Before filling out this form, your loan must be approved and locked with an ordered appraisal.

Before filling out this form, your loan must be submitted and locked with an ordered appraisal.




Lender accepted change of circumstance may be subject to underwriter review. Failure to meet program guidelines will require additional redisclosure be sent.

A changed circumstance for purpose of a revised Loan Estimate as defined (§ 1026.19(e)(3)(iv)(A)):

1) An extraordinary event beyond the control of any interested party or other unexpected event specific to the consumer or transaction;

2) Information specific to the consumer or transaction that the creditor relied upon when providing the Loan Estimate and that was inaccurate or changed after the disclosures were provided;

3) New information specific to the consumer or transaction that the creditor did not rely on when providing the Loan Estimate.

You are eligible to complete this form if the following are true

1) Loan status is Clear to Close (Docs Out and Docs Back statuses are ineligible) 

2) Loan program is Conventional, FHA, VA & High Balance 

3) Loan amortization is Fixed

4) Renegotiation must benefit the borrower by at least 0.125 in rate

5) Cost of the initial renegotiation is current market, less 0.500, capped at original price 

6) Rebate will not exceed original rebate 

7) Cost will not be less than original costs 

If a float down is granted, the loan must close within 7 days of Float Down Date 
General Information











Non-Borrowing Entity Information



Loan Information








Final Broker Fees
ALL FEES PAID ARE SUBJECT TO HIGH COST ANALYZER COMPLIANCE WITH FEDERAL, STATE, COUNTY AND CITY APR / POINT / FEE THRESHOLDS





Final Lender Fees (Required if Requesting JMAC CD)
ALL FEES PAID ARE SUBJECT TO HIGH COST ANALYZER COMPLIANCE WITH FEDERAL, STATE, COUNTY AND CITY APR / POINT / FEE THRESHOLDS






*Any Additional Fees that the Borrower should Reimburse can be Added to the Comments Below.
Settlement Agent/Attorney Information




Settlement Agent/Attorney Information





Closing Documentation


Closing Documentation


Closing Documentation
If not previously provided, include the following REQUIRED  documentation:
  • Updated Estimated Settlement Statement/Preliminary CD
  • LE, COC, Initial CD, Initial CD Receipt Form & Final CD (if applicable)
  • Evidence of Insurance
  • All Invoices: Credit Report(s), Appraisal(s), HOA, Property Taxes, etc
  • Trust Cert of POA (if applicable)
  • Preliminary Title Report

Case Number Information





Change of Circumstance


















When changing the program FHA, be sure to complete the FHA Case Request Form.







Fee



Additional Information

Renegotiation Information