Loan Lock Form Loan Lock Form Loan Officer Full Name* Loan Officer Email* Loan Number*Borrower Full Name(s)* Loan Type*Select One...PurchaseRefinanceLoan Amount*Loan Product* Close of Escrow Date* MM slash DD slash YYYY Down Payment Assistance*Select One...YesNoPFG Referral?*Select One...YesNoName of the CU or Referral Source* Origination Amount*What is the Basis Point Format?*Select One...By Percentage (%)By Flat RatePercentage*Select One...12345678910Flat Rate*Discount*Lender Credit* Δ