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Request for Initial CD - Closing Form

Step 1 of 7

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Please Select(Required)

Wholesale

Correspondent

Borrower Name(Required)

First Last

Mutual of Omaha Mortgage Loan Number(Required)

Broker/Correspondent Business Name(Required)

LO Phone Number(Required)

LO Contact(Required)

LO Email(Required)

ICD Requirements:

Appraisal
Tax Certification
HOI Binder or Dec Page
Invoices
Title Commitment, Wire, E & O
Title Prelim CD
Loan must have locked LE sent
Loan must have a conditional approval
Loan can't have compliance errors (our Mavent must be cleared

Would you like to review/approve the ICD prior to it being sent?(Required)

Yes

Closing Agent Business Name(Required)

Closing Agent Contact(Required)

Closing Agent Phone Number(Required)

Closing Agent Fax Number

Closing Agent Address(Required)

Closing Agent Email(Required)

Email for Closing Package (optional)

Closing Date(Required)

Closing Time

Hours

Minutes

AM/PM

Time Zone

Funding Date(Required)

First Payment Date(Required)

Conv: Interest Credit through the 10th of the month.
FHA/VA/USDA: Interest Credit through the 5th of the month.

POA (subject to prior approval):(Required)

Yes

Trust (subject to prior approval):(Required)

Yes

Refinance - Vesting Change at Closing (If yes, QCD required):(Required)

Yes

NBS (Refinance only)

Non-Borrowing Spouse (NBS): (optional)

NBS Email Address: (optional)

NBS Phone Number: (optional)

Notes to Closer

Taxes/Homeowner's Insurance:

If due within 60 days of closing, will be collected in full at closing. If in flood zone A or V, flood insurance will be impounded.

Escrow Waiver:

Taxes and insurance due at closing must be paid current. If in flood zone A or V, flood insurance will be impounded.

Seller Credit:

Realtor Credit:

Locked Broker Compensation Percentage:

LPC

BPC

LPC %

BPC %

If BPC % differs from current locked comp, you must contact your Mutual of Omaha TPO Account Executive and the Lock Desk to update prior to submitting this request

Correspondent Only

Correspondent MIN #

Correspondent MIN #(Required)

Correspondent Compensation (optional)

Admin Fee

UW Fee

Processing Fee

Application Fee

Discount Points (towards pricing)

Origination Points (fee)

Third party fees reimbursable to broker: Invoice Required. Total Must Match Provided Invoice.

Appraisal Fee:

Appraisal Fee - Total Due at Closing

Appraisal Fee - Amount POC:B

2nd Appraisal/Inspection Fee:

2nd Appraisal/Inspection Fee - Total Due at Closing

2nd Appraisal/Inspection Fee - Amount POC:B

Credit Report Fee:

Credit Report Fee - Total Due at Closing

Credit Report Fee - Amount POC:B

Third Party Processing Fee:

3rd Party Processing Fee - Total Due at Closing

3rd Party Processing Fee - Amount POC:B

Subordination Fee:

Subordination Fee - Total Due at Closing

Subordination Fee - Amount POC:B

HOA Cert Fee:

HOA Cert Fee - Total Due at Closing

HOA Cert Fee - Amount POC:B

Other

Total Due at Closing

Amount POC:B

Other

Total Due at Closing

Amount POC:B

Other

Total Due at Closing

Amount POC:B

Please review your entries before you submit.

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Mutual of Omaha Mortgage, Inc., NMLS ID 1025894. 3131 Camino Del Rio N 1100, San Diego, CA 92108. Alabama Consumer Credit License 22123; Alaska Broker/Lender License AK1025894. Arizona Mortgage Banker License 0926603; Arkansas Combination Mortgage Banker/Broker/Servicer License 109250; Licensed by the Department of Financial Protection & Innovation under the California Residential Mortgage Lending Act, License 4131356; Colorado Mortgage Registration 1025894; Connecticut Mortgage Lender License ML-1025894; Delaware Lender License 028515; District of Columbia Mortgage Dual Authority License MLB1025894; Florida Mortgage Lender Servicer License MLD1827; Georgia Mortgage Lender License/Registration 46648; Hawaii Mortgage Loan Originator Company License HI-1025894; Idaho Mortgage Broker/Lender License MBL-2081025894; Illinois Residential Mortgage Licensee MB.6761115 IDFPR-Residential Mortgage Banking, 555 West Monroe Street, Suite 500 Chicago, IL 60661, Tel: (844) 768-1713; Indiana-DFI Mortgage Lending License 43321; Iowa Mortgage Banker License 2019-0119; Kansas Mortgage Company License MC.0025612; Kentucky Mortgage Company License MC707287; Louisiana Residential Mortgage Lending License 1025894; Maine Supervised Lender License 1025894; Maryland Mortgage Lender License 21678; Massachusetts Mortgage Broker and Lender License MC1025894; Michigan 1st Mortgage Broker/Lender/Servicer Registrant FR0022702; Minnesota Residential Mortgage Originator Exemption MN-OX-1025894; Mississippi Mortgage Lender 1025894; Missouri Mortgage Company License 21-2472; Montana Mortgage Broker and Lender License 1025894; Nebraska Mortgage Banker License 1025894; Nevada Exempt Company Registration 4830. Licensed by the New Hampshire Banking Department, Mortgage Banker License 19926-MB; Licensed by the New Jersey Banking and Insurance Department. New Jersey Residential Mortgage Lender License 1025894; New Mexico Mortgage Loan Company License 1025894; North Carolina Mortgage Lender License L-186305; North Dakota Money Broker License MB103387; Ohio Residential Mortgage Lending Act Certificate of Registration RM.804535.000; Oklahoma Mortgage Lender License ML012498; Oregon Mortgage Lending License ML- 5208; Pennsylvania Mortgage Lender License 72932; Rhode Island Lender License 20163229LL. Rhode Island Loan Broker License 20163230LB; South Carolina BFI Mortgage Lender/Servicer License MLS-1025894; South Dakota Mortgage Lender License ML.05253; Tennessee Mortgage License 190182; Texas Mortgage Banker Registration 1025894; Utah Mortgage Entity License 8928021; Vermont Lender License 6891; Virginia Mortgage Broker and Lender License, NMLS ID #1025894 (www.nmlsconsumeraccess.org); Washington Consumer Loan Company License CL-1025894; Wisconsin Mortgage Banker License 1025894BA; Wyoming Mortgage Lender/Broker License 3488. Toll Free #: (877) 978-1922. Subject to Credit Approval. For licensing information, go to: www.nmlsconsumeraccess.org