The Hasty Mortgage Corporation

Temporary Loan Registration / Lock-in Agreement
Please Print, Complete and fax back to:

I/We,_____________________________ Social Security #:_________________ and

_________________________________ Social Security #: _________________

am/are going to make an application with The Hasty Mortgage Corporation for a mortgage loan on the following terms:

Property Address:_______________________________________________

City:______________ State:_________ Zip: __________ County: _______________

Approximate Loan Amount $:____________ Approximate Value/Price $: __________

Estimated Settlement Date: ____________ Escrow Waiver: YES*____ NO___ (.250 or .125 to rate)

Loan Purpose: (Check One) Purchase_____ Refinance____ Cash-out Refinance_____

Residency Type: (Check One) Primary Residence____ Second Home ____ Investment Property ____

Property Type: (Check One) Single Family ____ Townhouse ____ Condominium ____

Loan Type: (Check One) 30 year fixed ____ 30 year bi-weekly ___ 15 year fixed___ 7/23 ___ 5/25 ___ 10/1 ARM___
7/1 ARM ___ 5/1 ARM___ 3/1 ARM___ 1 year ARM ___ Other, please specify ______________

Prepayment Penalty: (Check One) YES____ NO_____ ARM Margin _____ Caps______

*In order to qualify for an escrow waiver loan to value ratio cannot be greater than 80%

Date: ______ Lock Terms: (Check One) FLOAT_______ LOCK ____ PRE-APPROVAL ____

If LOCK, Lock-in for ________ days at ______ % with ___________ total points.

IMPORTANT: All faxed lock-in requests are subject to confirmation by The Hasty Mortgage Corporation. I request that The Hasty Mortgage Corporation, lock-in the above interest rate and total points on my behalf.
I have authorized (Check One) VISA _______ MASTERCARD______

ACCOUNT #_________________________ Expiration Date: ______

for a non-refundable fee of $___________ and a non-refundable processing fee of $_________

Agreed to and acknowledged by:


__________________________________ Applicant _____________ Date


__________________________________ The Hasty Mortgage Corporation. _____________ Date