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Form B Date: Applicant: Mortgage Broker or Loan Officer: License Number ________________ Address _______________________ Phone # _______________________ Loan (describe as follows): Loan Amount: Interest Rate: Interest Rate Lock Expires (if applicable): Maximum Loan-to-Value Ratio: Loan Type and Program: Secondary financing terms (if applicable): Optional Information: Points: Subject Property: Mortgage Broker has received a signed application from the Applicant. Mortgage Broker has: [ Reviewed applicant’s ____Yes ____Not Applicable Verified applicant’s ____Yes ____Not Applicable Verified applicant’s ____Yes ____Not Applicable Reviewed applicant’s ____Yes ____Not Applicable Applicant is approved for the Loan provided that the Applicant's creditworthiness and financial position do not materially change prior to closing and provided that:
This Conditional Approval expires on __________________.
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