TPO Disclosure Submission Form

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Renasant Bank will review your Disclosures for compliance. You will be notified by a secure email from a Renasant Bank compliance analyst that the disclosures are approved. You may then "Final" the loan for underwriting submission.

Contact Information

Your Name	Email Address
Phone #	Renasant Bank Account Executive

Loan Information

Borrower First Name	Borrower Last Name
Loan # Please create a loan record in Renasant Connect to receive a loan #.

Please choose

Initial LEChanged Circumstance LE

What is the application date or changed circumstance date?

The loan file must be registered or locked in Renasant Connect so we know how the compensation should be disclosed on the LE. Choose from the following below.

Loan is registered in Renasant ConnectLoan is locked in Renasant Connect

Is this a Broker/Tablefunded Loan or a Mini-Correspondent loan?

Broker/TablefundedMini-Correspondent

Compensation

Compensation to the Originator is Lender PaidCompensation to the Originator is Borrower Paid

Has the LE already been disclosed?

YesNo

Are the Changed Circumstance form and revised LE uploaded to ImageFlow?

YesNo

Please upload your Initial Disclosure package to Imageflow or attach below.

Please attach the Changed Circumstance form and the redisclosure LE.

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