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Affiliated Business Disclosure Statement

This is to give you notice that CrossCountry Mortgage, LLC has a business relationship with CrossCountry Home and Auto Insurance, LLC.
The nature of the relationship (and percentage of ownership interest) is Owner in Common, whose ownership interest is 70.00%.
Because of this relationship, this referral may provide CrossCountry Mortgage, LLC a financial or other benefit.

☑ A. Set forth below is the estimated charge or range of charges for the settlement services listed. You are NOT required to use the listed provider(s) as a condition for ☑ settlement of your loan on, or ☐ purchase, sale, or refinance of, the subject property.

THERE ARE FREQUENTLY OTHER SETTLEMENT SERVICE PROVIDERS AVAILABLE WITH SIMILAR SERVICES. YOU ARE FREE TO SHOP AROUND TO DETERMINE THAT YOU ARE RECEIVING THE BEST SERVICES AND THE BEST RATE FOR THESE SERVICES.

Provider and Settlement Service Charge or Range of Charges
CrossCountry Home and Auto Insurance Agency, LLC, Homeowner’s Insurance Premium $100 – $22,500 (0.2% – 0.7% of coverage amount)

☐ B. Set forth below is the estimated charge or range of charges for the settlement services of an attorney, credit reporting agency, or real estate appraiser that we, as your lender, will require you to use, as a condition of your loan on this property, to represent our interest in the transaction.

Provider and Settlement Service Charge or Range of Charges

CrossCountry Mortgage, LLC is referring me/us to purchase the above-described settlement service(s) and may receive a financial or other benefit as the result of this referral.