Please read the following statements prior to starting your mortgage application with Ruhl Mortgage.

This document is to give you notice that Quad City Bank & Trust Company (“QCBT”), an Iowa state banking institution, has a business relationship with Ruhl Mortgage, LLC (“Ruhl Mortgage”). QCBT is an indirect 20% owner of Ruhl Mortgage, entitled to receive an amount of up to 20% of the profits and losses attributable to the operations of Ruhl Mortgage. Because of this relationship, this referral may provide QCBT a financial or other benefit.

Set  forth  on  the  attached  form  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 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.

Set forth on the attached form 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 on this property, to represent our interests in the transaction.

A lender is allowed to require the use of an attorney, credit report agency, or real estate agent chosen to represent the lender's interest.


I/we have read this disclosure form, and understand that QCBT 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.


The information provided below reflects estimates of the charges, which you are likely to incur at the settlement of your loan. The fees listed are estimates; the actual charges may be more or less. This form does not cover all items you will be  required to pay in cash at settlement, for example, the deposit in an escrow account for payment of real estate taxes and insurance. You may wish to inquire as to the amounts of such items:


Our Origination Fee:  
Origination Fee 0% - 1.50%
Processing and Administration Services $0 - $725.00
Discount Fee (for specific interest rate chosen) 0% - 5%
Required Services Your Lender Selects:  
Credit Report $16.00 - $34.00
Appraisal $325.00 - $550.00
Tax Service Fee $0 - $93.00
Flood Certification $11.00
Mortgage Insurance See Below
Title Services and Lender Title Insurance:  
Lender Title Insurance (Title Co. Charge)  $155.00 - $900.00
Title Services (Title Co. Charge) $300.00 - $500.00
Owner’s Title Insurance (Purchase only)  $700.00
Required Services You Can Shop For:  
Pest Inspection $0 - $70.00
Government Recording Charges $108.00 - $150.00
Transfer Taxes As Applicable
Mortgage Insurance Premium (Applies if the loan exceeds 80% LTV)
(Premiums assume a fixed rate mortgage, monthly premiums):
$31.67  81-85% LTV *
$51.67  86-90% LTV *
$76.33  91-95% LTV *
Interest is calculated at 6.50% for 30 days.
Actual interest will be based on the funding date of the loan:

These items marked with an asterisk are based on a mortgage loan of $100,000. (Unless otherwise indicated, to arrive at an approximate value for your loan, multiply these charges by the proposed amount of the loan, divided by $100,000.)