| Name of Person Completing this Form: * |
|
|
| E-mail of Person Completing this Form: * |
|
|
| Phone Number of Person Completing this Form: * |
|
|
| Transaction Type * |
|
|
| Estimated Close Date * |
|
|
| Has the appraisal been completed? * |
|
|
| Borrower(s) Full Name: * |
|
|
| Borrower 1 Current Address, CSZ |
|
|
| Borrower(s) Marital Status |
|
-If Checked' Please
Provide Death Certificate |
| Property Address 1: * |
|
|
| Property Address 2: |
|
|
| City: * |
|
|
| State: * |
|
|
| Zip Code: * |
|
|
| County: * |
|
|
| Lender * |
|
|
| Loan Officer Name: * |
|
|
| Loan Officer Phone Number: * |
|
|
| Loan Amount $ * |
|
|
| Type of Mortgage |
|
|
| Lender(s) Information (Include Morgagee Clause, CPL, Addressee): |
|
|
| Mortgage Payoff Information, if applicable |
|
|
| Requirements of Lender (check all that apply) |
|
|
| Address for the Closing Protection Letter |
|
|
| Upload any files for this transaction |
|
|
| Upload any additional files for this transaction |
|
|
| Anything else we should know? |
|
|
| |
|
|
