Joe Nelson Efax Number: (800)507-6395
Adam Newman Efax Number: (703) 852-7334
Kevin Darcey (703) 934-2971
Scott Lentz (703) 934-2971
Dave Blum (703) 934-2971
Mike Sawyer (703) 934-2971
Brenda Weitzel (703) 934-2971
Paul Stolburg Efax Number: (202) 355-7557
Doug Hofmeister Personal Fax (703) 897-8522
Kristofer Erickson Efax (703) 891-9847
Gary Martinek Efax (888)540-2644
Loan Submission Form
Fax: Cell Phone:
Are you FHA Approved? Yes No
Who is your US Mortgage Account Executive?
Borrower Name Credit Scores:
Co-Borrower Credit Scores:
Co-Borrower # 2 Credit Scores:
Co_Borrower # 3 Credit Scores:
Transaction Type: Purchase Cash Out Refi Rate and term Refi
Interest Rate on Pre-Approval
PITI Quoted To Borrowers:
If cash out refi. Amount borrower is expecting at
Can we contact borrower (s) directly? Yes No
Please provide us any special contact instructions: For example- (Only call borrowers at home or broker will
make all calls to borrowers…)
Appraisers Name if you are selecting:
Appraisers Phone Numbers Work:
Title Company Information if you are selecting: Name:
Title Company Contact Name: Work:
Broker US Mtg
Item Needed Not Will To
Applicable Requested Enclosed Request Request
W/2 past 2 years all borrowers.
Tax Returns past 2 years all borrowers.
Pay stubs past 30 days all borrowers.
2 months bank statements all accounts.
Credit explanation letter (s).
Documentation to support credit letter
List of debts to be paid off.
Signed USMFC loan application and disclosures.
Brokers fee agreement with borrower.
Copy of Broker License.
FHA case number assignment letter
Assignment letter (For FHA approved lenders)
Copy of our pre-approval to broker.