Submission Form Borrower's Name * First Name Last Name Wholesale Lender * UWM NexBank Power TPO PennyMac AD Mortgage CMG Champions Funding JMac Kind Lending Jet Mortgage FBC TPO AFR Windsor ARC Broker's Choice EPM The Loan Store Provident PRMG Change Wholesale Other Broker or Non Del * Broker Non Del Closing Date * MM DD YYYY Rush * Closing within 15 business days or less Yes No Loan Number Loan Purpose Purchase Refinance HELOC Loan Type * Conventional FHA FHA IRRRL VA VA IRRRL USDA Other Loan Program DSCR Construction to Perm Jumbo ITIN Bank Statement N/A Lock Locked Floating Finance Contingency MM DD YYYY Appraisal Contingency MM DD YYYY Appraisal Turn Time * Normal Turn Times Rush N/A Appraisal Order At Initial Submission After Initial Approval LO will advise Appraiser Waiver Transfer from another lender Preferred AMC Assets * Checking Savings 4O1K/IRA Pending sale Gift Other Title Holders * Closing Attorney * AUS * DU LP GUS Loan Story Loan Officer * Your submission form has been received! Thank you!