Borrower Paid Compensation
Compliance Attestation and Certification
Mortgage Broker:
Loan Officer:
Loan Number:
Borrower(s):
Property Address:
By signing below, Mortgage Broker and Loan Officer attest and certify that:
BORROWER PAID COMPENSATION: Mortgage Broker, Loan Officer and their affiliates have
negotiated to receive compensation and fees from Borrower(s) and will charge and collect
compensation from Borrower(s). Mortgage Broker, Loan Officer and their affiliates will not charge,
collect or receive any compensation from the lender or any other party. Loan Officer shall not
receive any commission or other loan-specific compensation in connection with the Loan. Non-
firm owners shall receive only salary or hourly compensation from employer.
The amount of compensation being paid by the borrower is _______% or $_______________
Mortgage Broker:
By:
(Authorized Officer Signature)
Print Name:
Title:
By:
Loan Officer’s Signature Date
12/29/2016
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