INDIANA LOAN BROKER AGREEMENT
Borrower(s):
Date:
Loan Number:
Property Address:
Broker:
Orig
i
n
This disclosure is provided to you pursuant to Ind. Code 23-2-5-9 and Ind. Admin. Code tit 710
§ 1-22-5
.
You, the applicant, agree to enter into this Brokerage Agreement with Broker as an independent contractor to
apply for a residential mortgage loan from a Lender with which we from time to time contract upon such terms
and conditions as you may request or the Lender may require.
SECTION 1. NATURE OF RELATIONSHIP. In connection with this mortgage loan:
• We are not the credit provider.
• We are acting as an Independent contractor and not as your agent.
• We will present your application to the Lender for review and approval.
• While we seek to assist you in meeting your financial needs, we do not distribute the products of all lenders or
investors in the market and cannot guarantee the lowest price or best terms available in the market.
SECTION II. OUR COMPENSATION.
• We cannot solicit or collect any fee, other than a bona fide third party fee, prior to the loan closing.
• Your interest rate, points and fees offered to you by the Lender may include our compensation.
• Either you or the Lender may pay us all of our compensation.
• For example, in some cases, if you would rather pay a lower interest rate, you may pay higher up-front points and
fees.
• Alternatively, if you would rather pay less up-front, you may be able to accept a higher interest rate from the
Lender as a means to finance the payment of our compensation or other costs that you would otherwise be
required to pay directly, in which case, we would be paid directly by the Lender.
• Broker is entitled to compensation at the settlement of your mortgage loan.
• We also may be paid by the Lender based on services, goods or facilities performed or provided by us to the
Lender.
• Below is an estimate of fees for our services
The amounts are not due unless and until the loan closes, and the fees listed are estimates – the actual charges
may be more or less. Your transaction may not involve a fee for every item listed.
Type of Fee Amount
• The maximum of our services shall not exceed
•
SECTIION III. DISCLOSURE.
IS LICENSED UNDER THE LAWS OF THE STATE OF INDIANA AND BY STATE LAW IS
SUBJECT TO THE REGULATORY OVERSIGHT BY THE INDIANA SECRETARY OF STATE’S
SECURITIES DIVISION. ANY CONSUMER WISHING TO FILE A COMPLAINT AGAINST OR
INQUIRY REGARDING THE REGISTRATION STATUS OF
SHOULD CONTACT THE SECURITIES DIVISION THROUGH ONE OF THE MEANS LISTED
BELOW:
BY U.S. MAIL:
302 W. WASHINGTON ST.
ROOM E-111
INDIANAPOLIS, IN 46204
BY TELEPHONE:
1-800-223-8791
BY INTERNET:
http://www.in.gov/sos/securities.index.html
SECTION IV. TERMINATION OF THIS AGREEMENT
This Agreement will continue in effect until the earliest of the following events:
• You obtain a loan
• Your loan application is denied.
• You or we cancel this agreement in writing.
• We enter into a new Loan Origination Agreement superseding this one.
No Statement or Representation by a Loan Broker is Valid or Enforceable Unless the Statement or Representation
is in Writing.
ACKNOWLEDGEMENT
By signing below, you hereby acknowledge reading and understanding all of the information disclosed above, and
receiving a copy of this disclosure on the date indicated below.