Refinance Order Form
Date ____________ Settlement Date & Time:_____________________
Borrower(s) Name: __________________________________________
Name: __________________________________________
Property Address : ____________________________________________
(to be refinanced)
____________________________________________
Phone# ____________________ (w) _____________________ (h)
SS# _____________________ SS# ______________________
Loan Amount: _______________________________
Loan Officer: _________________________________________________________
Phone # : ___________________________________________________________
Lender/Bank: _________________________________________________________
Address for Binder: _______________________________________________________
(office use only)
_______________________________________________________
Existing Loan Name: ___________________________________________________
(First Trust)
Loan # : _____________________________________________________________
Existing Loan Name: ___________________________________________________
(Second Trust or Equity Loan)
Loan #: _____________________________________________________________
Existing Loan Name: ___________________________________________________
(Line of Credit)
Loan # :
_____________________________________________________________
*Please Fax 703-836-7459*