Ewing Law Center, P.C.

Lender / Mortgage Company Application:

Please furnish the following information to us as soon as possible so we may process the necessary paperwork for your refinance in a timely manner. For your convenience, we have created an information sheet for you to complete below:

NOTE: The use of the Internet for communications with the firm will not establish an attorney-client relationship.

I. Closing date & time requested
Attorney Requested:

II. Subject Property:
Address:
City:
County:
State:
Zip:

III. Borrower(s):
Borrower's Name:
Co Borrower's Name:
Marital Status:
Borrower's Social Security Number:
Co-Borrower's Social Security Number:
Marital Status:
Address:
Home Phone:
Work # (Borrower's):
Work # (Co-Borrower's):
*Email address:

IV. Mortgage Company information:
Company Name:
Contact/Loan Officer:
Phone:
Fax:
Email:

V. Lender Information:
Company:
Contact/Loan Officer:
Phone:
Fax:
Email:
Amount of Loan:
Loan #

Purchase or Refinance?	Purchase Refinance

Type of loan (Select one):	Conv FHA VA FHMA

Select one:	Owner Occupied Investment
	2nd Home

Select one:	Cash out No cash out

Arm	Type
Baloon	Type
Buydown	Type

Will there be a 2nd mortgage? If yes, complete lender name, loan number and amount in the box below.

VI. Hazard Information:
Company:
Contact/Agent
Phone:
Policy Number:
Mortgagee Clause:
VII. Items to be paid at closing:
Company:
Account Number:
Phone:

Company:
Account Number:
Phone:

Company:
Account Number:
Phone:

Company:
Account Number:
Phone:

VIII. Additional Information:
Will Pest Inspection/Termite report be required?	Yes No
Will Survey be Required:	Yes No
Do you want us to order Survey?	Yes No

IX. Additional Comments:

The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.

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