NEWPENNFINANCIAL, LLC 4000 CHEMICAL ROAD, SUITE 200 PLYMOUTH MEETING, PA 19462 www.gonewpenn.com Third Party Processing Company Affiliated Business Attestation Form Borrower Last Name(s):____________________________________Loan Number:______________ Property Address:___________________________________________________________________ Broker Name:______________________________________________________________________ 3 rd Party Processing Company Name:___________________________________________________ New Penn Financial, LLC (“New Penn”) allows the use of unaffiliated 3 rd party processing companies. Broker (listed above) certifies and attests that it has no affiliation, as that term (“affiliate”) is defined in Regulation Z (12 CFR 1026.32(b)(5)), with 3 rd Party Processing Company (listed above) being used on this transaction. Furthermore, Broker attests that the 3 rd party processor working on this transaction is not an employee of Broker. The above named 3 rd party processing company will provide an invoice for their services on their letterhead specific to this transaction to Broker, and Broker will deliver a copy to New Penn. Broker understands and represents such 3 rd party processing company is licensed as required by applicable law and is listed accordingly in NMLS. Broker acknowledges that it is Broker’s responsibility to ensure the 3 rd party processing company complies with all applicable federal, state and local laws, rules and regulations, including but not limited to the Gramm-Leach-Bliley Act (GLBA). By signing below I represent that I have the authority to sign on behalf of the named broker listed above. I understand and represent that the above is true and correct. ___________________________ ________________________ ______________________ Broker Representative Signature Title Date ____________________________ ___________________________ Printed Name Phone #

Third Party Processing Company Affiliated Business ... company is licensed as required by applicable law andis listed accordingly in NMLS. Broker acknowledges that it is Broker’s

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Page 1: Third Party Processing Company Affiliated Business ... company is licensed as required by applicable law andis listed accordingly in NMLS. Broker acknowledges that it is Broker’s

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#