Revision request form

First name Last name Address City, State, Zip Email Phone Type of revision request Change lender Information Change loan amount Add endorsement Do you need a paper copy of the revised commitment? Yes No Loan type Refinance Sale Fill in if you need to add or change lender Loan officer Company Do you need to change the loan amount? Yes No New loan amount: Include the following endorsements: Survey PUD Comp EPA Other: Additional comments :