REAL ESTATE REFINANCE ESCROW
ESCROW NUMBER:_________________________
NEW ESCROW?____________________________
DATE:_____________________________________
12794 Central Avenue
Chino, Ca. 91710
(909) 591-9387 (800) 917-9387
FAX (909) 627-6632
NEW LENDER:____________________________________________________
ADDRESS:_______________________________________________________
________________________________________________________________
PHONE #:_______________________ FAX #:__________________________
LOAN REP:_______________________________________________________
PROCESSOR:____________________________________________________
PROPERTY ADDRESS:_____________________________________________
BORROWER:____________________ BORROWER:_____________________
VESTING:_______________________ VESTING:________________________
SOCIAL SECURITY #:_____________ SOCIAL SECURITY #:______________
ADDRESS:_______________________________________________________
HOME PHONE #:_________________ WORK PHONE #:__________________
LOAN AMOUNT:________________ LOAN TYPE: 1st – 2nd – Conv. – FHA – VA
EXISTING 1st LOAN:( ) TO BE PAID OFF ( )TO REMAIN ( ) TO SUBORDINATE
LENDER:________________ BALANCE:_____________ LOAN #:___________
ADDRESS:_____________________________ PHONE #:_________________
TITLE COMPANY:_______________________ PHONE #:_________________
TITLE OFFICER:________________________ PHONE #:__________________
ORDER #:________________________________________________________
INSURANCE:_______________ PREMIUM:___________ EXPIRATION:______
PHONE #:_________________ FAX: ______________ AGENT:_____________
ADDRESS:_______________________________________________________