Section I: Broker Information Section II: Borrower and ...
Pouyan Broukhim PB Financial Group Corp. PBroukhim@ Phone: 323-935-5555 x 102
Fax: 866-318-4471
24-48 hour prequal underwriting approval via fax, PLEASE submit the following: 1003, 1008, Signed Borrowers Authorization, Credit Report, Completed Underwriting Submission Form
Tel: 323-935-5555 x 103 Fax: 323-935-5580 or 866-318-4471
Please fill this form out completely and legibly
Date:
Submission:
Section I: Broker Information
Broker Name:
Broker Code:
Contact Name:
e-mail:
Phone Number:
Fax Number:
Section II: Borrower and Property Information
Borrower Name:
Co-Borrower Name:
Social Security #: Middle Credit Score: Subject Property Address:
Social Security #: Middle Credit Score: Mailing Address:
City
State
Zipcode
City
Section III: Loan Program Information
State
Zipcode
Loan Amount:
LTV
Sales Price:
CLTV
Estimated Value:
Property Type: (Check One)
SFR Condo Highrise Condo PUD Land Retail
2-4 Units 5+ Units Industrial Warehouse Mixed Use Office/Medical
Loan Program:
Hard Money(IO) Hard Money(2nd) Bridge Loan Fixed 2nd
Commercial Sub Commercial 2nd Submission Cross Collaterized Rehab Loan
Doc Type:
Full
Stated Income No Doc
Int Rate:
Index:
Term:
Impounds: Yes
No
Commercial Types:
Loan Purpose: Purchase
Rate/Term
Refi-Cash/out
Rental Income:
__________________
Prepayment Penalty:
3 Mths 6 Mths 12 Mths
Occupancy:
No Prepayment Penalty: Yes
No
Owner Occupied Non-Owner Occupied
2nd Home Commercial
Interest Only Option:
Yes
No
Section IV: Pricing
Base Interest Rate:
Add-On's: 1. 2.
Final Fee:
Base Margin:
Base Cap:
Adjustment to Fee: Adjustment to Fee:
Check here is fee is a rebate
Reason: Reason:
Base Fee:
NOTES:
Authorized By__________________ Date ___________
Print Name ____________________________________
Disclosure: Our approval is subject to the information presented on the 1003/1008. Should
the final package be different than the original information, your loan terms, rate and cost might differ. Rates are subject to charge. (revised 4/13)
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