24 C.F.R. Appendix C to Part 3500—Sample Form of Good Faith Estimate
Title 24 - Housing and Urban Development
[Name of Lender]1 The information provided below reflects estimates of the charges which you are likely to incur at the settlement of your loan. The fees listed are estimates—the actual charges may be more or less. Your transaction may not involve a fee for every item listed. The numbers listed beside the estimates generally correspond to the numbered lines contained in the HUD–1 or HUD–1A settlement statement that you will be receiving at settlement. The HUD–1 or HUD–1A settlement statement will show you the actual cost for items paid at settlement. Applicant Date Authorized Official These estimates are provided pursuant to the Real Estate Settlement Procedures Act of 1974, as amended (RESPA). Additional information can be found in the HUD Special Information Booklet, which is to be provided to you by your mortgage broker or lender, if your application is to purchase residential real property and the Lender will take a first lien on the property. Footnotes 1 The name of the lender shall be placed at the top of the form. Additional information identifying the loan application and property may appear at the bottom of the form or on a separate page. Exception: If the disclosure is being made by a mortgage broker who is not an exclusive agent of the lender, the lender's name will not appear at the top of the form, but the following legend must appear: This Good Faith Estimate is being provided by ________, a mortgage broker, and no lender has yet been obtained. 2 Items for which there is estimated to be no charge to the borrower are not required to be listed. Any additional items for which there is estimated to be a charge to the borrower shall be listed if required on the HUD–1. 3 As an alternative to using aggregate accounting with no more than a two-month cushion, the estimate may be obtained by using single-item accounting with no more than a one-month cushion. [58 FR 17165, Apr. 1, 1993, as amended at 59 FR 6521, Feb. 10, 1994; 63 FR 3237, Jan. 21, 1998]
Title 24: Housing and Urban Development
PART 3500—REAL ESTATE SETTLEMENT PROCEDURES ACT
Appendix C to Part 3500—Sample Form of Good Faith Estimate
------------------------------------------------------------------------ Item \2\ HUD-1 or HUD-1A Amount or range------------------------------------------------------------------------Loan origination fee............ 801................. $____Loan discount fee............... 802................. $____Appraisal fee................... 803................. $____Credit report................... 804................. $____Inspection fee.................. 805................. $____Mortgage broker fee............. [Use blank line in $____ 800 Section].CLO access fee.................. [Use blank line in $____ 800 Section].Tax related service fee......... [Use blank line in $____ 800 Section].Interest for [X] days at $____ 901................. $____ per day.Mortgage insurance premium...... 902................. $____Hazard insurance premiums....... 903................. $____Reserves \3\.................... 1000-1005........... $____Settlement fee.................. 1101................ $____Abstract or title search........ 1102................ $____Title examination............... 1103................ $____Document preparation fee........ 1105................ $____Attorney's fee.................. 1107................ $____Title insurance................. 1108................ $____Recording fees.................. 1201................ $____City/County tax stamps.......... 1202................ $____State tax....................... 1203................ $____Survey.......................... 1301................ $____Pest inspection................. 1302................ $____[Other fees_list here].......... .................... $____------------------------------------------------------------------------
____________________

