<p> Estimate Change Notification Form This form must be submitted to [email protected] by the end of the business day on which your company became aware of information that would impact any data element on the Loan Estimate or Good Faith Estimate. M&T will evaluate the information and issue a revised Loan Estimate/Good Faith Estimate where appropriate. This form must be submitted with supporting documentation. This form is not to be provided to applicants.</p><p>LOAN INFORMATION Borrower Name: </p><p>Loan Number: </p><p>Date of becoming aware of change: Revised estimate must be issued by: Closing date: Click here to enter a date. Click here to enter a date. Click here to enter a date. Reason for change to Estimate: Click below to select reason from dropdown Select Reason Select Reason Select Reason Select Reason</p><p>Mark all that apply: Select Change Current Information New Information ☐ Interest Rate Float to Lock To ☐ Rate Lock Expiration* To Enter the number of days the rate should be extended in the New Information column ☐ Borrower/Lender Broker Comp To ☐ Loan Amount change To ☐ Monthly MI change To ☐ Financed MI change To ☐ LTV change To ☐ Term change To ☐ Property Type change To ☐ FICO change To ☐ Product change To ☐ Fee change To ☐ Credit change To ☐ Escrow change/waiver add-on To ☐ Other: Please be specific To If fees changed, you must provide the section from page 2 of the LE (ex. A – H, J [Lender credits]) and detailed, specific information below to identify the fees that changed and the reason for the change. </p><p>Click here to enter text. By submitting this form, you certify that the above information is accurate to the best of your knowledge. </p><p>______Name Date</p><p>*Connecticut has specific requirements for rate lock periods and prohibitions against passing along costs associated with rate extensions. M&T will evaluate the Connecticut state-specific requirements to ensure compliance with CT state law.</p><p>Internal use only: Was revised document issued? ☐ Yes ☐ No ______Name of Approver MT5199_1 - Estimate Change Notification July 27, 2015</p>