CD-Closing Info Request Borrower Name:*GHMC Loan #:*Requester’s Email Address:* Request Type:*PurchaseRefinanceDoes anyone else have rescission rights?(i.e. spouses or additional title holders)YesNo Please download and complete this form. Once completed, you will need to upload the form to “LAM Conditions” in OpenClose. For Sale By Owner:*YesNoBorrower's Email Address:* Additional Email Addresses for All Other Borrowers:separate by commaNotes to LAM/CD Specialist:Anticipated Closing Date:* Date Format: MM slash DD slash YYYY Dry State Closings: Signing Date: Date Format: MM slash DD slash YYYY Funding Date: Date Format: MM slash DD slash YYYY Broker/Correspondent Contact to receive a copy of Initial CD when CD is issued to Customer:Name:*Email:* Name:Email: Do you want an interest credit? If Yes, must close and disburse by the 5th of the month.YesNoIs POA being used at closing? If Yes, please provide a copy to the LAM.YesNoTitle Company / Settlement Agent InfoClosing Agent Name:*Address:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number:*Company License ID #:*Contact Name:*Contact Email:* Contact Person’s License ID #:*Email to send package to: Listing Agent Info:Company Name:Address: Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number:License ID #:Listing Agent Name:Listing Agent Email:* Listing Realtor License ID #:if no Realtor, please indicate N/ABuyer Agent Info:Company Name:Address: Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number:License ID #:Buyer Agent Name:Buyer Agent Email:* Buyer Realtor License ID #:if no Realtor, please indicate N/ACorrespondents Only:Warehouse Line used:Invoices must be uploaded to LAM for all fees: 3rd Party Fees Pay To Check if Applicable Appraisal: Appraisal FeeAppraisal Pay To*Appraisal Check if Applicable*POC by BorrPOC by Broker -ReimburseFinal Inspection: Final Inspection FeeFinal Inspection Pay To*Final Inspection Check if Applicable*POC by BorrPOC by Broker -ReimburseCredit Report: Credit Report FeeCredit Report Pay To*Credit Report Check if Applicable*POC by BorrPOC by Broker -ReimburseTermite: Termite FeeTermite Pay To*Termite Check if ApplicablePOC by BorrPOC by Broker -ReimburseOther: Other FeeOther Pay To*Other Check if Applicable*POC by BorrPOC by Broker -ReimburseIn order to be able to process your CD, please confirm the following requirements have been met:* Loan is locked and locked LE has been disclosed Title Commitment has been uploaded Prelim CD has been uploaded