. ALL FEES MUST BE EXACT.
Any changes to fees after initial submission may result in closing delays or Broker credits
Update settlement information if different from initial submission.
Hud
Line
Fee
Code
1101
DEED
Deed Prep Fee
1101
NOTF
Notary Fee
1103
TINO
Owners Title Insurance
1201
RDFE
1201
DESCRIPTION
FEE
Hud Fee
Line Code
back to the customer.
DESCRIPTION
FEE
$
$
$
$
$
$
Recording Fee - First Lien
$
$
RDF2
Recording Fee - Second Lien
$
$
1101
SUBA
Subordination Agreement Fee
$
$
1101
SUBP
Subordination Preparation Fee
$
$
1201
SUBR
Subordination Recording Fee
$
$
1203
TSTF
Tax Stamps / Transfer Tax
1101
TINS
Title Insurance Fee
Required for
purchase transactions
$
$
Required
$
$
Settlement Date
First Payment Date
Settlement Agent
Phone Number
Contact Name
Email Address
Settlement Address
November 6, 2014