This Program has been designed by
Bankers Compliance Consulting Only Fill in the Areas Shaded in "YELLOW"
APR SPREAD TEST 1st lien Other lien
Find the Treasury Security with the same maturity term at: http://www.federalreserve.gov/releases/h15/
Use the yield in effect on the 15th of the month before the month the application was received.
Maximum Spread 8 10 Loan Number:
Treasury Rate (see note above) Customer Name:
Maximum APR 8 10 Loan Officer:
Loan APR Date of Application:
Does HOEPA Apply? Continue Continue Scheduled Payment:
Lgst pmt if a Var. rate:
Total Loan Amount:
POINTS & FEES TEST RESULTS
Finance Charges: If "YES" appears in cells D14, E14
Loan Points or D44, this loan is subject to
Origination Fee HOEPA. Provide a HOEPA
Discount fee disclosure to all people that have
Courier Fee the right to rescind the loan
Life of Loan Flood Determination (including non-borrowers, if
applicable) so that it is received at
Tax Service least 3 days prior to closing the
PMI (initial deposit) loan.
Other Finance Charges
Non-Finance Charges: Non-Finance Charges are
Doc Prep Fees included ONLY if the
In-house appraisals creditor retains or
receives a portion of the
Title Insurance / Examination
fee, or the charge is paid
Credit Life/Disability Premiums
to an affiliate (25%
Other Non-Finance Charges
ownership) of the creditor.
Total Fees: 0
Amount Financed (from the TIL disclosure):
less total non-finance charges 0
"HOEPA" Loan Amount: 0 Refer to Section 226.31 and
226.32 of Regulation Z for
Total Fees/Total Loan Amount: 0 more information about these
Does HOEPA Apply?
Banker's Compliance Consulting www.bankerscompliance.com 800-847-1653
Loan Number: 0
Customer Name: 0
You are not required to complete this agreement merely because you have
received these disclosures or have signed a loan application.
If you obtain this loan, the lender will have a mortgage on your home.
YOU COULD LOSE YOUR HOME, AND ANY MONEY YOU HAVE PUT INTO IT,
IF YOU DO NOT MEET YOUR OBLIGATIONS UNDER THE LOAN.
1) The annual percentage rate on your loan will be: 0%
2) You are borrowing $0
* Optional credit insurance is not a part of this loan.
3) Your regular payment amount will be $0