Open Escrow Order Form For Refinancing
Items marked with an asterisk (*) are required for online order submission
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| Escrow Officer: |
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Sales Rep: |
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| Opening Date: |
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Est. Closing Date: |
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Customer Information |
| * Name: |
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* Email: |
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| Phone: |
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Fax: |
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Address:
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Street Address, City, State, Zip Code |
New Loan Information |
| Loan Amount, 1st: |
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Loan Amount, 2nd: |
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* Property Address:
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Street Address, City, State, Zip Code |
Borrower 1 Information |
Borrower 2 Information |
| Borrower Name: |
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Borrower Name: |
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| Social Security #: |
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Social Security #: |
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| Home Phone: |
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Home Phone: |
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| Work Phone: |
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Work Phone: |
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| Cell Phone: |
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Cell Phone: |
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Mailing Address:
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Street Address, City, State, Zip Code |
Existing Loans Information |
| 1st Trust Deed - |
| Approx. Balance: |
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Loan Number: |
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| Held By: |
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Phone Number: |
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| Payoff? |
Yes No |
Prepay Penalty? |
Yes No |
| 2nd Trust Deed - |
| Approx. Balance: |
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Loan Number: |
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| Held By: |
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Phone Number: |
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| Payoff? |
Yes No |
Prepay Penalty? |
Yes No |
| Subordinate? |
Yes No |
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Insurance Information |
| Insurance Company: |
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Insurance Policy #: |
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| Insurance Agent: |
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Agent Phone: |
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| HOA Name: |
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HOA Phone: |
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Title Information |
| Title Company: |
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Title Order #: |
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| Sales Rep: |
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Title Officer: |
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Additional Information and Comments |
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Please submit each order only once by pressing this button one time.
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