Fillable TILA RESPA Integrated Disclosure – Refinance Form (with Calculations) (The Judicial Title Insurance Agency LLC)

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TILA RESPA Integrated Disclosure – Refinance Form (with Calculations) (The Judicial Title Insurance Agency LLC)

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FEBRUARY 7, 2014
H-25(J) Mortgage Loan Transaction Closing Disclosure – Modification to
Closing Disclosure for Transaction Not Involving Seller – Model Form
TILA RESPA Integrated
Disclosure
This is a blank model form of the alternative disclosures and modifications permitted by 12 CFR § 1026.38(d)(2), (e), and
(t)(5)(vii) for transactions without a seller.
Projected Payments
Loan Terms
Can this amount increase after closing?
Loan Amount
Interest Rate
Monthly Principal & Interest
See Projected Payments below for your
Estimated Total Monthly Payment
Does the loan have these features?
Prepayment Penalty
Balloon Payment
CLOSING DISCLOSURE PAGE 1 OF 5 • LOAN ID # 1330172608
Payment Calculation
Principal & Interest
Mortgage Insurance
Estimated Escrow
Amount can increase over time
Estimated Total
Monthly Payment
Estimated Taxes, Insurance
& Assessments
Amount can increase over time
See page 4 for details
See Escrow Account on page 4 for details. You must pay for other property
costs separately.
This estimate includes In escrow?
Property Taxes
Homeowner’s Insurance
Other:
Transaction Information
Borrower
Lender
Loan Information
Loan Term
Purpose
Product
Loan Type Conventional FHA
VA _____________
Loan ID #
MIC #
Closing Information
Date Issued
Closing Date
Disbursement Date
Settlement Agent
File #
Property
Appraised Prop. Value
This form is a statement of nal loan terms and closing costs. Compare this
document with your Loan Estimate.
Closing Disclosure
Closing Costs Includes $3,800.50 in Loan Costs + $2,856.10 in Other Costs – $500
in Lender Credits. See page 2 for details.
Cash to Close Includes Closing Costs. See Calculating Cash to Close on page 3 for details.
Costs at Closing
From
To Borrower
*will not show on print
Distributed by Judicial Title
---
---
---
---
---
Years 1-7
+
+
+
+
---
---
---
Projected Payments
Loan Terms
Can this amount increase after closing?
Loan Amount
Interest Rate
Monthly Principal & Interest
See Projected Payments below for your
Estimated Total Monthly Payment
Does the loan have these features?
Prepayment Penalty
Balloon Payment
CLOSING DISCLOSURE PAGE 1 OF 5 • LOAN ID # 1330172608
Payment Calculation
Principal & Interest
Mortgage Insurance
Estimated Escrow
Amount can increase over time
Estimated Total
Monthly Payment
Estimated Taxes, Insurance
& Assessments
Amount can increase over time
See page 4 for details
See Escrow Account on page 4 for details. You must pay for other property
costs separately.
This estimate includes In escrow?
Property Taxes
Homeowner’s Insurance
Other:
Transaction Information
Borrower
Lender
Loan Information
Loan Term
Purpose
Product
Loan Type Conventional FHA
VA _____________
Loan ID #
MIC #
Closing Information
Date Issued
Closing Date
Disbursement Date
Settlement Agent
File #
Property
Estimated Prop. Value
This form is a statement of nal loan terms and closing costs. Compare this
document with your Loan Estimate.
Closing Disclosure
Closing Costs Includes $3,800.50 in Loan Costs + $2,856.10 in Other Costs – $500
in Lender Credits. See page 2 for details.
Cash to Close Includes Closing Costs. See Calculating Cash to Close on page 3 for details.
Costs at Closing
From
To Borrower
*will not show on print
Distributed by Judicial Title
---
---
---
---
---
Years 1-7
+
+
+
+
---
---
---
Loan Costs
CLOSING DISCLOSURE PAGE 2 OF 5 • LOAN ID # 0000000000
Borrower-Paid
Paid by
Others
At Closing Before Closing
A. Origination Charges
01 % of Loan Amount (Points)
02
03
04
05
06
07
08
B. Services Borrower Did Not Shop For
01
02
03
04
05
06
07
08
09
10
C. Services Borrower Did Shop For
01
02
03
04
05
06
07
08
D. TOTAL LOAN COSTS Borrower-Paid
Loan Costs Subtotals (A + B + C)
J. TOTAL CLOSING COSTS Borrower-Paid
Closing Costs Subtotals D + I
Lender Credits
Closing Cost Details
E. Taxes and Other Government Fees
01 Recording Fees Deed: Mortgage:
02
F. Prepaids
01 Homeowner’s Insurance Premium ( mo.)
02 Mortgage Insurance Premium ( mo.)
03 Prepaid Interest ( per day from to )
04 Property Taxes ( mo.)
05
G. Initial Escrow Payment at Closing
01 Homeowner’s Insurance per month for mo.
02 Mortgage Insurance per month for mo.
03 Property Taxes per month for mo.
04
05
06
07
08 Aggregate Adjustment
H. Other
01
02
03
04
05
06
07
08
I. TOTAL OTHER COSTS Borrower-Paid
Other Costs Subtotals (E + F + G + H)
Other Costs
*will not show on print
Distributed by Judicial Title
$ 0.00
0.25
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
CLOSING DISCLOSURE PAGE 3 OF 5 • LOAN ID #
TO AMOUNT
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
K. TOTAL PAYOFFS AND PAYMENTS
Payos and Payments
Use this table to see a summary of your payos and payments to others from your loan amount.
Calculating Cash to Close
Loan Estimate Final Did this change?
Loan Amount
Total Closing Costs (J)
Closing Costs Paid Before Closing
Total Payos and Payments (K)
Cash to Close
From
To
Borrower
From
To
Borrower Closing Costs Financed (Paid from your Loan Amount)
Use this table to see what has changed from your Loan Estimate.
---
---
---
---
*will not show on print
Distributed by Judicial Title
Assumption
If you sell or transfer this property to another person, your lender
will allow, under certain conditions, this person to assume this
loan on the original terms.
will not allow assumption of this loan on the original terms.
Demand Feature
Your loan
has a demand feature, which permits your lender to require early
repayment of the loan. You should review your note for details.
does not have a demand feature.
Late Payment
If your payment is more than ___ days late, your lender will charge a
late fee of ________________________________________________
Negative Amortization (Increase in Loan Amount)
Under your loan terms, you
are scheduled to make monthly payments that do not pay all of
the interest due that month. As a result, your loan amount will
increase (negatively amortize), and your loan amount will likely
become larger than your original loan amount. Increases in your
loan amount lower the equity you have in this property.
may have monthly payments that do not pay all of the interest
due that month. If you do, your loan amount will increase
(negatively amortize), and, as a result, your loan amount may
become larger than your original loan amount. Increases in your
loan amount lower the equity you have in this property.
do not have a negative amortization feature.
Partial Payments
Your lender
may accept payments that are less than the full amount due
(partial payments) and apply them to your loan.
may hold them in a separate account until you pay the rest of the
payment, and then apply the full payment to your loan.
does not accept any partial payments.
If this loan is sold, your new lender may have a dierent policy.
Security Interest
You are granting a security interest in
You may lose this property if you do not make your payments or
satisfy other obligations for this loan.
CLOSING DISCLOSURE PAGE 4 OF 5 • LOAN ID # 0000000000
Loan Disclosures
Escrow Account
For now, your loan
will have an escrow account (also called an “impound” or “trust”
account) to pay the property costs listed below. Without an escrow
account, you would pay them directly, possibly in one or two large
payments a year. Your lender may be liable for penalties and interest
for failing to make a payment.
Escrow
Escrowed
Property Costs
over Year 1
Estimated total amount over year 1 for
your escrowed property costs:
Non-Escrowed
Property Costs
over Year 1
Estimated total amount over year 1 for
your non-escrowed property costs:
You may have other property costs.
Initial Escrow
Payment
A cushion for the escrow account you
pay at closing. See Section G on page 2.
Monthly Escrow
Payment
The amount included in your total
monthly payment.
No Escrow
Estimated
Property Costs
over Year 1
Estimated total amount over year 1. You
must pay these costs directly, possibly
in one or two large payments a year.
Escrow Waiver Fee
will not have an escrow account because you declined it your
lender does not oer one. You must directly pay your property
costs, such as taxes and homeowner’s insurance. Contact your
lender to ask if your loan can have an escrow account.
In the future,
Your property costs may change and, as a result, your escrow pay-
ment may change. You may be able to cancel your escrow account,
but if you do, you must pay your property costs directly. If you fail
to pay your property taxes, your state or local government may (1)
impose nes and penalties or (2) place a tax lien on this property. If
you fail to pay any of your property costs, your lender may (1) add
the amounts to your loan balance, (2) add an escrow account to your
loan, or (3) require you to pay for property insurance that the lender
buys on your behalf, which likely would cost more and provide fewer
benets than what you could buy on your own.
Additional Information About This Loan
*will not show on print
Distributed by Judicial Title
Assumption
If you sell or transfer this property to another person, your lender
will allow, under certain conditions, this person to assume this
loan on the original terms.
will not allow assumption of this loan on the original terms.
Demand Feature
Your loan
has a demand feature, which permits your lender to require early
repayment of the loan. You should review your note for details.
does not have a demand feature.
Late Payment
If your payment is more than ___ days late, your lender will charge a
late fee of ________________________________________________
Negative Amortization (Increase in Loan Amount)
Under your loan terms, you
are scheduled to make monthly payments that do not pay all of
the interest due that month. As a result, your loan amount will
increase (negatively amortize), and your loan amount will likely
become larger than your original loan amount. Increases in your
loan amount lower the equity you have in this property.
may have monthly payments that do not pay all of the interest
due that month. If you do, your loan amount will increase
(negatively amortize), and, as a result, your loan amount may
become larger than your original loan amount. Increases in your
loan amount lower the equity you have in this property.
do not have a negative amortization feature.
Partial Payments
Your lender
may accept payments that are less than the full amount due
(partial payments) and apply them to your loan.
may hold them in a separate account until you pay the rest of the
payment, and then apply the full payment to your loan.
does not accept any partial payments.
If this loan is sold, your new lender may have a dierent policy.
Security Interest
You are granting a security interest in
You may lose this property if you do not make your payments or
satisfy other obligations for this loan.
CLOSING DISCLOSURE PAGE 4 OF 5 • LOAN ID # 0000000000
Loan Disclosures
Escrow Account
For now, your loan
will have an escrow account (also called an “impound” or “trust”
account) to pay the property costs listed below. Without an escrow
account, you would pay them directly, possibly in one or two large
payments a year. Your lender may be liable for penalties and interest
for failing to make a payment.
Escrow
Escrowed
Property Costs
over Year 1
Estimated total amount over year 1 for
your escrowed property costs:
Non-Escrowed
Property Costs
over Year 1
Estimated total amount over year 1 for
your non-escrowed property costs:
You may have other property costs.
Initial Escrow
Payment
A cushion for the escrow account you
pay at closing. See Section G on page 2.
Monthly Escrow
Payment
The amount included in your total
monthly payment.
No Escrow
Estimated
Property Costs
over Year 1
Estimated total amount over year 1. You
must pay these costs directly, possibly
in one or two large payments a year.
Escrow Waiver Fee
will not have an escrow account because you declined it your
lender does not oer one. You must directly pay your property
costs, such as taxes and homeowner’s insurance. Contact your
lender to ask if your loan can have an escrow account.
In the future,
Your property costs may change and, as a result, your escrow pay-
ment may change. You may be able to cancel your escrow account,
but if you do, you must pay your property costs directly. If you fail
to pay your property taxes, your state or local government may (1)
impose nes and penalties or (2) place a tax lien on this property. If
you fail to pay any of your property costs, your lender may (1) add
the amounts to your loan balance, (2) add an escrow account to your
loan, or (3) require you to pay for property insurance that the lender
buys on your behalf, which likely would cost more and provide fewer
benets than what you could buy on your own.
Additional Information About This Loan
Adjustable Payment (AP) Table
Interest Only Payments?
Optional Payments?
Step P
ayments?
Seasonal Payments?
Monthly Principal and Interest Payments
First Change/Amount
Subsequent Changes
Maximum Payment
Adjustable Interest Rate (AIR) Table
Index + Margin
Initial Interest Rate
Minimum/Maximum Interest Rate
Change Frequency
First Change
Subsequent Changes
Limits on Interest Rate Changes
First Change
Subsequent Changes
*will not show on print
Distributed by Judicial Title
Assumption
If you sell or transfer this property to another person, your lender
will allow, under certain conditions, this person to assume this
loan on the original terms.
will not allow assumption of this loan on the original terms.
Demand Feature
Your loan
has a demand feature, which permits your lender to require early
repayment of the loan. You should review your note for details.
does not have a demand feature.
Late Payment
If your payment is more than ___ days late, your lender will charge a
late fee of ________________________________________________
Negative Amortization (Increase in Loan Amount)
Under your loan terms, you
are scheduled to make monthly payments that do not pay all of
the interest due that month. As a result, your loan amount will
increase (negatively amortize), and your loan amount will likely
become larger than your original loan amount. Increases in your
loan amount lower the equity you have in this property.
may have monthly payments that do not pay all of the interest
due that month. If you do, your loan amount will increase
(negatively amortize), and, as a result, your loan amount may
become larger than your original loan amount. Increases in your
loan amount lower the equity you have in this property.
do not have a negative amortization feature.
Partial Payments
Your lender
may accept payments that are less than the full amount due
(partial payments) and apply them to your loan.
may hold them in a separate account until you pay the rest of the
payment, and then apply the full payment to your loan.
does not accept any partial payments.
If this loan is sold, your new lender may have a dierent policy.
Security Interest
You are granting a security interest in
You may lose this property if you do not make your payments or
satisfy other obligations for this loan.
CLOSING DISCLOSURE PAGE 4 OF 5 • LOAN ID # 0000000000
Loan Disclosures
Escrow Account
For now, your loan
will have an escrow account (also called an “impound” or “trust”
account) to pay the property costs listed below. Without an escrow
account, you would pay them directly, possibly in one or two large
payments a year. Your lender may be liable for penalties and interest
for failing to make a payment.
Escrow
Escrowed
Property Costs
over Year 1
Estimated total amount over year 1 for
your escrowed property costs:
Non-Escrowed
Property Costs
over Year 1
Estimated total amount over year 1 for
your non-escrowed property costs:
You may have other property costs.
Initial Escrow
Payment
A cushion for the escrow account you
pay at closing. See Section G on page 2.
Monthly Escrow
Payment
The amount included in your total
monthly payment.
No Escrow
Estimated
Property Costs
over Year 1
Estimated total amount over year 1. You
must pay these costs directly, possibly
in one or two large payments a year.
Escrow Waiver Fee
will not have an escrow account because you declined it your
lender does not oer one. You must directly pay your property
costs, such as taxes and homeowner’s insurance. Contact your
lender to ask if your loan can have an escrow account.
In the future,
Your property costs may change and, as a result, your escrow pay-
ment may change. You may be able to cancel your escrow account,
but if you do, you must pay your property costs directly. If you fail
to pay your property taxes, your state or local government may (1)
impose nes and penalties or (2) place a tax lien on this property. If
you fail to pay any of your property costs, your lender may (1) add
the amounts to your loan balance, (2) add an escrow account to your
loan, or (3) require you to pay for property insurance that the lender
buys on your behalf, which likely would cost more and provide fewer
benets than what you could buy on your own.
Additional Information About This Loan
Adjustable Payment (AP) Table
Interest Only Payments?
Optional Payments?
Step P
ayments?
Seasonal Payments?
Monthly Principal and Interest Payments
First Change/Amount
Subsequent Changes
Maximum Payment
*will not show on print
Distributed by Judicial Title
Assumption
If you sell or transfer this property to another person, your lender
will allow, under certain conditions, this person to assume this
loan on the original terms.
will not allow assumption of this loan on the original terms.
Demand Feature
Your loan
has a demand feature, which permits your lender to require early
repayment of the loan. You should review your note for details.
does not have a demand feature.
Late Payment
If your payment is more than ___ days late, your lender will charge a
late fee of ________________________________________________
Negative Amortization (Increase in Loan Amount)
Under your loan terms, you
are scheduled to make monthly payments that do not pay all of
the interest due that month. As a result, your loan amount will
increase (negatively amortize), and your loan amount will likely
become larger than your original loan amount. Increases in your
loan amount lower the equity you have in this property.
may have monthly payments that do not pay all of the interest
due that month. If you do, your loan amount will increase
(negatively amortize), and, as a result, your loan amount may
become larger than your original loan amount. Increases in your
loan amount lower the equity you have in this property.
do not have a negative amortization feature.
Partial Payments
Your lender
may accept payments that are less than the full amount due
(partial payments) and apply them to your loan.
may hold them in a separate account until you pay the rest of the
payment, and then apply the full payment to your loan.
does not accept any partial payments.
If this loan is sold, your new lender may have a dierent policy.
Security Interest
You are granting a security interest in
You may lose this property if you do not make your payments or
satisfy other obligations for this loan.
CLOSING DISCLOSURE PAGE 4 OF 5 • LOAN ID # 0000000000
Loan Disclosures
Escrow Account
For now, your loan
will have an escrow account (also called an “impound” or “trust”
account) to pay the property costs listed below. Without an escrow
account, you would pay them directly, possibly in one or two large
payments a year. Your lender may be liable for penalties and interest
for failing to make a payment.
Escrow
Escrowed
Property Costs
over Year 1
Estimated total amount over year 1 for
your escrowed property costs:
Non-Escrowed
Property Costs
over Year 1
Estimated total amount over year 1 for
your non-escrowed property costs:
You may have other property costs.
Initial Escrow
Payment
A cushion for the escrow account you
pay at closing. See Section G on page 2.
Monthly Escrow
Payment
The amount included in your total
monthly payment.
No Escrow
Estimated
Property Costs
over Year 1
Estimated total amount over year 1. You
must pay these costs directly, possibly
in one or two large payments a year.
Escrow Waiver Fee
will not have an escrow account because you declined it your
lender does not oer one. You must directly pay your property
costs, such as taxes and homeowner’s insurance. Contact your
lender to ask if your loan can have an escrow account.
In the future,
Your property costs may change and, as a result, your escrow pay-
ment may change. You may be able to cancel your escrow account,
but if you do, you must pay your property costs directly. If you fail
to pay your property taxes, your state or local government may (1)
impose nes and penalties or (2) place a tax lien on this property. If
you fail to pay any of your property costs, your lender may (1) add
the amounts to your loan balance, (2) add an escrow account to your
loan, or (3) require you to pay for property insurance that the lender
buys on your behalf, which likely would cost more and provide fewer
benets than what you could buy on your own.
Additional Information About This Loan
Adjustable Interest Rate (AIR) Table
Index + Margin
Initial Interest Rate
Minimum/Maximum Interest Rate
Change Frequency
First Change
Subsequent Changes
Limits on Interest Rate Changes
First Change
Subsequent Changes
*will not show on print
Distributed by Judicial Title
Conrm Receipt
Other Disclosures
Appraisal
If the property was appraised for your loan, your lender is required to
give you a copy at no additional cost at least 3 days before closing.
If you have not yet received it, please contact your lender at the
information listed below.
Contract Details
See your note and security instrument for information about
• what happens if you fail to make your payments,
• what is a default on the loan,
• situations in which your lender can require early repayment of the
loan, and
• the rules for making payments before they are due.
Liability after Foreclosure
If your lender forecloses on this property and the foreclosure does not
cover the amount of unpaid balance on this loan,
state law may protect you from liability for the unpaid balance. If you
renance or take on any additional debt on this property, you may
lose this protection and have to pay any debt remaining even after
foreclosure. You may want to consult a lawyer for more information.
state law does not protect you from liability for the unpaid balance.
Renance
Renancing this loan will depend on your future nancial situation,
the property value, and market conditions. You may not be able to
renance this loan.
Tax Deductions
If you borrow more than this property is worth, the interest on the
loan amount above this property’s fair market value is not deductible
from your federal income taxes. You should consult a tax advisor for
more information.
By signing, you are only conrming that you have received this form. You do not have to accept this loan because you have signed or received
this form.
Applicant Signature Date Co-Applicant Signature Date
CLOSING DISCLOSURE PAGE 5 OF 5 • LOAN ID # 0000000000
Total of Payments. Total you will have paid after
you make all payments of principal, interest,
mortgage insurance, and loan costs, as scheduled.
Finance Charge. The dollar amount the loan will
cost you.
Amount Financed. The loan amount available after
paying your upfront nance charge.
Annual Percentage Rate (APR). Your costs over
the loan term expressed as a rate. This is not your
interest rate.
Total Interest Percentage (TIP). The total amount
of interest that you will pay over the loan term as a
percentage of your loan amount.
Loan Calculations
Contact Information
Lender Mortgage Broker Settlement Agent
Name
Address
NMLS ID
222222
License ID
Contact
Contact NMLS ID
Contact License ID
Email
FICUSBANK.CO
ICUSBANK.
Phone
Questions? If you have questions about the
loan terms or costs on this form, use the contact
information below. To get more information
or make a complaint, contact the Consumer
Financial Protection Bureau at
www.consumernance.gov/mortgage-closing
?
*will not show on print
Distributed by Judicial Title
Other Disclosures
Appraisal
If the property was appraised for your loan, your lender is required to
give you a copy at no additional cost at least 3 days before closing.
If you have not yet received it, please contact your lender at the
information listed below.
Contract Details
See your note and security instrument for information about
• what happens if you fail to make your payments,
• what is a default on the loan,
• situations in which your lender can require early repayment of the
loan, and
• the rules for making payments before they are due.
Liability after Foreclosure
If your lender forecloses on this property and the foreclosure does not
cover the amount of unpaid balance on this loan,
state law may protect you from liability for the unpaid balance. If you
renance or take on any additional debt on this property, you may
lose this protection and have to pay any debt remaining even after
foreclosure. You may want to consult a lawyer for more information.
state law does not protect you from liability for the unpaid balance.
Loan Acceptance
You do not have to accept this loan because you have received this
form or signed a loan application.
Renance
Renancing this loan will depend on your future nancial situation,
the property value, and market conditions. You may not be able to
renance this loan.
Tax Deductions
If you borrow more than this property is worth, the interest on the
loan amount above this property’s fair market value is not deductible
from your federal income taxes. You should consult a tax advisor for
more information.
CLOSING DISCLOSURE PAGE 5 OF 5 • LOAN ID # 0000000000
Total of Payments. Total you will have paid after
you make all payments of principal, interest,
mortgage insurance, and loan costs, as scheduled.
Finance Charge. The dollar amount the loan will
cost you.
Amount Financed. The loan amount available after
paying your upfront nance charge.
Annual Percentage Rate (APR). Your costs over
the loan term expressed as a rate. This is not your
interest rate.
Total Interest Percentage (TIP). The total amount
of interest that you will pay over the loan term as a
percentage of your loan amount.
Loan Calculations
Contact Information
Lender Mortgage Broker Settlement Agent
Name
Address
NMLS ID
222222
License ID
Contact
Contact NMLS ID
Contact License ID
Email
FICUSBANK.CO
ICUSBANK.
Phone
Questions? If you have questions about the
loan terms or costs on this form, use the contact
information below. To get more information
or make a complaint, contact the Consumer
Financial Protection Bureau at
www.consumernance.gov/mortgage-closing
?
*will not show on print
Distributed by Judicial Title
Conrm Receipt
Other Disclosures
Contract Details
See your note and security instrument for information about
• what happens if you fail to make your payments,
• what is a default on the loan,
• situations in which your lender can require early repayment of the
loan, and
• the rules for making payments before they are due.
Liability after Foreclosure
If your lender forecloses on this property and the foreclosure does not
cover the amount of unpaid balance on this loan,
state law may protect you from liability for the unpaid balance. If you
renance or take on any additional debt on this property, you may
lose this protection and have to pay any debt remaining even after
foreclosure. You may want to consult a lawyer for more information.
state law does not protect you from liability for the unpaid balance.
Renance
Renancing this loan will depend on your future nancial situation,
the property value, and market conditions. You may not be able to
renance this loan.
Tax Deductions
If you borrow more than this property is worth, the interest on the
loan amount above this property’s fair market value is not deductible
from your federal income taxes. You should consult a tax advisor for
more information.
By signing, you are only conrming that you have received this form. You do not have to accept this loan because you have signed or received
this form.
Applicant Signature Date Co-Applicant Signature Date
CLOSING DISCLOSURE PAGE 5 OF 5 • LOAN ID # 0000000000
Total of Payments. Total you will have paid after
you make all payments of principal, interest,
mortgage insurance, and loan costs, as scheduled.
Finance Charge. The dollar amount the loan will
cost you.
Amount Financed. The loan amount available after
paying your upfront nance charge.
Annual Percentage Rate (APR). Your costs over
the loan term expressed as a rate. This is not your
interest rate.
Total Interest Percentage (TIP). The total amount
of interest that you will pay over the loan term as a
percentage of your loan amount.
Loan Calculations
?
Contact Information
Lender Mortgage Broker Settlement Agent
Name
Address
NMLS ID
222222
License ID
Contact
Contact NMLS ID
Contact License ID
Email
FICUSBANK.CO
ICUSBANK.
Phone
Questions? If you have questions about the
loan terms or costs on this form, use the contact
information below. To get more information
or make a complaint, contact the Consumer
Financial Protection Bureau at
www.consumernance.gov/mortgage-closing
?
*will not show on print
Distributed by Judicial Title
Other Disclosures
Contract Details
See your note and security instrument for information about
• what happens if you fail to make your payments,
• what is a default on the loan,
• situations in which your lender can require early repayment of the
loan, and
• the rules for making payments before they are due.
Liability after Foreclosure
If your lender forecloses on this property and the foreclosure does not
cover the amount of unpaid balance on this loan,
state law may protect you from liability for the unpaid balance. If you
renance or take on any additional debt on this property, you may
lose this protection and have to pay any debt remaining even after
foreclosure. You may want to consult a lawyer for more information.
state law does not protect you from liability for the unpaid balance.
Loan Acceptance
You do not have to accept this loan because you have received this
form or signed a loan application.
Renance
Renancing this loan will depend on your future nancial situation,
the property value, and market conditions. You may not be able to
renance this loan.
Tax Deductions
If you borrow more than this property is worth, the interest on the
loan amount above this property’s fair market value is not deductible
from your federal income taxes. You should consult a tax advisor for
more information.
CLOSING DISCLOSURE PAGE 5 OF 5 • LOAN ID # 0000000000
Total of Payments. Total you will have paid after
you make all payments of principal, interest,
mortgage insurance, and loan costs, as scheduled.
Finance Charge. The dollar amount the loan will
cost you.
Amount Financed. The loan amount available after
paying your upfront nance charge.
Annual Percentage Rate (APR). Your costs over
the loan term expressed as a rate. This is not your
interest rate.
Total Interest Percentage (TIP). The total amount
of interest that you will pay over the loan term as a
percentage of your loan amount.
Loan Calculations
?
Contact Information
Lender Mortgage Broker Settlement Agent
Name
Address
NMLS ID
222222
License ID
Contact
Contact NMLS ID
Contact License ID
Email
FICUSBANK.CO
ICUSBANK.
Phone
Questions? If you have questions about the
loan terms or costs on this form, use the contact
information below. To get more information
or make a complaint, contact the Consumer
Financial Protection Bureau at
www.consumernance.gov/mortgage-closing
?
*will not show on print
Distributed by Judicial Title
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TILA RESPA Integrated Disclosure Refinance Form (with Calculations) (The Judicial Title Insurance Agency LLC)

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Completed 22 February 2021

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