Loan Amount	$
Rate	%
Term (months)
EXTRA COSTS
Points to Lender	%
Loan Origination Fee to Lender	$
Points to Broker	%
Loan Origination Fee to Broker	$
Total Private Mortgage Insurance	$
Lender's Inspection Fee	$
Tax Service Contract	$
Underwriting Review Fee	$
Application Fee	$
Broker Processing Fee	$
Other(Excluding Appraisal, Title, Escrow/Attorney)	$