Loan Number:

Date:

Borrower(s) Name:

Property Address:

City:	State:

Zip:

I certify that the appraisal(s) and written valuations have been delivered in compliance with the ECOA Valuations Rule. They were delivered by:

☐	Secure Electronic Delivery – indicate the electronic delivery method:

☐	Secure Email – please provide copy of email sent to the borrower(s)

☐	U.S. Mail – please provide copy of the cover letter sent to the borrower(s)

Date delivered to the borrower(s):

Emerging Banker Name:

Printed Name/Title:

Signature: ________________________________________________________________

Date: