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h àà À àà  à(Both€Broker€and€Lender)ÌòòBroker€Fees€Onlyóóà0 ¸ àà0¸ (#¸ (#àà0h(#(#àà0Àh(#h(#àà0À(#À(#àTax€Related€Service€Feeà0x(#(#à$___________Ð\¬x(#x(# Ðà  àà ` àà ¸ àà  àà h àà À àà  àDoc€Prep€Feeà0 È àà0 È(#È(#àà0x (# (#à$___________ÐH˜x(#x(# ÐLoan€Origination€Fee/à0  àà0h(#(#àà0Àh(#h(#àà0À(#À(#àà0p(#(#àUnderwriting€Feeà0xp(#p(#à$___________Ð4„x(#x(# ÐBroker€Feeà0 ` àà0¸ ` (#` (#à$_________________à0¸ (#¸ (#àAdministrative€Feeà0 (#(#àà0x (# (#à$___________Ð px(#x(# ÐProcessing€Fee€€à0 ¸ à$_________________à0¸ (#¸ (#àCommitment€Feeà0 (#(#àà0x (# (#à$___________Ð \x(#x(# Ðà  àà ` àà ¸ àà  àà h àà À àà  àApplication€Feeà0  àà0x (# (#à$___________ÐøHx(#x(# ÐTotal€Point€Fee€Commà0  à$_________________à0p(#(#à(Lender€Only)à0 p(#p(#àà0x (# (#à$___________Ðä4x(#x(# Ðà  àà ` àà ¸ àà  àà h àà À àà  àOtherà0 p àà0Èp(#p(#àà0 È(#È(#àà0x (# (#à$___________ÐÐ x(#x(# Ðà  àà ` àà ¸ àà  àà h àà À àà  àTotalà0 p àà0Èp(#p(#àà0 È(#È(#àà0x (# (#à$___________м x(#x(# Ð_____%€of€Points,€Fees€&€Comm€in€relation€to€Loan€AmountÌÔ€ó8XXÔ(Total€Points,€Fees€&€Commissions€divided€by€Loan€Amount)*à0 À àÔ€XUXó8ÔPrepayment€Penalties:ДäÀ(#À(# ÐÔ€ó8XXUÔ*If€this€percentage€is€5%€or€more,€then€counseling€would€automatically€be€required€at€this€point.*Ð €Ð ÐÌÔ€XUXó8ÔTotal€Broker€Compensationà0  à$____________à0(#(#àIf€applicable,€for€loans€in€excess€ofÐ ¼  Ð$150,000,Ð (#(# Ѐ€€€€Ô€ó8XXUÔ(Lender€Ô_ÔPmtsÔ_Ô€plus€total€points,€fees€&€commission)à0 À àà0À(#À(#àÔ€XUXó8Ôthe€amount€of€the€penalty€in€excess€of€2%Д!ä (#(# Ðà  àà ` àà ¸ àÌà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x à$___________ÌOf€total€Broker€Comp.€in€relation€to€total€loan€amountÌ______%Ô€ó8XXUÔ(Total€compensation€divided€by€loan€amount)à0 À àà0À(#À(#àà0p(#(#àà0Èp(#p(#àà0 È(#È(#àà0x (# (#àÔ‡XUXó8Ô$___________Ô#†ó8XXU5(#ÔÐD%” $x(#x(# ÐÌNOTE:€The€High€Cost€Home€Loan€fees€text€applies€to€a€primaryà0 À à_____%€of€Total€Broker,€Lender€fees€and€any€excess€ÐÎ&"&À(#À(# Ðresidence€only;€the€5%€fee€test€applies€when€the€total€loanà0 À àà0À(#À(#àprepayment€penalty€fee€over€2%Ðl'¼"'(#(# Ðamount€is€$20,000€or€more.à0 ¸ àà0¸ (#¸ (#àà0h(#(#àà0Àh(#h(#àà0À(#À(#à(Total€fees€divided€by€Loan€Amount)Ð (Z#((#(# ÐÌà  àà ` àà ¸ àà  àà h àà À àà  àNOTE:€The€Yield€Spread€Premium€is€NOT€included€in€the€Ìà  àà ` àà ¸ àà  àà h àà À àà  àFees€test.ÌÌÔ€XUXó8ÔDesignated€Seller€paid€fees€on€Good€Faith€Estimateà0  à**If€the€amount€is€5%€or€more,€theÐ  +p&- ÐcounselingÐ (#(# Ðare€not€included€in€the€fee€test.à0 h àà0Àh(#h(#àà0À(#À(#àà0p(#(#àrequirement€would€be€triggered.Ðø,H(/p(#p(# ÐÐ ä-4)0 Ð3.à0  àò òGood€Faith€Estimateó óà0h(#(#àà0Àh(#h(#àà0À(#À(#àà0p(#(#àDate€Signed:€______/______/______аp(#p(# Ðà  àà ` àà ¸ àà  àà h àà À àà  àDate€Prepared:€_______/_______/________ÌÌà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àYesà0 Ð àNoÐxÈÐ (#Ð (# ÐÌa.à0  àIf€applicable,€does€the€file€contain€a€photocopy€of€the€written€cover€letterà0x(#(#àððà0Ð x(#x(#àððÐP  Ð (#Ð (# Ðà  àthat€was€mailed€or€delivered€by€the€MB€within€three€(3)€business€days€ofÌà  àreceipt€of€the€application€for€credit€or€pulling€credit,€whichever€is€earliest,Ìà  àthat€disclosed€the€Good€Faith€Estimate?ÌÌb.à0  àDid€the€broker€mail€or€deliver€to€the€consumer(s)€the€Good€Faith€Estimate€à0Ð (#(#àððà0@V!x(#x(#àððÐì < Ð (#Ð (# Ðà  àwithin€three€(3)€business€days€of€receipt€of€the€application€for€credit€or€credit€Ìà  àbeing€pulled,€whichever€is€earliest?ÌÌc.à0  àDoes€the€file€contain€an€original€Good€Faith€Estimate€that€was€delivered€orà0Ð (#(#àððà0@V!x(#x(#àððМì Ð (#Ð (# Ðà  àmailed€by€the€MB€that€is€signed€and€dated€by€each€consumer?ÌÌd.à0  àDoes€the€Good€Faith€Estimate€contain€a€disclosure€for€any€additional€à0x(#(#àà0Ð x(#x(#àððà0@V!x(#x(#àððÐ`°Ð (#Ð (# Ðà  àcompensation;€i.e.€yield€spread€or€service€release€premium,€par€pricing,€etc.?ÌÌe.à0  àIf€yes,€is€the€anticipated€additional€compensation€properly€disclosed?à0x(#(#àà0Ð x(#x(#àððà0@V!x(#x(#àððÐ$tÐ (#Ð (# ÐÌType::à0  àðð€Yesà0` (#(#àðð€Noà0¸ ` (#` (#à€€€€à0¸ (#¸ (#àDollar€Amt.€or€Dollar€Rangeà0p(#(#àðð€Yesà0Èp(#p(#àðð€NoÐüLÈ(#È(# ÐAmount:€€€$___________________à0 h àà0Àh(#h(#àComments:€________________________________Ðè8À(#À(# ÐÌf.à  àCalculation€of€Prepaid€Finance€ChargesÐ À ÐÌ$€€€__________€€€€€€Loan€Origination€Feeà0 À àà0À(#À(#à$€__________€€€€€Loan€AmountИè(#(# Ѐ€€€€__________€€€€€€Loan€Discount€Fee€€€€€Minusà0  à€€€__________à0È(#(#à€€€€Total€Prep.€FinanceÐ „Ô ÐChargesÐ È(#È(# Ѐ€€€€__________€€€€€€Broker€Feeà0 h àà0Àh(#h(#àà0À(#À(#à€€€__________à0È(#(#à€€€€€Amount€FinancedÐ\ ¬È(#È(# Ѐ€€€€__________€€€€€€Processing€FeeÌ€€€€€__________€€€€€€Tax€Related€Service€Feeà0 À àà0À(#À(#à€€€__________€€€€€€Total€Estimated€Ð4"„ (#(# Ѐ€€€€__________€€€€€€Wire€Transfer€Feeà0 À àà0À(#À(#àà0p(#(#àà0Èp(#p(#à€€€€Settlement€ChargesÐ #p!È(#È(# Ѐ€€€€__________€€€€€€Document€Prep€FeeÌ€€€€€__________€€€€€€Underwriting€FeeÌ€€€€€__________€€€€€€Administrative€FeeÌ€€€€€__________€€€€€€Flood€Certificate€FeeÌ€€€€€__________€€€€€€Courier€FeesÌ€€€€€__________€€€€€€Interim€InterestÌ€€€€€__________€€€€€€Mortgage€Insurance€PremiumÌ€€€€€__________€€€€€€Mortgage€Insurance€ReservesÌ€€€€€__________€€€€€€OtherÌÌ$€€€__________€€€€€€TOTAL€PREPAID€FINANCE€CHARGESÐ D-”(, Ї4.à0  àò òEstimated€Truth„in„Lending€Statementà0(#(#àó óDate€Signed:€à0È(#(#à_______/_______/_______аÈ(#È(# Ðà  àà ` àà ¸ àà  àà h àà À àà  àDate€Prepared:_______/_______/_______Ìà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àYesà0 Ð àNoÐŒÜÐ (#Ð (# ÐÌa.à0  àIf€applicable,€does€the€file€contain€a€photocopy€of€the€written€cover€letter€à0x(#(#àððà0Ð x(#x(#àððÐd´Ð (#Ð (# Ðà  àthat€was€mailed€or€delivered€by€the€MB€within€three€(3)€business€days€ofÌà  àreceipt€of€the€application€for€credit€or€pulling€of€credit,€whichever€is€earliest,Ìà  àthat€disclosed€the€Estimated€Truth„in„Lending€Statement?Ìà@  ìàDate€of€Notice:€_______/_______/_______ˆÌÌb.à0  àDid€the€Broker€mail€or€deliver€to€the€consumer(s)€the€Estimated€Truth„in„à0x(#(#àððà0Ð x(#x(#àððÐì < Ð (#Ð (# Ðà  àLending€Statement€within€three€(3)€days€of€receipt€of€the€application€for€creditÌà  àor€credit€being€pulled,€whichever€is€earliest?ÌÌc.à0  àDoes€the€file€contain€an€original€Estimated€Truth„in„Lending€Statement€that€à0Ð (#(#àððà0@V!x(#x(#àððМì Ð (#Ð (# Ðà  àwas€delivered€or€mailed€by€the€MB€that€is€signed€and€dated€by€each€consumer?ÌÌd.à0  àIs€the€following€financial€information€properly€disclosed:€The€Annual€à0x(#(#àà0Ð x(#x(#àððà0@V!x(#x(#àððÐ`°Ð (#Ð (# Ðà  àPercentage€Rate€(APR);€the€Finance€Charge.€the€Amount€Financed;€theÌà  àTotal€of€Payments;€and€the€Payment€Schedule?ÌÌe.à0  àIs€the€disclosed€APR€accurate?à0À(#(#àà0À(#À(#àRecord€the€APR€________à0x(#(#àððà0Ð x(#x(#àððÐ`Ð (#Ð (# Ðà  àPayments:à0 ¸ à___________à0h¸ (#¸ (#àà0Àh(#h(#àà0À(#À(#à@€€€$_________________ÐüL(#(# Ðà  àà ` àà ¸ à___________à0 h àà0Àh(#h(#àà0À(#À(#à@€€€€€_________________Ðè8(#(# Ðà  àà ` àà ¸ à___________à0 h àà0Àh(#h(#àà0À(#À(#à@€€€€€_________________ÐÔ$(#(# ÐAmount€Financed:€€€€$€___________ÌÌf..à0  àIs€the€section€regarding€late€charges,€prepayment€penalties,€etc.€properly€à0x(#(#àððà0Ð x(#x(#àððИèÐ (#Ð (# Ðà  àcompleted?ÌÌg.à0  àDoes€the€Estimated€Truth„in„Lending€Statement€contain€a€designation€that€à0Ð (#(#àððà0@V!x(#x(#àððÐ\ ¬Ð (#Ð (# Ðà  àthe€figures€disclosed€are€estimated?€€For€example,€ð ðe€means€an€estimate.ððÌÌ5.ò òà0  àAttorney/Insurance€Agent€Preference€Formó ó€€€€€€€€€€Date€Signed:€_____/_____/_____Ð #p!(#(# ÐÌa.à0  àIf€applicable,€does€the€file€contain€a€photocopy€of€the€written€cover€letterà0x(#(#àððà0Ð x(#x(#àððÐü$L #Ð (#Ð (# Ðà  àthat€was€mailed€or€delivered€by€the€MB€within€three€(3)€business€days€of€Ìà  àreceipt€of€the€application€for€credit€or€pulling€credit,€whichever€is€earliest,Ìà  àthat€disclosed€the€Attorney/Insurance€Agent€Preference€form?Ìà  àà ` àà ¸ àà  àà h àà À àDate€of€Notice:€_______/_______/_______ÌÌb.à0  àDid€the€broker€mail€or€deliver€to€the€consumer(s)€the€Attorney/Insurance€à0x(#(#àððà0Ð x(#x(#àððЄ*Ô%)Ð (#Ð (# Ðà  àAgent€Preference€form€within€three€(3)€business€days€of€the€receipt€of€theÌà  àapplication€for€credit€or€credit€being€pulled,€whichever€is€earliest?ÌÐ H-˜(, Їà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àYesà0 Ð àNoаР(#Ð (# Ðc.à0  àDoes€the€file€contain€an€original€attorney/insurance€agent€preference€formà0x(#(#àððà0Ð x(#x(#àððМìÐ (#Ð (# Ðà  àthat€is€substantially€similar€to€the€form€distributed€by€the€Ô_ÔSCDCAÔ_Ô?ÌÌd.à0  àAre€the€preference€sections€of€the€attorney/insurance€agent€preference€formà0Ð (#(#àððà0@V!x(#x(#àððÐ`°Ð (#Ð (# Ðà  àproperly€executed€in€the€consumerððs€own€handwriting?Ìà  àà ` àà ¸ àà  àName€of€selected€closing€agent:€____________________________Ìà  àà ` àà ¸ àà  àName€of€selected€insurance€provider:________________________ÌÌe.à0  àIs€the€attorney/insurance€agent€preference€form€signed€and€dated€in€the€à0x(#(#àððà0Ð x(#x(#àððÐü L Ð (#Ð (# Ðà  àconsumer(s)€own€handwriting?ÌÌ6.à0  àò òPrivacy€Noticeó óà0(#(#àà0h(#(#àà0Àh(#h(#àà0À(#À(#à€à0p(#(#àDate€Signed€______/______/______ÐÀ p(#p(# ÐÌa.à0  àIf€applicable,€does€the€file€contain€a€photocopy€of€the€written€cover€letterà0x(#(#àððà0Ð x(#x(#àððМì Ð (#Ð (# Ðà  àthat€was€mailed€or€delivered€by€the€MB€within€three€(3)€business€days€ofÌà  àreceipt€of€the€application€for€credit€or€pulling€credit,€whichever€is€earliest,Ìà  àthat€disclosed€the€Privacy€Notice€Form:ÌÌà  àà ` àà ¸ àà  àà h àà À àDate€of€Notice:€_________/_________/_________ÌÌb.à0  àDid€the€broker€mail€or€deliver€to€the€consumer(s)€the€privacy€notice€within€à0Ð (#(#àððà0@V!x(#x(#àððÐ`Ð (#Ð (# Ðà  àthree€(3)€business€days€of€receipt€of€the€application€for€credit€or€credit€beingÌà  àpulled,€whichever€is€earliest?ÌÌc.à0  àDoes€the€file€contain€a€copy€of€the€Privacy€Notice€delivered€to€the€à0 (#(#àà0x (# (#àððà0Ð x(#x(#àððÐÀÐ (#Ð (# Ðà  àconsumer(s)?ÌÌd.à0  àDoes€the€Privacy€Notice€contain€the€required€working€as€set€forth€by€the€à0x(#(#àððà0Ð x(#x(#àððЄÔÐ (#Ð (# Ðà  àGramm„Leach„Bliley€Act?ÌÌe.à0  àDid€the€consumer(s)€sign€and€date€the€Privacy€Notice?à0È(#(#àà0 È(#È(#àà0x (# (#àà0Ð x(#x(#àððà0@V!x(#x(#àððÐH!˜Ð (#Ð (# ÐÌ7.à0  àò òAcceptance€of€Advance€Third€„Party€FeesÐ #p!(#(# ÐÌó óa.à0  àIf€applicable,€did€the€MB€accept€advanced€third€party€fees?à0È(#(#àà0 È(#È(#àà0x (# (#àððà0Ð x(#x(#àððÐü$L #Ð (#Ð (# ÐÌb.à0  àIf€yes€to€questionððaðð,€did€the€MB€collect€the€actual€cost€of€the€third€partyà0x(#(#àððà0Ð x(#x(#àððÐÔ&$"%Ð (#Ð (# Ðà  àservices?ÌÌc.à0  àDoes€the€file€contain€a€photocopy€of€the€consumerððs€method€of€paymentà0x(#(#àððà0Ð x(#x(#àððИ)è$(Ð (#Ð (# Ðà  àfor€third„party€services?ÌÌd.à0  àDate€and€amount€of€advance€third„party€fees€accepted€by€MB:Ð\,¬'+(#(# ÐÐ  H-˜(, Ðà  àà ` àà ¸ àà  àDate€Paid:€________/________/________Ìà  àà ` àà ¸ àà  àDollar€Amount€$€____________________ÌÌ8.à0  àò òReceipts€and/or€Invoices€from€Third„Party€Providersó óÐtÄ(#(# Ðà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àYesà0 Ð àNoÐd´Ð (#Ð (# Ða.à0  àIf€applicable,€does€the€file€contain€original€receipts€and/or€invoices€fromà0x(#(#àà0Ð x(#x(#àððà0@V!x(#x(#àððÐP  Ð (#Ð (# Ðà  àservice€providers?Ìà  àà ` àà ¸ àà  àIndicate€the€types€of€receipts€and/or€invoices:€_________________ÌÌb.à0  àIf€yes€to€question€ð ðaðð,€do€the€amounts€of€the€receipts€and/or€invoices€matchà0Ð (#(#àððà0@V!x(#x(#àððÐ P Ð (#Ð (# Ðà  àthe€charges€for€the€services€listed€on€the€Final€Itemization€of€AmountÌà  àFinanced€and/or€Final€HUD€Settlement€Statement?ÌÌ9.à0  àò òFinal€Truth„in„Lending€Statementó óà0À(#(#àà0À(#À(#àAmount€Financed:€$___________________а (#(# ÐÌa.à0  àDoes€the€file€contain€a€photocopy€of€the€TIL€disclosure€that€the€consumer(s)à0Ð (#(#àððà0@V!x(#x(#àððÐŒÜ Ð (#Ð (# Ðà  àreceived€at€the€mortgage€loan€closing?ÌÌb.à0  àIs€the€Final€TIL€disclosure€statement€signed€and€date€by€the€consumer(s)?à0x(#(#àððà0Ð x(#x(#àððÐP Ð (#Ð (# Ðà  àà ` àà ¸ àà  àDate€Signed:€_________/_________/_________ÌÌc.à0  àIf€yes€to€question€ð ðaðð,€are€the€financial€disclosure€sections€of€the€TIL€à0x(#(#àà0Ð x(#x(#àððà0@V!x(#x(#àððÐdÐ (#Ð (# Ðà  àdisclosure€statement€accurate?Ìà  àà ` àà ¸ àà  àà h àà À àRecord€the€APR€______________Ìà  àPayments:€____________€@€$________________Ìà  à€€€à0 ` à€€€€____________€€€€€€€€________________ÐÄ` (#` (# Ðà  àà ` à€€€€____________à0 h à________________аh(#h(# ÐÌd.à0  àIs€the€APR€on€the€Final€TIL€within€.125%€of€the€APR€disclosed€on€the€à0x(#(#àððà0Ð x(#x(#àððЈØÐ (#Ð (# Ðà  àEstimated€TIL€Statement€in€a€regular€transaction€of€.25%€in€an€irregular€transaction?ÌÌe.à0  àAre€the€terms€that€same€on€the€Final€TIL€as€disclosed€on€the€Estimated€TILà0Ð (#(#àððà0@V!x(#x(#àððÐL!œÐ (#Ð (# Ðà  àStatement?ÌÌf.à0  àIf€no€to€either€ð ðdðð€or€ð ðeðð€above,€did€the€broker€re„disclose€another€Estimated€à0Ð (#(#àððà0@V!x(#x(#àððÐ$`"Ð (#Ð (# Ðà  àTIL€to€the€consumer(s)€prior€to€the€loan€closing€which€was€signed€and€datedÌà  àby€the€consumer€prior€to€the€loan€closing€with€the€increase€in€APR€or€change€in€terms?ÌÌà  àPayments:€_____________€@€$_________________Ìà  àà ` à€€€€____________€€€€€€€€_____________________Ìà  àà ` à€€€€____________à0 h à_____________________И)è$(h(#h(# ÐÌg.à0  àIf€applicable,€is€there€a€prepayment€penalty€disclosed?à0È(#(#àà0 È(#È(#àà0x (# (#àà0Ð x(#x(#àððà0@V!x(#x(#àððÐp+À&*Ð (#Ð (# Ðà  àNOTE:€Loans€of€$150,000€or€less€are€not€allowed€in€South€Carolina.ÌÐ H-˜(, Ðñsñ‡ñsññtññtññuñà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àYesà0 Ð àNoñuññtñаР(#Ð (# Ðñtñh.à0  àIf€yes,€is€the€amount€of€the€penalty€in€excess€of€2%€of€the€loan€amount?à0x(#(#àà0Ð x(#x(#àððà0@V!x(#x(#àððМìÐ (#Ð (# Ðà  àRefer€to€mortgage/note€for€amounts.ÌÌI.à0  àIf€yes,€did€the€initial€Estimated€Truth„in„Lending€Statement€or€re„disclosureà0Ð (#(#àððà0@V!x(#x(#àððÐ`°Ð (#Ð (# Ðà  àproperly€disclose€a€prepayment€penalty?ÌÌj.à0  àIf€yes,€to€ð ðhðð,€was€the€dollar€amount€in€excess€of€2%€calculated€into€the€fees€à0Ð (#(#àððà0@V!x(#x(#àððÐ$ tÐ (#Ð (# Ðà  àtest€for€determining€a€high€cost€loan?ÌÌ10.à0  àò òFinal€Itemization€of€Amount€Financed€and/or€HUD€Settlement€StatementÐè 8 (#(# Ðà  à€€€€€€€€€€€€€€€€€€€€€€à ¸ àà  àà0 h àà0Àh(#h(#àà0À(#À(#àÐØ( (#(# Ðó óa.à0  àDoes€the€file€contain€a€photocopy€of€the€Itemization€of€Amount€Financedà0x(#(#àððà0Ð x(#x(#àððÐÄ Ð (#Ð (# Ðà  àand/or€HUD€Settlement€Statement€that€the€consumer(s)€received€at€the€Ìà  àmortgage€loan€closing?ÌÌb.à0  àIf€ð ðyesðð€to€question€ð ðaðð,€is€the€HUD€Settlement€Statement€properly€signed€by€à0Ð (#(#àððà0@V!x(#x(#àððÐtÄÐ (#Ð (# Ðà  àeach€consumer?ÌÌ11.à0  àñwñò òñwñAnalysis€of€Settlement€Statementñwñó óñwññvñà0À(#(#àà0À(#À(#àà0p(#(#àà0Èp(#p(#àà0 È(#È(#àà0x (# (#àYesà0Ð x(#x(#àNoñvñÐ8ˆ(#(# ÐÌLoan€Closing€date:€_______/_______/_______à0  àClosing€agent:€_________________à Ð àà @Ð àà @Ð àà @Ð àà @Ð àÐd(#(# ÐWithin€90€days€MB€agreementà0 h àà0Àh(#h(#àà0À(#À(#àà0p(#(#àà0Èp(#p(#àà0 È(#È(#àà0x (# (#àà0Ð x(#x(#àððà0@V!x(#x(#àððÐPÐ (#Ð (# ÐMatches€A/I€formà0 ¸ àà0¸ (#¸ (#àà0h(#(#àà0Àh(#h(#àà0À(#À(#àà0p(#(#àà0Èp(#p(#àà0 È(#È(#àà0x (# (#àððà0Ð x(#x(#àððà0@V!x(#x(#àà0@V!x(#x(#àà0@V!x(#x(#àà0@V!x(#x(#àà0@V!x(#x(#àà0@V!x(#x(#àÐì<Ð (#Ð (# Ðà  àà ` àà ¸ àà  àà h àà À àà  àLoan€Amount€$________________ÌÌLoan€origination€feeà0 ¸ à$__________à0h¸ (#¸ (#àCredit€report€fee:à0ph(#h(#à$__________€Need€billing€statementаp(#p(# ÐLoan€Discount€Fee:à0 ¸ à$__________Ðœì¸ (#¸ (# ÐBroker€Fee:à0 ` àà0¸ ` (#` (#à$__________Јظ (#¸ (# ÐProcessing€Fee:à0 ¸ à$__________à0h¸ (#¸ (#àAppraisal€Fee:à0ph(#h(#à$__________à0 p(#p(#àNeed€InvoiceÐtÄ (# (# ÐOther€fees:à0 ` àà0¸ ` (#` (#à$__________à0h¸ (#¸ (#àCourier€Fees:à0h(#h(#àà0p(#(#à$__________à0 p(#p(#àNeed€billingÐ ` ° ÐstatementÐ  (# (# ÐÌComments:€____________________________________________________________________ÌAmt.€of€additional€compensation€(premium)à0 À à$à0À(#À(#àà0p(#(#àProperly€disclosedà0xp(#p(#àððà0Ð x(#x(#àððÐ$`"Ð (#Ð (# ÐEstimated€settlement€chargesà0  à$____________à0(#(#àTotal€settlement€charges€$____________Ðü$L #(#(# ÐQuick€test€Ô_ÔSCHCÔ_Ô€&€Ô_ÔCHLAÔ_Ôà0  àTotal€settlement€charges€minus€payoffs:€$______________Ðè%8!$(#(# Ðà  àà ` àà ¸ àà  àDivided€by€loan€amount:€$________________________Ìà  àà ` àà ¸ àà  àIf€5%€or€higher,€further€calculations€required.ÌÌ12.à0  àò òMortgage€broker€fee€checkó óИ)è$((#(# ÐÌñxñà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àYesà0 Ð àNoÐt+Ä&*Ð (#Ð (# ÐñxññyñÌñyña.à0  àDoes€the€file€contain€photocopies€of€all€check€for€MB€fees,€premiums,à0x(#(#àà0Ð x(#x(#àððà0@V!x(#x(#àððÐt+Ä&*Ð (#Ð (# Ðà  àrebates€and€other€fees€whether€received€from€the€loan€proceeds€or€directlyÌà  àfrom€the€lender€or€investor?Ð L-œ(, Їà  àCheck€amount€$________________à0 À àDate€of€Check:€_________/_________/_________аÀ(#À(# Ðà  àCheck€amount€$________________€€Date€of€Check:€_________/_________/_________Ìà  àComments:€_____________________________________________________________ñ|ñÌñ|ñÌñ{ñà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àYesà0 Ð àNoÐ`°Ð (#Ð (# Ðñ{ññzñÌñzñÌb.à0  àIf€yes€to€questions€ð ðaðð,€is€the€amount€of€the€MBððs€fee€check€equal€to€or€less€à0Ð (#(#àððà0@V!x(#x(#àððÐ$ tÐ (#Ð (# Ðà  àthat€the€MB€fee€amount€disclosed€on€the€broker€fee€agreement?ÌÌ13.à0  àò òNotice€of€Right€to€Rescind€or€Canceló óà0(#(#àà0p(#(#àDate€Signed:€_____/_____/_______Ðè 8 p(#p(# ÐÌà  àà ` àà ¸ àà  àà h àà À àà  àà p àà È àà  àà x àYesà0 Ð àNoÐÄ Ð (#Ð (# ÐÌa.à0  àIf€applicable,€does€the€file€contain€a€photocopy€of€the€Notice€of€Right€to€à0x(#(#àððà0Ð x(#x(#àððМì Ð (#Ð (# Ðà  àRescind€or€Cancel€that€the€consumer(s)€received€at€the€mortgage€loan€closing?ÌÌb.à0  àIf€yes€to€question€ð ðaðð,€is€the€rescind€or€cancel€notice€properly€signed€and€datedà0Ð (#(#àððà0@V!x(#x(#àððÐ`°Ð (#Ð (# Ðà  àby€each€consumer?ÌÌComments:à0 ` à__________________________________________________________________Ð $t Ð__________________________________________________________________¼__________________________________________________________________Ð ` (#` (# ÐÌDate€Prepared:€_______/_______/_______à0 À àPrepared€by:€_______________________________