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Regulation X
Appendix C to Part 3500--Sample Form of Good Faith Estimate


 

[Name of Lender] \1\

The information provided below reflects estimates of the charges which you are likely to incur at the settlement of your loan. The fees listed are estimates--the actual charges may be more or less. Your transaction may not involve a fee for every item listed.

The numbers listed beside the estimates generally correspond to the numbered lines contained in the HUD-1 or HUD-1A settlement statement that you will be receiving at settlement. The HUD-1 or HUD-1A settlement statement will show you the actual cost for items paid at settlement.
------------------------------------------------------------------------
Item \2\ HUD-1 or HUD-1A Amount or range
------------------------------------------------------------------------
Loan origination fee............ 801................. $________
Loan discount fee............... 802................. $________
Appraisal fee................... 803................. $________
Credit report................... 804................. $________
Inspection fee.................. 805................. $________
Mortgage broker fee............. [Use blank line in $________
800 Section].
CLO access fee.................. [Use blank line in $________
800 Section].
Tax related service fee......... [Use blank line in $________
800 Section].
Interest for [X] days at 901................. $________
$________ per day.
Mortgage insurance premium...... 902................. $________
Hazard insurance premiums....... 903................. $________
Reserves 3 ........................ 1000-1005........... $________
Settlement fee.................. 1101................ $________
Abstract or title search........ 1102................ $________
Title examination............... 1103................ $________
Document preparation fee........ 1105................ $________
Attorney's fee.................. 1107................ $________
Title insurance................. 1108................ $________
Recording fees.................. 1201................ $________
City/County tax stamps.......... 1202................ $________
State tax....................... 1203................ $________
Survey.......................... 1301................ $________
Pest inspection................. 1302................ $________
[Other fees--list here]......... .................... $________
------------------------------------------------------------------------
._______________________________________________________________________
Applicant
._______________________________________________________________________
Date
._______________________________________________________________________
Authorized Official
These estimates are provided pursuant to the Real Estate Settlement Procedures Act of 1974, as amended (RESPA). Additional information can be found in the HUD Special Information Booklet, which is to be provided to you by your mortgage broker or lender, if your application is to purchase residential real property and the Lender will take a first lien on the property.

 

Footnotes


\1\ The name of the lender shall be placed at the top of the form. Additional information identifying the loan application and property may appear at the bottom of the form or on a separate page. Exception: If the disclosure is being made by a mortgage broker who is not an exclusive agent of the lender, the lender's name will not appear at the top of the form, but the following legend must appear:

This Good Faith Estimate is being provided by ________________, a mortgage broker, and no lender has yet been obtained.

\2\ Items for which there is estimated to be no charge to the borrower are not required to be listed. Any additional items for which there is estimated to be a charge to the borrower shall be listed if required on the HUD-1.

\3\ As an alternative to using aggregate accounting with no more than a two-month cushion, the estimate may be obtained by using single-item accounting with no more than a one- month cushion.

 

 

 

 

 

 

 

 

 

 

 

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