Borrower Referral &
Origination Services Submission

BANK PARTNER PORTAL

How it Works

SUBMIT

Provide borrower details and certify the origination services your team has performed.

REVIEW

Our team reviews the information and confirms receipt.

PARTNER

We stay in touch throughout the process and deliver and exceptional experience for your client.

submit form

BY SUBMITTING THIS FORM, I CERTIFY THAT THE SERVICES SELECTED ABOVE WERE ACTUALLY PERFORMED AND ARE NOT SOLELY FOR THE PURPOSE OF REFERRING THIS BORROWER TO PARK HOLLOW MORTGAGE. I UNDERSTAND THAT COMPENSATION IS FOR BONA FIDE SERVICES ACTUALLY PERFORMED AND IS NOT BASED ON LOAN AMOUNT, INTEREST RATE, OR LOAN OUTCOME.

ADDITIONAL NOTES

Maintained ongoing communication and coordinated information transfer to Park Hollow Mortgage.

Initiated third-party verifications (employment, assets, liabilities, etc.)

Provided credit / qualification assistance

Collected and organized financial documentation required for preliminary review

Conducted mortgage needs assessment and provided borrower education

Performed income, asset and debt analysis / preliminary qualification

Collected borrower information and completed application worksheet

SERVICES PERFORMED

List the applicable date below. Leave blank if not applicable. A minimum of 5 of the 7 services below must be completed to qualify under our agreement.

PLEASE CONFIRM THE BONA FIDE ORIGINATION SERVICES YOUR TEAM HAS PERFORMED FOR THIS BORROWER. COMPENSATION IS BASED ON THE COMPLETION OF ACTUAL SERVICES - NOT THE REFERRAL OF BUSINESS. 

origination services certification

referring bank & representative

borrower information

thank you

WE HAVE RECEIVED YOUR SUBMISSIOn. A member of our team will reach out to you shortly.

If you have any questions in the meantime, please

email us.

Important Reminders

Compensation is for bona fide services actually performed—not for referrals.

A minimum of 5 services must be completed to qualify under our agreement.

Compensation is not based on loan amount, interest rate or loan outcome.

All information is kept confidential and secure.

WE'RE HERE TO HELP.

partner@parkhollowmortgage.com
214.929.2879

Questions?