1st Mortgage Home Loan
Non-refundable Good Faith Deposit Form

The USU Charter Credit Union hereby acknowledges the receipt of $__________, which represents the Non-Refundable Good Faith Fees paid for a loan request on the property known as:

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These fees are due at the time you make application for the mortgage loan. Fees will not be refunded if you cancel the mortgage application or transaction once the service has been ordered, however, these fees will be credited to you at the time of closing. The above fees represent the following items:

$__________ Residential Mortgage Credit Report

$__________ Uniform Residential Appraisal Report

$__________ Title Search

$__________ Underwriting Fee

$__________ Other

Signed:

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Borrower Date

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Borrower Date

Witnessed By: ___________________________