River Funding Corporation

CLOSING REQUEST
Fax: (608) 786-6001
Please fax at least 2 business days prior to closing!
Loan Officer Information
Client: 
 _______________________________
Branch:
 _________________________________
Loan Officer: 
 _______________________________
Processor: 
 _________________________________
Phone: 
 _______________________________
Mobile: 
 _________________________________
Fax: 
 _______________________________
E-Mail: 
 _________________________________
Closing Agent Information
Company: 
 ____________________________
Phone: 
 ______________________________
Address: 
 ____________________________
Fax: 
 ______________________________
City/State/Zip: 
 ____________________________
E-Mail: 
 ______________________________
Loan Information
Borrower's Name: 
__________________________________
Waiving Escrow? (circle)
 YES  or  NO
Loan Amount: 
 __________
LTV: 
 __________
Rate: 
 __________
Term: 
 __________
Closing Information
Closing Date: __________________ Closing Location: _______________________
Closing Time: __________________ Closing Type:
Refinance  or  Purchase
River Funding Fees
Client Fees
Underwriting $330 $__________ Origination / Broker Fee
Committment $75 $__________ Discount Fee (Paid by Customer)
Doc Prep / Courier $195 $__________ Appraisal to ______________________________
Flood Certification $25 $__________ Credit Report Fee
Total (1st Mtg) $625 $__________ Courier Fee
Total (2nd Mtg) $395 (standalone 2nd) $__________ Processing Fee
Total(2nd-stack) $99 (if both with River) $__________ Application Fee
Redraw Fee $100 (per redraw) $__________ Escrow Waiver Fee
Rush Fee $100 (less than 2 days notice)    
Client Acknowledgement

By signing below, I acknowledge the following points:
- all information shown on this form is accurate and that any changes to these items may void the existing final approval.
- If I request a closing within 2 business days of River Funding's receipt of this completed form and River Funding agrees to rush the closing (schedule permitting), I will incur a $100 rush fee to be charged on the settlement statement.
- If I request closing documents to be prepared and closing documents must be re-drawn due to an error on my part, I will incur a $100 re-draw fee to be charged on the settlement statement.
Signature: _____________________________________________ Date: _____________________
      Please include a copy of your final 1008 / 1003 with this form

Telephone: (608) 786-6000    •     Fax: (608) 786-6001    •     Toll-Free: 1-877-GO RIVER
1580 Heritage Boulevard, Suite 200    •     West Salem, WI 54669
www.riverfunding.com