FHA Case Request Step 1 of 3 33% Loan Number Name of Broker Broker NMLS Broker EIN Broker Email Loan Officer Name LO NMLS # Date Requested MM slash DD slash YYYY Requested By Name of Borrower SSN Date of Birth Name of Borrower #2 SSN #2 Date of Birth #2 Name of Borrower #3 SSN #3 Date of Birth #3 Name of Borrower #4 SSN #4 Date of Birth #4 Property Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Existing Construction Yes No Year Completed Number of Units Loan Term Cash Out Yes No Property Type SFR Condo Condo ID # Amortization Type Fixed ARM Purpose of Loan Purchase Refinance If Refinance Regular Streamline Old FHA Case # FHA Field Office SignatureDate MM slash DD slash YYYY CAPTCHA
