Pre-Qualify

This is to give you notice that Perry Homes has a business relationship with Crestmark Mortgage Company, Ltd. (“Crestmark”). Perry Homes owns 45% of Crestmark and a Perry Homes subsidiary owns an additional 20% of Crestmark. Because of this relationship, this referral may provide Perry Homes a financial or other benefit.

Set forth below is the estimated charge or range of charges for the settlement services listed. You are NOT required to use the listed service provider(s) as a condition for purchase of the subject property.

There are frequently other settlement service providers available with similar services. You are free to shop around to determine that you are receiving the best services and the best rate for these services.

SETTLEMENT SERVICE	CHARGES OR RANGE OF CHARGES
Processing Fee	$450.00 (Austin) $350.00 (Dallas, Houston, San-Antonio)
Underwriting Fee	$695.00
Delivery Fee	$178.00
Origination Fee	1% of the loan amount

ACKNOWLEDGEMENT

I/we have read this disclosure form, and understand that Perry Homes is referring me/us to purchase the above-described settlement service(s) and may receive a financial or other benefit as the result of this referral.