Fremont Bank



Wholesale Rate Lock Request

4:00 Cut off for Lock Requests

4:00 Advance Lock, No Submission

2:00 Advance Lock with New Submission

Send lock request to the following based on stage of loan:

New Submissions: Submissions@

Advance Lock or Loans in Process: Locks@

NOT ELIGIBLE FOR AN UPFRONT RATE LOCKS IF:

Appraisal Authorization is not in file or included with this request (excluding advance lock requests),

Loan is not “Approved Eligible” or outside FB guidelines

Date of Request:       Time of Request:       Account Executive:      

Type of Request: Initial Lock Extension # of days:       Modification or Relock

Advance Lock* Lock request with new submission

|Fremont Bank Loan Number:       |Primary Borrower Name*:       |

|Subject Property Address:       |

|Broker Company Name:       |Loan Officer:       |

|Broker ID:       |Company Address:       |

|Primary Contact / Processor:       |E-Mail Address:       |

|Phone #       |Fax #       |

Compensation Model: Borrower Paid $     Compensation $ Amount

Lender Paid       Compensation Agreement %

|Program #:       (refer to rate sheet) | Gold Standard Portfolio |Fixed: 30 yr 20 yr 15 yr 10 yr |

| |Jumbo: Gold Gold Plus |ARM 7/1 5/1 3/1 10/1 |

| |Platiumn | |

|Representative FICO:       | | |

|Loan Amount:       |Appraised Value:       |Secondary Financing: $       |

| | |Subordination Yes No |

| | |Name of Lender:       |

|LTV:       CLTV: |# of Financed Properties: |Impounds:       | |

|      |      | | |

|Loan Purpose: |Occupancy Type: |Property Type: |

|Purchase |Owner Occupied |SFR Detached Attached |

|Rate and Term Refi |Second Home |Condo Low Rise Condo High Rise 2- 4 Units # |

|Cash Out Amount $            |Non- Owner (Investment) |of Units       |

| | |PUD / Town home |

*ADVANCE LOCK ONLY: Full submission must be submitted within 5 business days

|Borrower #1 Name:       |Borrower #1 SSN:       |Individual * Joint With Borrower #       |

|Borrower #2 Name:       |Borrower #2 SSN:       |Individual * Joint With Borrower #       |

|Borrower #3 Name:       | Borrower #3 SSN:       |Individual * Joint With Borrower #       |

*This is to determine designation if joint or separate application

Lock Period: 15 Day Loan must be approved and clear for docs) 30 Day 45 Day

|Initial Rate        |Initial Price (YSP or Cost)        |

|Adjustment Descriptions |Adjustment Applied to Price or Rate|Amount of Adjustment applied |

|       |Price Rate   |      |

|       |Price Rate   |      |

|       |Price Rate   |      |

|       |Price Rate   |      |

|       |Price Rate   |      |

|Total Adjustments |Price       Rate       | |

|Final Rate       |Final Price       |

Broker Signature of Authorization:

.

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