With everything reviewed, the underwriter approves or rejects the loan. Sometimes underwriters approve the loan with conditions. For example, they might ask for a written explanation of the borrower’s credit history, such as late payments or collections.
Documents (loan docs) are drawn, meaning they are printed out and sent to the title company (or attorney's office) where the closing takes place. You can expect a big stack of papers. Once you sign the loan docs, the title will be transferred and you will receive your new house keys.