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ORIGINATORS STATEMENT OF INFORMATION
Anti-Steering Attestation Agreement
Borrower:
Property Address:
Name of Broker:
Business Address:
Phone:
State License #
Email Address:
MLO License #
The following disclosure was provided to the borrower:
ASD Anti-Steering Disclosure of Loan Options
□ Yes □ No If Yes is selected attach a copy with the Submission File
In Compliance with The Truth in Lending Act (TILA) § 226.36(e) of Regulation Z, Loan Originators (LO),
including Mortgage Brokers, must present loan options to Borrowers for which the Borrower has
expressed an interest that (1) are from Lenders in which the LO regularly does business, (2) the LO in
good faith believes the Borrower will qualify, and (3) cover options for loans with (a) the lowest interest
rate, (b) the lowest interest rate without negative amortization, a prepayment penalty, interest-only
payments, a balloon payment in the first seven (7) years of the life of the loan, a demand feature, shared
equity, or shared appreciation and (c) the lowest total dollar amount for origination points or fees and
discount points.
The undersigned hereby attests and affirms to the following:
The Loan Originator (including the Loan Officer, Mortgage Broker, or any other Agent)
nor any other party has been paid compensation or is in expectation of compensation or
other monetary gain based on the interest rate or other prohibited terms and conditions
under the aforementioned regulations.
For the purpose of increased originator compensation, no consumer has been steered
into a product or program by a Loan Originator.
T
he undersigned hereby certifies that the above information is true and correct at the time of loan
submission and agrees to immediately notify the lender of any changes.
SIGNATURE DATE
PRINT NAME & TITLE OF SIGNER
