third party processing company affiliated business ... company is licensed as required by applicable...

NEWPENNFINANCIAL,LLC4000CHEMICALROAD,SUITE200PLYMOUTHMEETING,PA19462www.gonewpenn.com

ThirdPartyProcessingCompanyAffiliatedBusinessAttestationFormBorrowerLastName(s):____________________________________LoanNumber:______________PropertyAddress:___________________________________________________________________BrokerName:______________________________________________________________________3rdPartyProcessingCompanyName:___________________________________________________NewPennFinancial,LLC(“NewPenn”)allowstheuseofunaffiliated3rdpartyprocessingcompanies.Broker(listedabove)certifiesandatteststhatithasnoaffiliation,asthatterm(“affiliate”)isdefinedinRegulationZ(12CFR1026.32(b)(5)),with3rdPartyProcessingCompany(listedabove)beingusedonthistransaction.Furthermore,Brokeratteststhatthe3rdpartyprocessorworkingonthistransactionisnotanemployeeofBroker.Theabovenamed3rdpartyprocessingcompanywillprovideaninvoicefortheirservicesontheirletterheadspecifictothistransactiontoBroker,andBrokerwilldeliveracopytoNewPenn.Brokerunderstandsandrepresentssuch3rdpartyprocessingcompanyislicensedasrequiredbyapplicablelawandislistedaccordinglyinNMLS.BrokeracknowledgesthatitisBroker’sresponsibilitytoensurethe3rdpartyprocessingcompanycomplieswithallapplicablefederal,stateandlocallaws,rulesandregulations,includingbutnotlimitedtotheGramm-Leach-BlileyAct(GLBA).BysigningbelowIrepresentthatIhavetheauthoritytosignonbehalfofthenamedbrokerlistedabove.Iunderstandandrepresentthattheaboveistrueandcorrect._________________________________________________________________________BrokerRepresentativeSignature Title Date_______________________________________________________PrintedName Phone#