Closing Confirmation Request Estimated Closing Date * MM DD YYYY Borrower Contact Info Borrower Name * First Name Last Name Loan Number * Broker Contact Info Brokerage Name * Loan Officer Name * First Name Last Name Loan Officer Phone * (###) ### #### Loan Officer Email * Loan Processor Name * First Name Last Name Loan Processor Phone * (###) ### #### Loan Processor Email * Closing Agent Contact Info Closing Agent Company Name * Closing Agent * First Name Last Name Closing Agent Phone * (###) ### #### Closing Agent Email * Email Closing Package To * 3rd Party Closing Cost (if applicable, confirm below charges and email applicable invoices to closing@adelaidems.com) Processing Fee Payee Processing Fee Amount $ Processing Fee Amount Paid Outside of Closing $ Processing Fee Paid By Broker Borrower Appraisal Fee Payee Appraisal Fee Amount $ Appraisal Fee Paid Outside of Closing $ Appraisal Fee Paid By Broker Borrower Credit Report Fee Payee Credit Report Fee Amount $ Credit Report Fee Amount Paid Outside of Closing $ Credit Report Fee Paid By Broker Borrower Survey Fee Payee Survey Fee Amount $ Survey Fee Amount Paid Outside of Closing $ Survey Fee Paid By Broker Borrower Thank you!