SUBMIT YOUR LOANS TO

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1 BROKER DISCLOSE VON KARMAN AVE SUITE 1100 IRVINE, CA EAGLE UFF WEST LOAN SUBMISSION FORM UFFWEST DISCLOSE Signed by LO Escrow Fee Sheet / Estimated HUD 1 SSA-89- Date same as T- Date same as 1003 Anti Steering - sign & date as 1003 Broker Comp Acknowledgment - sign & date as 1003 BROKER: PHONE# PROCESSOR: LOAN OFFICER: UFF ACCOUNT EXECUTIVE: BORROWER NAME: CO -BORROWER NAME: COMPENSATION TYPE: BORROWER PAID $ OR PROGRAM: -- CONVENTIONAL --- FHA VA FHA STREAMLINE -- IRRRL JUMBO NON QM FIXED ARM LENDER PAID % LOAN PURPOSE: REFINANCE PURHCASE EST. CLOSE DATE DU OR LP LOAN TERM: YRS RATE: % W2 ONLY: YES NO PROPERTY TYPE: OWNER NON OWNER 2 ND HOME / SFR CONDO UNITS PUD LOAN AMOUNT: LTV/CLTV LPMI BPMI REQUIRED DOCUMENTS- ON BROKER DISCLOSED 1003/92900 LE, INTENT TO PROCEED CA ADDENDUM TO LE ALL BROKER INITIAL DISCLOSURES BORROWER AUTH BROKER COMPENSATION AGREEMENT 4506T ANTI-STEERING HOMEOWNERSHIP COUNSELING NOTICE SSA FORM NOTES: DO (FINALIZED TO UFF) PURHCASE CONTRACT IF APPLICABLE INCOME DOCS: CURRENT PAYSTUB (WITHIN 30 DAYS) LAST 2 YEARS W2 OR PER DU/LP TAX RETURNS 2 YRS OR PER DU/LP INLCUDING K-1 S & ALL SCHEDULES IF SELF EMPLOYED ASSETS- REQUIRED ON PURCHASE 3 RD PARTY PROCESSING FEE Y/ NO - INVOICE $ NMLS # CREDIT REPORT / CREDIT SUPPLEMENT IF APPLICABLE - INVOICE $ PLEASE UPLOAD YOUR SUBMISSION ON UFF WEBSITE: UFF UW FEES: $ $1095 WITH DO / $1195 WITHOUT DO / STREAMLINE LOANS $695 MORTGAGEE CLAUSE: UNITED FIDELITY FUNDING CORP 4506T ADDRESS: UNITED FIDELITY FUNDING CORP ISAOA/ATIMA C/O EQUIFAX 1300 NW BRIARCLIFF PARKWAY, SUITE LACKLAND ROAD KANSAS CITY, MO ST. LOUIS, MO ALL SUBMISSIONS MUST BE RECEIVED BY 3PM PST TO BE CONSIDERED A LOAN RECEIVED THAT DAY SUBMIT YOUR LOANS TO SUBMIT@UFFWEST.COM

2 Submission For Lender Disclose Checklist 3.2 FNMA File 1003 /1008 Fess Worksheet OR Est Settlement Stmt Service Providers List Borrowers Authorization 4506 T - Typed Sign & date same as 1003 SSA Authorization - Typed & date same as 1003 Anti- steering - sign & date same as 1003 Broker comp Acknowledgment sign & date as 1003 Credit Report DU (If Applicable) Income Doc Assets (If Applicable) Purchase Contract (If Applicable) Prelim / Title Report Please send the whole submission package to: Submit@uffwest.com

3 BROKER COMPENSATION ACKNOWLEDGEMENT & AGREEMENT Borrower s mortgage loan application will be submitted to United Fidelity Funding, Corp (Lender) by ( Broker ). Broker is an independent contractor, and is not an agent of Lender. Borrower may select whether Broker will be paid by either Borrower or the Lender for the Broker s services in this transaction ( Broker Compensation ). SECTION ONE - Borrower s Compensation Election. Borrower(s) must select only one of the options below by checking the box for the corresponding option: OR Option A - Borrower Paid: By selecting Option A, Borrower(s) acknowledge and agree that (i) only Borrower(s) will pay Broker Compensation; (ii) no additional Broker Compensation associated with this loan has been paid or will be paid to Broker by any other party (including Lender); and (iii) Borrower(s) will not pay Broker Compensation with any portion of any Lender credit for the interest rate chosen, if applicable, for this loan. Option B - Lender Paid: By selecting Option B, Borrower(s) acknowledge and agree that (i) only Lender will pay Broker Compensation; (ii) no Broker Compensation associated with this loan has been paid or will be paid by Borrower to Broker; and (iii) subject to Lender s contractual agreement(s) with Broker, Lender-paid Broker Compensation under this option shall be % of the loan amount. All Borrowers must indicate their election by signing this form. SECTION TWO - Broker s Certification of Broker Compensation. Broker hereby certifies that (i) Broker has clearly explained to Borrower(s) the services that Broker has and will provide to Borrower(s); (ii) Broker will be compensated for its services exclusively and only according to the Broker Compensation method selected by the Borrower(s) in SECTION ONE of this Agreement; (iii) Broker has not and will not accept any other form or amount of compensation from any party other than Borrower or Lender, as shown above; (iv) Broker will compensate its loan originator in accordance with applicable state and federal law; and (v) the amount of Broker Compensation agreed to, whether paid by Borrower or Lender, will be accurately disclosed on the initial Good Faith Estimate and any subsequent Good Faith Estimate provided to Borrower(s). SECTION THREE Borrower s Interest Borrower(s) and Broker acknowledge and agree (i) that Broker presented Borrower(s) with loan options for each type of transaction in which Borrower(s) expressed an interest (i.e., fixed-rate, adjustable-rate and/or reverse mortgage); (ii) that the loan options included (a) a loan with the lowest interest rate, (b) a loan with the lowest interest rate and which does not contain negative amortization, a prepayment penalty, a interest only feature, a balloon payment in the first 7 years, a demand feature, shared equity/appreciation, or, for a reverse mortgage, a loan without a prepayment penalty or shared 1

4 equity/appreciation, and (c) a loan with the lowest total dollar amount of origination points/fees and discount points; (iii) that Broker explained and discussed each of the loan options with Borrower(s); and (iv) that Borrower(s), after consideration of each of the options presented, selected the loan product that is most in their interest and best meets their needs. Broker further acknowledges and agrees that the loan options presented to the Borrower(s) were obtained from a significant number of lenders with which Broker regularly does business, as defined by Regulation Z and its Official Staff Commentary; and that, for each option presented, Broker had a good faith belief that the borrower(s) would likely qualify for the loan presented. SECTION FOUR - Other Terms. Borrower understands that this Acknowledgement and Agreement is not a commitment to extend credit. Borrower and Broker agree that Borrower, Broker, and Lender will rely on this Acknowledgement and Agreement for the purposes of administering Broker Compensation. Borrower and Broker have each retained a copy of this signed Acknowledgement and Agreement. Broker shall deliver a fully executed copy of this Acknowledgement and Agreement to Lender with Borrower(s) mortgage loan application. Broker and Borrower(s) acknowledge that each has read this Acknowledgement and Agreement and understand its contents, as evidenced by our signatures below: Executed this day of, 20. Borrower(s): Broker: Mortgage Loan Officer signature Mortgage Loan Officer 2

5 Anti-Steering Disclosure Date Prepared: Loan Number: Borrower Name(s): You have applied for a mortgage loan through your mortgage broker, [insert broker name]. The loan options below provide you with detailed rate and loan cost information to assist you in choosing the correct loan for your particular situation. Carefully review the loan options presented below. Type of Transaction: FIXED OR ARM Interest Rate Total Origination points or fees and Discount points Option 1 Loan with the lowest Interest Rate % $ Option 2 Loan with the lowest interest rate without negative % $ amortization, a prepayment penalty, interest-only payments, a balloon payment in the first 7 years of the life of the loan, a demand feature, shared equity, or shared appreciation. Option 3 Loan with the lowest total dollar amount for Origination points or fees and Discount points % $ You are applying for a loan with the following terms % $ If you expressed an interest rate in an adjustable rate loan and if the loans initial interest rate is fixed for at least 5 years, the Interest Rate disclosed in this document is the initial rate that would be in effect at consummation. If the loan s initial interest rate is not fixed for at least 5 years, the Interest Rate is the fully-indexed rate that would be in effect at consummation without regard to any initial discount or premium. This is not a lock-in agreement or a loan commitment. The interest rate and fees described throughout this disclosure are available on the date the document was prepared and they maybe subject to change if you have not locked your interest rate. Once you lock your loan, you are agreeing to close your loan within a certain period of time and at a certain interest rate. If you instruct your mortgage broker to lock your loan, your mortgage broker can explain to you the Interest Rate and fees you will pay. Be sure that you understand and are satisfied with the product and terms that have been offered to you. Signed: Borrower Signature Date: Borrower Signature Date: Borrower Signature Date: Borrower Signature Date:

6 Social Security Administration Form Approved OMB No Authorization for the Social Security Administration (SSA) To Release Social Security Number (SSN) Verification Printed Name: Date of Birth: Social Security Number: I want this information released because I am conducting the following business transaction: Reason (s) for using CBSV: (Please select all that apply) Mortgage Service Background Check Credit Check Banking Service License Requirement Other with the following company ("the Company"): Company Name: Company Address: I authorize the Social Security Administration to verify my name and SSN to the Company and/or the Company's Agent, if applicable, for the purpose I identified. The name and address of the Company's Agent is: I am the individual to whom the Social Security number was issued or the parent or legal guardian of a minor, or the legal guardian of a legally incompetent adult. I declare and affirm under the penalty of perjury that the information contained herein is true and correct. I acknowledge that if I make any representation that I know is false to obtain information from Social Security records, I could be found guilty of a misdemeanor and fined up to $5,000. This consent is valid only for 90 days from the date signed, unless indicated otherwise by the individual named above. If you wish to change this timeframe, fill in the following: This consent is valid for days from the date signed. (Please initial.) Signature Date Signed Relationship (if not the individual to whom the SSN was issued): Contact information of individual signing authorization: Address City/State/Zip Phone Number Form SSA-89 ( )

7 Privacy Act Statement SSA is authorized to collect the information on this form under Sections 205 and 1106 of the Social Security Act and the Privacy Act of 1974 (5 U.S.C. 552a). We need this information to provide the verification of your name and SSN to the Company and/or the Company's Agent named on this form. Giving us this information is voluntary. However, we cannot honor your request to release this information without your consent. SSA may also use the information we collect on this form for such purposes authorized by law, including to ensure the Company and/or Company's Agent's appropriate use of the SSN verification service. Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U. S.C. 3507, as amended by section 2 of the Paperwork Reduction Act of You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 3 minutes to complete the form. You may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD Send to this address only comments relating to our time estimate, not the completed form. TEAR OFF NOTICE TO NUMBER HOLDER The Company and/or its Agent have entered into an agreement with SSA that, among other things, includes restrictions on the further use and disclosure of SSA's verification of your SSN. To view a copy of the entire model agreement, visit Form SSA-89 ( )