Request for Lender Acknowledgment Lender Acknowledgment Request Enter Information for Lender Acknowledgment GoDocs Customer Name*Enter the name of the customer as it appears in the GoDocs customer record.Customer contact to receive copy of the lender acknowledgment.* First Last A copy of the lender acknowledgment will be sent to this person when it is sent to the lender for e-signing via DocuSign.Email of customer contact to receive copy of lender acknowledgment* Enter Email Confirm Email When sending the lender acknowledgment to the lender via DocuSign, a copy of the lender acknowledgment will be sent to this email address.Date of Lender Acknowledgment* Date Format: MM slash DD slash YYYY Lender type*A business entityAn individualA trustLender Entity Type*LLCCorporationLimited PartnershipGeneral PartnershipExact legal name of lender:*Lender Formation State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificName of Individual Lender* First Last Email of Individual Lender* Enter Email Confirm Email When sending the lender acknowledgment to the lender via DocuSign, the lender acknowledgment will be sent to this email address.Add a Second Individual Lender*NoYesName of Second Individual Lender* First Middle Last Email of Second Individual Lender* Enter Email Confirm Email When sending the lender acknowledgment to the lender via DocuSign, the lender acknowledgment will be sent to this email address.Exact Name of Trust*Important: Trust name in loan documents will appear exactly as entered here.Name of Trustee* First Middle Last Email of Trustee* Enter Email Confirm Email When sending the lender acknowledgment to the lender via DocuSign, the lender acknowledgment will be sent to this email address.Add a Second Trustee*NoYesName of Second Trustee* First Middle Last Email of Second Trustee* Enter Email Confirm Email When sending the lender acknowledgment to the lender via DocuSign, the lender acknowledgment will be sent to this email address.Lender Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Name of Person Signing Lender Acknowledgement for Lender* First Last The lender acknowledgment will be sent to this person for e-signing via DocuSign.Title of Person Signing Lender Acknowledgment for Lender*Email of Person Signing Lender Acknowledgment for Lender* Enter Email Confirm Email The lender acknowledgment will be sent to this email address via DocuSign for e-signing.