*A completed Borrower Authorization Form, when a VOI is required, and 4506-T, when tax transcripts are required, must accompany this form in order to process the request. See VOI Required Documents chart below for when a VOI and/or tax transcripts are required.

Broker/EMB Lender Information
Broker/EMB Lender Name:Loan Officer:
E-mail:Phone:Fax:
Borrower Information (Names must match DU) – Check all that apply
Primary Income
Borrower:Last 4 Digits of SSN*:
Employer Name:Employer Street Address:
Employer City:Employer State/Province:
Employer Postal/Zip Code:Employer Phone Number:
Employer Salary Key (if applicable):
Income Type: ☐Base ☐Bonus ☐Overtime ☐Comm >25% ☐Social Security ☐Retirement ☐Self-Employed
Secondary Income(if applicable)
Borrower:Last 4 Digits of SSN*:
Employer Name:Employer Street Address:
Employer City:Employer State/Province:
Employer Postal/Zip Code:Employer Phone Number:
Employer Salary Key (if applicable):
Income Type: ☐Base ☐Bonus ☐Overtime ☐Comm >25% ☐Social Security ☐Retirement ☐Self-Employed
Borrower 2 Information (Names must match DU) – Check all that apply
Primary Income
Co-Borrower:Last 4 Digits of SSN*:
Employer Name:Employer Street Address:
Employer City:Employer State/Province:
Employer Postal/Zip Code:Employer Phone Number:
Employer Salary Key (if applicable):
Income Type: ☐Base ☐Bonus ☐Overtime ☐Comm >25% ☐Social Security ☐Retirement ☐Self-Employed
Secondary Income(if applicable)
Co-Borrower:Last 4 Digits of SSN*:
Employer Name:Employer Street Address:
Employer City:Employer State/Province:
Employer Postal/Zip Code:Employer Phone Number:
Employer Salary Key (if applicable):
Income Type: ☐Base ☐Bonus ☐Overtime ☐Comm >25% ☐Social Security ☐Retirement ☐Self-Employed
Borrower 3 Information (Names must match DU) – Check all that apply
Primary Income
Co-Borrower:Last 4 Digits of SSN*:
Employer Name:Employer Street Address:
Employer City:Employer State/Province:
Employer Postal/Zip Code:Employer Phone Number:
Employer Salary Key (if applicable):
Income Type: ☐Base ☐Bonus ☐Overtime ☐Comm >25% ☐Social Security ☐Retirement ☐Self-Employed
Secondary Income(if applicable)
Co-Borrower:Last 4 Digits of SSN*:
Employer Name:Employer Street Address:
Employer City:Employer State/Province:
Employer Postal/Zip Code:Employer Phone Number:
Employer Salary Key (if applicable):
Income Type: ☐Base ☐Bonus ☐Overtime ☐Comm >25% ☐Social Security ☐Retirement ☐Self-Employed
Borrower 4 Information (Names must match DU) – Check all that apply
Primary Income
Co-Borrower:Last 4 Digits of SSN*:
Employer Name:Employer Street Address:
Employer City:Employer State/Province:
Employer Postal/Zip Code:Employer Phone Number:
Employer Salary Key (if applicable):
Income Type: ☐Base ☐Bonus ☐Overtime ☐Comm >25% ☐Social Security ☐Retirement ☐Self-Employed
Secondary Income(if applicable)
Co-Borrower:Last 4 Digits of SSN*:
Employer Name:Employer Street Address:
Employer City:Employer State/Province:
Employer Postal/Zip Code:Employer Phone Number:
Employer Salary Key (if applicable):
Income Type: ☐Base ☐Bonus ☐Overtime ☐Comm >25% ☐Social Security ☐Retirement ☐Self-Employed

VOI Required Documents Chart

Income Type / DU Validation Service / Required Documents
Base Pay / The Work Number® VOI / Manual VOI / Borrower Authorization
Bonus
Overtime
Commission < 25%
Commission ≥ 25% / The Work Number® VOI / Manual VOI; and
1040 Tax Transcripts (2 years) / Borrower Authorization and 4506-T
Social Security / 1040 Tax Transcripts (1 year) / 4506-T
Retirement (Pension, Annuity)
Self-Employment Income (Sole Proprietor, Schedule C) / 1040 Tax Transcripts (2 years) / 4506-T
Email Requests to:

*For security purposes, full Social Security Numbers should be entered on the registration page for all borrowers.

If any of the information contained on this VOI Submission Form is inaccurate or incomplete, it may delay the processing of your request.

Confidential and Internal FAMC Use Only!Original Issue Date: 01/23/2017

Not to be Shared Without Permission▪ Day One Certainty VOI Request Form ▪Last Revision Date: 08/23/2017

MKT-17741Last Reviewed Date: 01/23/2017