Third Party Originator Form
Please complete and submit so WCS Funding Group
can provide you with disclosures for your borrower.

Name First * MI Last *

Please enter your first name, middle initial, and last name

Date Proposal Was Submitted

Client Email Address

Social Security Number ###-##-####

Citizenship Citizen, Work Visa, Etc *

Marital Status Single, Married, Etc *

Race

Ethnicity

Years at this residence

Monthly Income In Dollars*

Real Estate Assets In Dollars

Available Assets In Dollars

Non-Real Estate Debt In Dollars

Verbal authorization to pull credit? Yes: No:

Coborrower Email Address

Social Security Number ###-##-####

Citizenship Citizen, Work Visa, Etc *

Marital Status Single, Married, Etc *

Monthly Income In Dollars*

Real Estate Assets In Dollars

Available Assets In Dollars

Non-Real Estate Debt In Dollars

Borrower cannot sign, is incapacitated? Yes: No:

Borrower is incompetent? Yes: No:

Are there outstanding judgements? Yes: No:

Unresolved bankruptcy? Yes: No:

Party to a lawsuit? Yes: No:

Default on federal debt? Yes: No:

Co-maker or endorser on a note? Yes: No:

Please upload files one at a time

Upload File
Minimum required is Mock Hud if you are using your own Title Company And Housing Counseling Certificate

Please allow files to finish uploading before submitting

Please make sure that all file names contain your first and last name