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justin
2020-11-28T21:42:32+00:00
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Date Of Request
*
Estimated Closing Date
Requested BY
Requestor's Phone #
Requestor's Email
*
email@domain.com
Email CPL to
separate addresses with commas (,)
Property Type
Are We Closing?
Yes
No
Is this a Commitment?
Yes
No
(select No for Opinion)
Loan Information
PURCHASE
REFINANCE
CONV
FHA
VA
USDA
1ST MORTGAGE
2ND MORTGAGE
Buyer Search
Yes
No
(select No for Opinion)
Purchase Price
Loan #
Borrower 1 Full Name
Current Address
City, State, Zip
Borrower 1 SSN #
Borrower 1 DOB
Borrower 2 Full Name
Current Address (B2)
City, State, Zip (B2)
Borrower 2 SSN #
Borrower 2 DOB
Property Address
Property State
Property Zip
Legal Description (If Known)
Seller 1 Full Name
Seller 1 SSN #
Seller 1 DOB
Seller 2 Full Name
Seller 2 SSN #
Seller 2 DOB
Phone #
Forwarding Address
Abstract Location If Purchase
NEW LOAN COMPANY
Name
Address
Phone #
Loan Amount $
Mortgagee Clause
EXISTING PAYOFF INFORMATION
1st Lender Name
2nd Lender Name
Loan #
(2nd) Loan #
Phone #
(2nd) Phone #
Comments & File Uploads
Comments
File Upload #1
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File Upload #2
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