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Loan Writer Certification Form

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LOAN WRITER CERTIFICATION FORM

Company Name:

Loan Writer Name:

RECITALS

WHEREAS, Company engages in origination, preparation, review and submission of mortgage and consumer loan files and requires certain individuals or independent contractors to prepare loan documentation on its behalf; and

WHEREAS, Loan Writer has represented that Loan Writer possesses the qualifications, experience and skill to prepare loan applications, disclosures, underwriting submissions and associated documentation in compliance with applicable federal and state lending laws and Company policies; and

WHEREAS, the parties desire to set forth the services to be provided, the compensation to be paid and the certifications and obligations of Loan Writer with respect to accuracy, compliance and confidentiality of loan files prepared for Company.

SCOPE OF WORK

PAYMENT TERMS

Payment Amount:

Flat fee per engagement

Per-loan fee (specify amount)

Monthly retainer / invoices

Payment Terms: Company will pay invoiced amounts within days of receipt of a properly submitted invoice. Invoices shall itemize services performed, dates, loan file identifiers and any reimbursable expenses.

Late Fee: Unpaid amounts not received within the specified payment period shall accrue interest at or the maximum rate permitted by applicable law, whichever is lower.

TERM AND TERMINATION

Term Commencement Date: . Term Expiration Date:

Either party may terminate this Agreement for convenience upon written notice to the other party at least days prior to the effective termination date. Company may terminate immediately for cause upon written notice if Loan Writer materially breaches representations, engages in fraud, willful misconduct or violates applicable lending laws.

CONFIDENTIALITY

Loan Writer acknowledges that in the course of performing services Loan Writer will receive or have access to non-public, proprietary and customer information. Loan Writer shall not disclose, use or permit access to such confidential information except as necessary to perform services under this Agreement and shall take commercially reasonable measures to protect confidentiality. Confidential information includes but is not limited to borrower social security numbers, loan application data, underwriting files, pricing matrices and internal policies.

Loan Writer agrees to retain records and source documentation related to each loan file for not less than years and to furnish such records to Company or competent authority upon lawful request.

CERTIFICATIONS AND WARRANTIES

By initialing and signing below, Loan Writer certifies, represents and warrants to Company that:

All loan documents, applications and disclosures prepared by Loan Writer will be true, complete and accurate to the best of Loan Writer's knowledge and will not omit material information.

Loan Writer will comply with all applicable federal and state laws, including applicable fair lending, anti-discrimination and anti-fraud statutes, and will follow Company underwriting and disclosure policies.

Loan Writer has disclosed any actual or potential conflicts of interest and will not accept any undisclosed compensation, fee-splitting or incentives that are prohibited by law or Company policy.

INDEMNIFICATION

Loan Writer shall indemnify, defend and hold harmless Company and its officers, directors and employees from and against any and all claims, liabilities, losses, fines, judgments, costs and expenses (including reasonable attorneys' fees) arising out of or resulting from Loan Writer's breach of this Agreement, negligent acts, willful misconduct, fraudulent activity, or failure to comply with applicable laws or Company policies.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior and contemporaneous agreements, understandings and representations, whether written or oral. Any amendment or modification must be in writing and signed by authorized representatives of both parties.

MISCELLANEOUS

If any provision of this Agreement is held invalid or unenforceable, the remainder of this Agreement shall remain in full force and effect. The parties are independent contractors and nothing in this Agreement shall create any agency, partnership or employment relationship.

Company Name:

By:

Date:

Loan Writer Name:

By:

Date:

Enter text✕

What the Loan Writer Certification Form Is and when it matters

The Loan Writer Certification Form documents a loan officer's qualification, licensing, or authorization to originate, prepare, or certify loan documents for a lender or broker. It records identity, license numbers, employer affiliation, relevant training or continuing education, and an attestation that the preparer complied with lender policies and applicable law. Organizations use this form to verify who prepared borrower paperwork, to support audit trails, and to demonstrate internal controls during underwriting, quality control reviews, compliance audits, or regulatory examinations.

Why a clear certification form matters for compliance and auditability

A standardized Loan Writer Certification Form creates a verifiable record of who prepared or certified loan materials, reducing operational risk and strengthening auditability across underwriting and closing workflows.

Why a clear certification form matters for compliance and auditability

Who typically completes or relies on this certification

The form is completed by loan writers, mortgage loan officers, closers, and sometimes underwriters or compliance staff before final loan delivery.

  • Originators and loan officers who prepared the application and disclosures.
  • Quality control and compliance personnel who verify file completeness.
  • Secondary market or investor representatives reviewing seller-delivery packages.

Downstream users include QA teams, internal/external auditors, secondary market purchasers, and regulators who review loan file integrity.

Primary signers and their roles

Loan Writer

An individual who completed or certified loan package contents. Typically a licensed loan officer or registered mortgage loan originator; signs to attest accuracy, licensing status, and adherence to lender policies.

Compliance Officer

A supervisor or compliance representative who reviews and signs to confirm internal checks were performed, required disclosures were included, and the file meets lender or investor standards.

Core sections to include for a professional certification form

A robust Loan Writer Certification Form is concise yet captures identity, authority, documented attestations, and an audit-friendly signature block. Include fields that support verification and traceability.

Identity

Full legal name, date of birth or last four of SSN where permitted, license or NMLS number, and employer details to uniquely identify the certifying individual.

Employment

Employer name, branch location, and job title to establish organizational relationship for liability, audit trails, and investor representations.

Licensing/Certs

State license or NMLS identifier, certification expiry dates, and any continuing education compliance statements required by state or federal regulators.

Attestations

Short declarative statements confirming truthfulness of disclosed information, conformity with lender policies, and that required disclosures were provided to the borrower.

File References

Loan number, borrower name, and document list to tie the certification to specific loan files and support downstream review or repurchase audits.

Signature Block

Signed name, printed name, title, date, and authentication method (wet signature, electronic signature, or notarization) plus space for supervisor countersignature if required.

Step-by-step: completing the Loan Writer Certification Form

Follow these steps in order to ensure the form is complete, auditable, and legally defensible.

  • 01
    Verify identity: Confirm license and employer before entering data.
  • 02
    Populate fields: Complete name, license, employer, loan number, and dates.
  • 03
    Attach support: Include copies of license, training certificates, or evidence.
  • 04
    Sign and retain: Sign, date, and store per retention policy.

Configuring an online workflow for consistent completion

Design a digital flow that enforces required fields, collects supporting files, and captures audit data automatically.

Field Configuration
Required Fields Make name, license number, employer, loan number mandatory.
Attachments Require upload for license or training certificates.
Signature Method Enforce eSignature with audit trail or wet signature option.
Reviewer Step Add supervisor approval step before file closure.

Typical routing from form completion to file retention

A clear routing path helps ensure every certification is reviewed, stored, and available for audits or investor requests.

  • Create: Originator completes the form and uploads proofs.
  • Review: Compliance or supervisor verifies entries and attachments.
  • Sign: Certifier and reviewer sign using chosen method.
  • Store: Archive with loan file and retention metadata.

Selecting digital tools and authentication for eSubmission

Choose a platform that captures intent, attribution, and a tamper-evident audit trail when accepting electronic signatures.

  • Authentication: Email, SMS, or KBA as required by risk level.
  • Audit Trail: Capture IP, timestamp, and action log for each signer.
  • Storage: Encrypted at rest with access controls and retention metadata.

Typical timing and processing expectations

Define internal deadlines for form completion to align with underwriting, investor delivery, and regulatory review cycles.

Before closing:

Complete certification prior to loan closing or final document assembly.

Investor delivery:

Certifications should accompany files delivered to investors or aggregators.

Periodic audit:

Retain completed certifications for internal QA sampling schedules.

Correction windows:

Address errors within lender-defined cure periods to avoid repurchase risk.

Access requests:

Provide certified records promptly for regulatory or investor inquiries.

Common preparation errors to avoid

  • Entering an informal or trade name instead of the certifier's legal name, which breaks linkages to licensing records and causes verification failures.
  • Leaving license numbers or expiration dates blank; expired licenses can invalidate the attestation and trigger investor repurchase demands.
  • Omitting loan file identifiers so the certification cannot be matched to the loan package during audits or investor review.
  • Using initials or unchecked checkbox-only attestations when a full signature and date are required for enforceability.

Consequences of incorrect, incomplete, or fraudulent certifications

Investor repurchase: May trigger buyer repurchase demands.
Regulatory action: Potential fines or enforcement.
Legal liability: Civil claims against originator or broker.
Operational delay: Loan funding or purchase delays.
Reputational harm: Reduced investor confidence.
Backup withholding: Tax consequences if information incorrect.

Comparing eSignature pricing models and basic capabilities

Price and feature parity vary by plan and billing; signNow is listed first for consistent vendor comparison without implying a recommendation.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial Yes, 7-day trial No No Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently asked questions about using and validating this form

Answers cover common execution, eSignature, notarization, retention, and correction scenarios for Loan Writer Certification Forms.


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