Salvation Processing, Inc.
23635 Oakside Blvd.  Lutz, FL 33559
(813) 949-2939 (813) 345-4108 Fax
jane@salvationprocessing.com

LOAN SUBMISSION WORKSHEET

Submitting Broker: ________________________________________________

L/O Name: ___________________________ Date __________________

Phone _____________________         Fax _____________________

Salvation Processing may contact Borrower directly ___ Yes   ___ No

Salvation Processing to order ___ Survey   ___ Title   ___ Termite
____________________________________________________________________
BORROWER INFORMATION

Borrower Name: __________________________________________________

Address: ________________________________________________________

Loan Type (Circle)   Conventional  FHA VA  2nd / HELOC

Loan Purpose (Circle) Purchase  Refinance   Rate & Term   Cash-out

Loan Amount: _______________ Term: __________ Int. Rate: _______%

Estimated Value: _____________ LTV: ______% CLTV (2nd): ______%

LENDER __________________________ PROGRAM # ________________

Contact (Acct. Ex.) _________________  Phone _____________________

Survey Company:                 Title Company:

________________________________   _________________________________

Phone _____________________      Phone _____________________

Termite Company:                    Fax   _____________________

________________________________   Order # ____________________

Phone _____________________

Appraiser:                       Real Estate Agent:

________________________________   _________________________________

Phone _____________________      Phone _____________________

Fax   _____________________      Fax   _____________________