Refinance Information Sheet

12301 Lake Underhill Rd. Suite 405

Orlando, FL 32828

Phone: 407-982-7261

Fax: 407-613-2106

REFINANCE INFORMATION SHEET

Borrower: Last 4 of SS No.:

Phone No.: ____________________ Email Address:

Co-Borrower: Last 4 of SS No.:

Phone No.: _____________________Email Address:

Current Address:

Forwarding Address:

Marital Status: Single-(Man/Woman), Husband and Wife, Other _

Estimated Closing Date:

Is Property being refinanced your: Primary Residence

2nd Home/Investment

Please answer the following: Will you be “attending” closing? Yes No

Would you like us to perform a “mail away” closing? Yes No

Will you be using a Power of Attorney? Yes No

Please fill in HOA/Condo Association info: HOA/CONDO NAME:

HOA Master/Second Association (If applicable):

Management Company (if applicable):

Phone No.: