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Refinance Intake
LOAN ESCROW INTAKE FORM (REFINANCE)
Borrower's Name
Current Owner on Title
Property Address:
Mortgage Broker/Lender:
Contact
Phone
Fax
Email
Mailing Address
Amount of Loan
Conv
FHA
Title Co:
Sale's Rep:
Phone
Payoff Information:
First T.D Lender:
Phone
Loan No:
Second T.D Lender (If any):
Phone
Loan No:
Social Security No.
Delivery of Escrow Documents:
Borrower's documents will be sent to:
Broker's documents will be sent to:
Documents will be picked up at the escrow office by:
Escrow Officer:
Patricia Bohe
Gladys Delgado
PLEASE ATTACH A COPY OF THE MORTGAGE COUPON,EXISTING HOMEOWNER'S INSURANCE AND THE BORROWER'S AUTHORIZATION
Submit
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